10A NCAC 09 .0304 · Violation

Name of Operation: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 40 Completed Date: 11/20/2025 Age: From 3 To 11 Total Minutes: 310 Time In: 09:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance and technical assistance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Monica McKinney, center director, during the visit. Bridget Owen, child care consultant, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. McKinney accompanied us during the walk through of the facility and playground and was available to assist us. The indoor and outdoor areas were monitored today, including, but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of 11/17/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc, is current/active as of 11/19/25. Permit type- Notice of Compliance (G.S. 110-106) issued 1/6/2017. Special Services/ Restrictions- 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last annual compliance visit was conducted on 12/19/24. The last fire drill was practiced on 10/31/25. The last shelter in place drill was practiced on 10/31/25. The last playground inspection was documented on 10/31/25. The last fire inspection was approved on 12/20/24. The last sanitation inspection was conducted on 9/2/25 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/29/24 without hazards. Lead paint and asbestos testing website states “enrollment started”. Mr. McKinney stated that he had sent in a report that was completed by the building inspector that stated that this building was free of lead paint and asbestos. When we arrived, we were greeted at the door by Ms. McKinney, center administrator. We explained the reason for today’s visit. She accompanied us throughout the walk-through of the facility and playground. Space #103 was not in use today. The children were combined into space #104. In space #104 the children were playing with a variety of materials such as dinosaurs, mana-tiles, cooking with pretend food, and a car tower race track. In space #105, the group of kindergarteners were working on classwork with the instructions with their teacher. In space #106, the group of 3rd, 4th and 5th graders were working at their desks. In space #107, the 1st grade class was going to the multi-purpose room to eat lunch. Space #108 is now a storage room. In space #109, the group of 2nd graders were at their desks working on math. The preschool classrooms eat in their classrooms, but each of the school age classrooms have certain times that they eat in the multi-purpose room. After lunch is over and cleaned up, the younger children come to the multi-purpose room for rest time. This facility does not provide meals or snacks. Parents send packed lunches 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 on a 2019 Ford Van, tag # DFY-2510. With an inspection expiration date of 7/31/26. You stated that you are currently not picking children up after school, but the school age children do go on field trips on occasion. The child care center operates from 7 a.m. to 5:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Surfacing did not extend six (6) feet beyond the external limits of the yellow spinner on the playground. .0605(l)(1-2) 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 van did not have a statement posted. .1003(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence in the lower corner measured 3 feet 11 inches instead of 4 feet high. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of hand sanitizer was sitting on top on a filing cabinet which did not measure five (5) feet high. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A staff purse was out in the classroom. The teacher stated that the purse did have Tylenol inside. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler was in a prescription box that did not match the medication expiration date. The pharmacy label had expired; however, the medication has not expired. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child had a permission slip for Motrin but the medication was Tylenol. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The drill that should have been conducted in June 2025 was missing. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the swings and at the end of the slides did not measure the minimum or 6 inches deep. .0605(k)(1-4) Technical assistance was provided as follows: Item #841 A staff purse was out in the classroom. The teacher stated that the purse did have Tylenol inside. She put it in her locked closet while we were in the classroom. We discussed that staff need to keep purse locked up if it has medication inside or leave it in their personal vehicle. This was corrected during the visit. Item #1867 The mulch under the swings and at the end of the slides did not measure the minimum or 6 inches deep. We discussed fluffing the mulch as needed but also adding more. This will also include the Little Tykes climbers on the P-K (side) playground. Item #1811 A Shelter-in-place or lockdown drill was not practiced every three months. The drill that should have been conducted in June 2025 was missing. You stated you remembered doing the drill, but did not document it and didn’t feel comfortable making up date. We discussed adding it to your calendar or phone reminders. Item #840 A bottle of hand sanitizer was sitting on top on a filing cabinet which did not measure five (5) feet high. To be considered inaccessible to children it has to be at least five feet up. The teacher decided to put it in the closet. This was corrected during the visit. Item #824 The fence in the lower corner measured 3 feet 11 inches instead of 4 feet high. We discussed digging out the fence where the dirt has washed down into the lower corner. Item #849 A child had a permission slip for Motrin but the medication was Tylenol. We discussed that if a parent brings in a new bottle of medication, that a new permission slip needs to be filled out. Item #844 An inhaler was in a prescription box that did not match the medication expiration date. The pharmacy label had expired; however, the medication has not expired. If the parent doesn't have the correct precroption box then have them contact the pharmacy to get a printed label. Item #717 Surfacing did not extend six (6) feet beyond the external limits of the yellow spinner on the playground. Ms. McKinney explained how they had a limb fall and had to have equipment come in and do some work and the boarder was put back in the wrong place. I could see where the border used to be. We discussed moving the boarder back to assure that the surfacing extends six (6) feet. Item #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. We showed them where they could find a sample of this on our website. They printed it and posted. This was corrected during the visit. 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 December 4, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We also discussed the exposed ground cloth on the gravel trike path. More gravel needs to be added on top of it, or it needs to be removed. • We discussed the ABCMS portal and how to update that to the current staff. • Ms. McKinney stated that she was going to get another mat to go at the end of the second slide. • Ms. McKinney stated that there is a piece of deteriorated wood and it is on the list to be replaced. 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. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 40 Completed Date: 11/20/2025 Age: From 3 To 11 Total Minutes: 310 Time In: 09:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance and technical assistance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Monica McKinney, center director, during the visit. Bridget Owen, child care consultant, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. McKinney accompanied us during the walk through of the facility and playground and was available to assist us. The indoor and outdoor areas were monitored today, including, but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of 11/17/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc, is current/active as of 11/19/25. Permit type- Notice of Compliance (G.S. 110-106) issued 1/6/2017. Special Services/ Restrictions- 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last annual compliance visit was conducted on 12/19/24. The last fire drill was practiced on 10/31/25. The last shelter in place drill was practiced on 10/31/25. The last playground inspection was documented on 10/31/25. The last fire inspection was approved on 12/20/24. The last sanitation inspection was conducted on 9/2/25 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/29/24 without hazards. Lead paint and asbestos testing website states “enrollment started”. Mr. McKinney stated that he had sent in a report that was completed by the building inspector that stated that this building was free of lead paint and asbestos. When we arrived, we were greeted at the door by Ms. McKinney, center administrator. We explained the reason for today’s visit. She accompanied us throughout the walk-through of the facility and playground. Space #103 was not in use today. The children were combined into space #104. In space #104 the children were playing with a variety of materials such as dinosaurs, mana-tiles, cooking with pretend food, and a car tower race track. In space #105, the group of kindergarteners were working on classwork with the instructions with their teacher. In space #106, the group of 3rd, 4th and 5th graders were working at their desks. In space #107, the 1st grade class was going to the multi-purpose room to eat lunch. Space #108 is now a storage room. In space #109, the group of 2nd graders were at their desks working on math. The preschool classrooms eat in their classrooms, but each of the school age classrooms have certain times that they eat in the multi-purpose room. After lunch is over and cleaned up, the younger children come to the multi-purpose room for rest time. This facility does not provide meals or snacks. Parents send packed lunches 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 on a 2019 Ford Van, tag # DFY-2510. With an inspection expiration date of 7/31/26. You stated that you are currently not picking children up after school, but the school age children do go on field trips on occasion. The child care center operates from 7 a.m. to 5:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Surfacing did not extend six (6) feet beyond the external limits of the yellow spinner on the playground. .0605(l)(1-2) 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 van did not have a statement posted. .1003(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence in the lower corner measured 3 feet 11 inches instead of 4 feet high. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of hand sanitizer was sitting on top on a filing cabinet which did not measure five (5) feet high. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A staff purse was out in the classroom. The teacher stated that the purse did have Tylenol inside. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler was in a prescription box that did not match the medication expiration date. The pharmacy label had expired; however, the medication has not expired. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child had a permission slip for Motrin but the medication was Tylenol. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The drill that should have been conducted in June 2025 was missing. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the swings and at the end of the slides did not measure the minimum or 6 inches deep. .0605(k)(1-4) Technical assistance was provided as follows: Item #841 A staff purse was out in the classroom. The teacher stated that the purse did have Tylenol inside. She put it in her locked closet while we were in the classroom. We discussed that staff need to keep purse locked up if it has medication inside or leave it in their personal vehicle. This was corrected during the visit. Item #1867 The mulch under the swings and at the end of the slides did not measure the minimum or 6 inches deep. We discussed fluffing the mulch as needed but also adding more. This will also include the Little Tykes climbers on the P-K (side) playground. Item #1811 A Shelter-in-place or lockdown drill was not practiced every three months. The drill that should have been conducted in June 2025 was missing. You stated you remembered doing the drill, but did not document it and didn’t feel comfortable making up date. We discussed adding it to your calendar or phone reminders. Item #840 A bottle of hand sanitizer was sitting on top on a filing cabinet which did not measure five (5) feet high. To be considered inaccessible to children it has to be at least five feet up. The teacher decided to put it in the closet. This was corrected during the visit. Item #824 The fence in the lower corner measured 3 feet 11 inches instead of 4 feet high. We discussed digging out the fence where the dirt has washed down into the lower corner. Item #849 A child had a permission slip for Motrin but the medication was Tylenol. We discussed that if a parent brings in a new bottle of medication, that a new permission slip needs to be filled out. Item #844 An inhaler was in a prescription box that did not match the medication expiration date. The pharmacy label had expired; however, the medication has not expired. If the parent doesn't have the correct precroption box then have them contact the pharmacy to get a printed label. Item #717 Surfacing did not extend six (6) feet beyond the external limits of the yellow spinner on the playground. Ms. McKinney explained how they had a limb fall and had to have equipment come in and do some work and the boarder was put back in the wrong place. I could see where the border used to be. We discussed moving the boarder back to assure that the surfacing extends six (6) feet. Item #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. We showed them where they could find a sample of this on our website. They printed it and posted. This was corrected during the visit. 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 December 4, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We also discussed the exposed ground cloth on the gravel trike path. More gravel needs to be added on top of it, or it needs to be removed. • We discussed the ABCMS portal and how to update that to the current staff. • Ms. McKinney stated that she was going to get another mat to go at the end of the second slide. • Ms. McKinney stated that there is a piece of deteriorated wood and it is on the list to be replaced. 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. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 40 Completed Date: 11/20/2025 Age: From 3 To 11 Total Minutes: 310 Time In: 09:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance and technical assistance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Monica McKinney, center director, during the visit. Bridget Owen, child care consultant, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. McKinney accompanied us during the walk through of the facility and playground and was available to assist us. The indoor and outdoor areas were monitored today, including, but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of 11/17/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc, is current/active as of 11/19/25. Permit type- Notice of Compliance (G.S. 110-106) issued 1/6/2017. Special Services/ Restrictions- 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last annual compliance visit was conducted on 12/19/24. The last fire drill was practiced on 10/31/25. The last shelter in place drill was practiced on 10/31/25. The last playground inspection was documented on 10/31/25. The last fire inspection was approved on 12/20/24. The last sanitation inspection was conducted on 9/2/25 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/29/24 without hazards. Lead paint and asbestos testing website states “enrollment started”. Mr. McKinney stated that he had sent in a report that was completed by the building inspector that stated that this building was free of lead paint and asbestos. When we arrived, we were greeted at the door by Ms. McKinney, center administrator. We explained the reason for today’s visit. She accompanied us throughout the walk-through of the facility and playground. Space #103 was not in use today. The children were combined into space #104. In space #104 the children were playing with a variety of materials such as dinosaurs, mana-tiles, cooking with pretend food, and a car tower race track. In space #105, the group of kindergarteners were working on classwork with the instructions with their teacher. In space #106, the group of 3rd, 4th and 5th graders were working at their desks. In space #107, the 1st grade class was going to the multi-purpose room to eat lunch. Space #108 is now a storage room. In space #109, the group of 2nd graders were at their desks working on math. The preschool classrooms eat in their classrooms, but each of the school age classrooms have certain times that they eat in the multi-purpose room. After lunch is over and cleaned up, the younger children come to the multi-purpose room for rest time. This facility does not provide meals or snacks. Parents send packed lunches 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 on a 2019 Ford Van, tag # DFY-2510. With an inspection expiration date of 7/31/26. You stated that you are currently not picking children up after school, but the school age children do go on field trips on occasion. The child care center operates from 7 a.m. to 5:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Surfacing did not extend six (6) feet beyond the external limits of the yellow spinner on the playground. .0605(l)(1-2) 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 van did not have a statement posted. .1003(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence in the lower corner measured 3 feet 11 inches instead of 4 feet high. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of hand sanitizer was sitting on top on a filing cabinet which did not measure five (5) feet high. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A staff purse was out in the classroom. The teacher stated that the purse did have Tylenol inside. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler was in a prescription box that did not match the medication expiration date. The pharmacy label had expired; however, the medication has not expired. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child had a permission slip for Motrin but the medication was Tylenol. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The drill that should have been conducted in June 2025 was missing. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the swings and at the end of the slides did not measure the minimum or 6 inches deep. .0605(k)(1-4) Technical assistance was provided as follows: Item #841 A staff purse was out in the classroom. The teacher stated that the purse did have Tylenol inside. She put it in her locked closet while we were in the classroom. We discussed that staff need to keep purse locked up if it has medication inside or leave it in their personal vehicle. This was corrected during the visit. Item #1867 The mulch under the swings and at the end of the slides did not measure the minimum or 6 inches deep. We discussed fluffing the mulch as needed but also adding more. This will also include the Little Tykes climbers on the P-K (side) playground. Item #1811 A Shelter-in-place or lockdown drill was not practiced every three months. The drill that should have been conducted in June 2025 was missing. You stated you remembered doing the drill, but did not document it and didn’t feel comfortable making up date. We discussed adding it to your calendar or phone reminders. Item #840 A bottle of hand sanitizer was sitting on top on a filing cabinet which did not measure five (5) feet high. To be considered inaccessible to children it has to be at least five feet up. The teacher decided to put it in the closet. This was corrected during the visit. Item #824 The fence in the lower corner measured 3 feet 11 inches instead of 4 feet high. We discussed digging out the fence where the dirt has washed down into the lower corner. Item #849 A child had a permission slip for Motrin but the medication was Tylenol. We discussed that if a parent brings in a new bottle of medication, that a new permission slip needs to be filled out. Item #844 An inhaler was in a prescription box that did not match the medication expiration date. The pharmacy label had expired; however, the medication has not expired. If the parent doesn't have the correct precroption box then have them contact the pharmacy to get a printed label. Item #717 Surfacing did not extend six (6) feet beyond the external limits of the yellow spinner on the playground. Ms. McKinney explained how they had a limb fall and had to have equipment come in and do some work and the boarder was put back in the wrong place. I could see where the border used to be. We discussed moving the boarder back to assure that the surfacing extends six (6) feet. Item #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. We showed them where they could find a sample of this on our website. They printed it and posted. This was corrected during the visit. 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 December 4, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We also discussed the exposed ground cloth on the gravel trike path. More gravel needs to be added on top of it, or it needs to be removed. • We discussed the ABCMS portal and how to update that to the current staff. • Ms. McKinney stated that she was going to get another mat to go at the end of the second slide. • Ms. McKinney stated that there is a piece of deteriorated wood and it is on the list to be replaced. 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. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 40 Completed Date: 11/20/2025 Age: From 3 To 11 Total Minutes: 310 Time In: 09:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance and technical assistance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Monica McKinney, center director, during the visit. Bridget Owen, child care consultant, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. McKinney accompanied us during the walk through of the facility and playground and was available to assist us. The indoor and outdoor areas were monitored today, including, but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of 11/17/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc, is current/active as of 11/19/25. Permit type- Notice of Compliance (G.S. 110-106) issued 1/6/2017. Special Services/ Restrictions- 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last annual compliance visit was conducted on 12/19/24. The last fire drill was practiced on 10/31/25. The last shelter in place drill was practiced on 10/31/25. The last playground inspection was documented on 10/31/25. The last fire inspection was approved on 12/20/24. The last sanitation inspection was conducted on 9/2/25 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/29/24 without hazards. Lead paint and asbestos testing website states “enrollment started”. Mr. McKinney stated that he had sent in a report that was completed by the building inspector that stated that this building was free of lead paint and asbestos. When we arrived, we were greeted at the door by Ms. McKinney, center administrator. We explained the reason for today’s visit. She accompanied us throughout the walk-through of the facility and playground. Space #103 was not in use today. The children were combined into space #104. In space #104 the children were playing with a variety of materials such as dinosaurs, mana-tiles, cooking with pretend food, and a car tower race track. In space #105, the group of kindergarteners were working on classwork with the instructions with their teacher. In space #106, the group of 3rd, 4th and 5th graders were working at their desks. In space #107, the 1st grade class was going to the multi-purpose room to eat lunch. Space #108 is now a storage room. In space #109, the group of 2nd graders were at their desks working on math. The preschool classrooms eat in their classrooms, but each of the school age classrooms have certain times that they eat in the multi-purpose room. After lunch is over and cleaned up, the younger children come to the multi-purpose room for rest time. This facility does not provide meals or snacks. Parents send packed lunches 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 on a 2019 Ford Van, tag # DFY-2510. With an inspection expiration date of 7/31/26. You stated that you are currently not picking children up after school, but the school age children do go on field trips on occasion. The child care center operates from 7 a.m. to 5:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Surfacing did not extend six (6) feet beyond the external limits of the yellow spinner on the playground. .0605(l)(1-2) 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 van did not have a statement posted. .1003(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence in the lower corner measured 3 feet 11 inches instead of 4 feet high. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of hand sanitizer was sitting on top on a filing cabinet which did not measure five (5) feet high. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A staff purse was out in the classroom. The teacher stated that the purse did have Tylenol inside. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler was in a prescription box that did not match the medication expiration date. The pharmacy label had expired; however, the medication has not expired. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child had a permission slip for Motrin but the medication was Tylenol. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The drill that should have been conducted in June 2025 was missing. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the swings and at the end of the slides did not measure the minimum or 6 inches deep. .0605(k)(1-4) Technical assistance was provided as follows: Item #841 A staff purse was out in the classroom. The teacher stated that the purse did have Tylenol inside. She put it in her locked closet while we were in the classroom. We discussed that staff need to keep purse locked up if it has medication inside or leave it in their personal vehicle. This was corrected during the visit. Item #1867 The mulch under the swings and at the end of the slides did not measure the minimum or 6 inches deep. We discussed fluffing the mulch as needed but also adding more. This will also include the Little Tykes climbers on the P-K (side) playground. Item #1811 A Shelter-in-place or lockdown drill was not practiced every three months. The drill that should have been conducted in June 2025 was missing. You stated you remembered doing the drill, but did not document it and didn’t feel comfortable making up date. We discussed adding it to your calendar or phone reminders. Item #840 A bottle of hand sanitizer was sitting on top on a filing cabinet which did not measure five (5) feet high. To be considered inaccessible to children it has to be at least five feet up. The teacher decided to put it in the closet. This was corrected during the visit. Item #824 The fence in the lower corner measured 3 feet 11 inches instead of 4 feet high. We discussed digging out the fence where the dirt has washed down into the lower corner. Item #849 A child had a permission slip for Motrin but the medication was Tylenol. We discussed that if a parent brings in a new bottle of medication, that a new permission slip needs to be filled out. Item #844 An inhaler was in a prescription box that did not match the medication expiration date. The pharmacy label had expired; however, the medication has not expired. If the parent doesn't have the correct precroption box then have them contact the pharmacy to get a printed label. Item #717 Surfacing did not extend six (6) feet beyond the external limits of the yellow spinner on the playground. Ms. McKinney explained how they had a limb fall and had to have equipment come in and do some work and the boarder was put back in the wrong place. I could see where the border used to be. We discussed moving the boarder back to assure that the surfacing extends six (6) feet. Item #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. We showed them where they could find a sample of this on our website. They printed it and posted. This was corrected during the visit. 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 December 4, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We also discussed the exposed ground cloth on the gravel trike path. More gravel needs to be added on top of it, or it needs to be removed. • We discussed the ABCMS portal and how to update that to the current staff. • Ms. McKinney stated that she was going to get another mat to go at the end of the second slide. • Ms. McKinney stated that there is a piece of deteriorated wood and it is on the list to be replaced. 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. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 40 Completed Date: 11/20/2025 Age: From 3 To 11 Total Minutes: 310 Time In: 09:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance and technical assistance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Monica McKinney, center director, during the visit. Bridget Owen, child care consultant, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. McKinney accompanied us during the walk through of the facility and playground and was available to assist us. The indoor and outdoor areas were monitored today, including, but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of 11/17/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc, is current/active as of 11/19/25. Permit type- Notice of Compliance (G.S. 110-106) issued 1/6/2017. Special Services/ Restrictions- 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last annual compliance visit was conducted on 12/19/24. The last fire drill was practiced on 10/31/25. The last shelter in place drill was practiced on 10/31/25. The last playground inspection was documented on 10/31/25. The last fire inspection was approved on 12/20/24. The last sanitation inspection was conducted on 9/2/25 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/29/24 without hazards. Lead paint and asbestos testing website states “enrollment started”. Mr. McKinney stated that he had sent in a report that was completed by the building inspector that stated that this building was free of lead paint and asbestos. When we arrived, we were greeted at the door by Ms. McKinney, center administrator. We explained the reason for today’s visit. She accompanied us throughout the walk-through of the facility and playground. Space #103 was not in use today. The children were combined into space #104. In space #104 the children were playing with a variety of materials such as dinosaurs, mana-tiles, cooking with pretend food, and a car tower race track. In space #105, the group of kindergarteners were working on classwork with the instructions with their teacher. In space #106, the group of 3rd, 4th and 5th graders were working at their desks. In space #107, the 1st grade class was going to the multi-purpose room to eat lunch. Space #108 is now a storage room. In space #109, the group of 2nd graders were at their desks working on math. The preschool classrooms eat in their classrooms, but each of the school age classrooms have certain times that they eat in the multi-purpose room. After lunch is over and cleaned up, the younger children come to the multi-purpose room for rest time. This facility does not provide meals or snacks. Parents send packed lunches 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 on a 2019 Ford Van, tag # DFY-2510. With an inspection expiration date of 7/31/26. You stated that you are currently not picking children up after school, but the school age children do go on field trips on occasion. The child care center operates from 7 a.m. to 5:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Surfacing did not extend six (6) feet beyond the external limits of the yellow spinner on the playground. .0605(l)(1-2) 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 van did not have a statement posted. .1003(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence in the lower corner measured 3 feet 11 inches instead of 4 feet high. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of hand sanitizer was sitting on top on a filing cabinet which did not measure five (5) feet high. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A staff purse was out in the classroom. The teacher stated that the purse did have Tylenol inside. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler was in a prescription box that did not match the medication expiration date. The pharmacy label had expired; however, the medication has not expired. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child had a permission slip for Motrin but the medication was Tylenol. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The drill that should have been conducted in June 2025 was missing. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the swings and at the end of the slides did not measure the minimum or 6 inches deep. .0605(k)(1-4) Technical assistance was provided as follows: Item #841 A staff purse was out in the classroom. The teacher stated that the purse did have Tylenol inside. She put it in her locked closet while we were in the classroom. We discussed that staff need to keep purse locked up if it has medication inside or leave it in their personal vehicle. This was corrected during the visit. Item #1867 The mulch under the swings and at the end of the slides did not measure the minimum or 6 inches deep. We discussed fluffing the mulch as needed but also adding more. This will also include the Little Tykes climbers on the P-K (side) playground. Item #1811 A Shelter-in-place or lockdown drill was not practiced every three months. The drill that should have been conducted in June 2025 was missing. You stated you remembered doing the drill, but did not document it and didn’t feel comfortable making up date. We discussed adding it to your calendar or phone reminders. Item #840 A bottle of hand sanitizer was sitting on top on a filing cabinet which did not measure five (5) feet high. To be considered inaccessible to children it has to be at least five feet up. The teacher decided to put it in the closet. This was corrected during the visit. Item #824 The fence in the lower corner measured 3 feet 11 inches instead of 4 feet high. We discussed digging out the fence where the dirt has washed down into the lower corner. Item #849 A child had a permission slip for Motrin but the medication was Tylenol. We discussed that if a parent brings in a new bottle of medication, that a new permission slip needs to be filled out. Item #844 An inhaler was in a prescription box that did not match the medication expiration date. The pharmacy label had expired; however, the medication has not expired. If the parent doesn't have the correct precroption box then have them contact the pharmacy to get a printed label. Item #717 Surfacing did not extend six (6) feet beyond the external limits of the yellow spinner on the playground. Ms. McKinney explained how they had a limb fall and had to have equipment come in and do some work and the boarder was put back in the wrong place. I could see where the border used to be. We discussed moving the boarder back to assure that the surfacing extends six (6) feet. Item #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. We showed them where they could find a sample of this on our website. They printed it and posted. This was corrected during the visit. 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 December 4, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We also discussed the exposed ground cloth on the gravel trike path. More gravel needs to be added on top of it, or it needs to be removed. • We discussed the ABCMS portal and how to update that to the current staff. • Ms. McKinney stated that she was going to get another mat to go at the end of the second slide. • Ms. McKinney stated that there is a piece of deteriorated wood and it is on the list to be replaced. 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. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 40 Completed Date: 11/20/2025 Age: From 3 To 11 Total Minutes: 310 Time In: 09:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance and technical assistance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Monica McKinney, center director, during the visit. Bridget Owen, child care consultant, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. McKinney accompanied us during the walk through of the facility and playground and was available to assist us. The indoor and outdoor areas were monitored today, including, but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of 11/17/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc, is current/active as of 11/19/25. Permit type- Notice of Compliance (G.S. 110-106) issued 1/6/2017. Special Services/ Restrictions- 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last annual compliance visit was conducted on 12/19/24. The last fire drill was practiced on 10/31/25. The last shelter in place drill was practiced on 10/31/25. The last playground inspection was documented on 10/31/25. The last fire inspection was approved on 12/20/24. The last sanitation inspection was conducted on 9/2/25 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/29/24 without hazards. Lead paint and asbestos testing website states “enrollment started”. Mr. McKinney stated that he had sent in a report that was completed by the building inspector that stated that this building was free of lead paint and asbestos. When we arrived, we were greeted at the door by Ms. McKinney, center administrator. We explained the reason for today’s visit. She accompanied us throughout the walk-through of the facility and playground. Space #103 was not in use today. The children were combined into space #104. In space #104 the children were playing with a variety of materials such as dinosaurs, mana-tiles, cooking with pretend food, and a car tower race track. In space #105, the group of kindergarteners were working on classwork with the instructions with their teacher. In space #106, the group of 3rd, 4th and 5th graders were working at their desks. In space #107, the 1st grade class was going to the multi-purpose room to eat lunch. Space #108 is now a storage room. In space #109, the group of 2nd graders were at their desks working on math. The preschool classrooms eat in their classrooms, but each of the school age classrooms have certain times that they eat in the multi-purpose room. After lunch is over and cleaned up, the younger children come to the multi-purpose room for rest time. This facility does not provide meals or snacks. Parents send packed lunches 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 on a 2019 Ford Van, tag # DFY-2510. With an inspection expiration date of 7/31/26. You stated that you are currently not picking children up after school, but the school age children do go on field trips on occasion. The child care center operates from 7 a.m. to 5:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Surfacing did not extend six (6) feet beyond the external limits of the yellow spinner on the playground. .0605(l)(1-2) 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 van did not have a statement posted. .1003(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence in the lower corner measured 3 feet 11 inches instead of 4 feet high. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of hand sanitizer was sitting on top on a filing cabinet which did not measure five (5) feet high. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A staff purse was out in the classroom. The teacher stated that the purse did have Tylenol inside. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler was in a prescription box that did not match the medication expiration date. The pharmacy label had expired; however, the medication has not expired. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child had a permission slip for Motrin but the medication was Tylenol. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The drill that should have been conducted in June 2025 was missing. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the swings and at the end of the slides did not measure the minimum or 6 inches deep. .0605(k)(1-4) Technical assistance was provided as follows: Item #841 A staff purse was out in the classroom. The teacher stated that the purse did have Tylenol inside. She put it in her locked closet while we were in the classroom. We discussed that staff need to keep purse locked up if it has medication inside or leave it in their personal vehicle. This was corrected during the visit. Item #1867 The mulch under the swings and at the end of the slides did not measure the minimum or 6 inches deep. We discussed fluffing the mulch as needed but also adding more. This will also include the Little Tykes climbers on the P-K (side) playground. Item #1811 A Shelter-in-place or lockdown drill was not practiced every three months. The drill that should have been conducted in June 2025 was missing. You stated you remembered doing the drill, but did not document it and didn’t feel comfortable making up date. We discussed adding it to your calendar or phone reminders. Item #840 A bottle of hand sanitizer was sitting on top on a filing cabinet which did not measure five (5) feet high. To be considered inaccessible to children it has to be at least five feet up. The teacher decided to put it in the closet. This was corrected during the visit. Item #824 The fence in the lower corner measured 3 feet 11 inches instead of 4 feet high. We discussed digging out the fence where the dirt has washed down into the lower corner. Item #849 A child had a permission slip for Motrin but the medication was Tylenol. We discussed that if a parent brings in a new bottle of medication, that a new permission slip needs to be filled out. Item #844 An inhaler was in a prescription box that did not match the medication expiration date. The pharmacy label had expired; however, the medication has not expired. If the parent doesn't have the correct precroption box then have them contact the pharmacy to get a printed label. Item #717 Surfacing did not extend six (6) feet beyond the external limits of the yellow spinner on the playground. Ms. McKinney explained how they had a limb fall and had to have equipment come in and do some work and the boarder was put back in the wrong place. I could see where the border used to be. We discussed moving the boarder back to assure that the surfacing extends six (6) feet. Item #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. We showed them where they could find a sample of this on our website. They printed it and posted. This was corrected during the visit. 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 December 4, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We also discussed the exposed ground cloth on the gravel trike path. More gravel needs to be added on top of it, or it needs to be removed. • We discussed the ABCMS portal and how to update that to the current staff. • Ms. McKinney stated that she was going to get another mat to go at the end of the second slide. • Ms. McKinney stated that there is a piece of deteriorated wood and it is on the list to be replaced. 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. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 40 Completed Date: 11/20/2025 Age: From 3 To 11 Total Minutes: 310 Time In: 09:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance and technical assistance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Monica McKinney, center director, during the visit. Bridget Owen, child care consultant, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. McKinney accompanied us during the walk through of the facility and playground and was available to assist us. The indoor and outdoor areas were monitored today, including, but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of 11/17/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc, is current/active as of 11/19/25. Permit type- Notice of Compliance (G.S. 110-106) issued 1/6/2017. Special Services/ Restrictions- 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last annual compliance visit was conducted on 12/19/24. The last fire drill was practiced on 10/31/25. The last shelter in place drill was practiced on 10/31/25. The last playground inspection was documented on 10/31/25. The last fire inspection was approved on 12/20/24. The last sanitation inspection was conducted on 9/2/25 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/29/24 without hazards. Lead paint and asbestos testing website states “enrollment started”. Mr. McKinney stated that he had sent in a report that was completed by the building inspector that stated that this building was free of lead paint and asbestos. When we arrived, we were greeted at the door by Ms. McKinney, center administrator. We explained the reason for today’s visit. She accompanied us throughout the walk-through of the facility and playground. Space #103 was not in use today. The children were combined into space #104. In space #104 the children were playing with a variety of materials such as dinosaurs, mana-tiles, cooking with pretend food, and a car tower race track. In space #105, the group of kindergarteners were working on classwork with the instructions with their teacher. In space #106, the group of 3rd, 4th and 5th graders were working at their desks. In space #107, the 1st grade class was going to the multi-purpose room to eat lunch. Space #108 is now a storage room. In space #109, the group of 2nd graders were at their desks working on math. The preschool classrooms eat in their classrooms, but each of the school age classrooms have certain times that they eat in the multi-purpose room. After lunch is over and cleaned up, the younger children come to the multi-purpose room for rest time. This facility does not provide meals or snacks. Parents send packed lunches 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 on a 2019 Ford Van, tag # DFY-2510. With an inspection expiration date of 7/31/26. You stated that you are currently not picking children up after school, but the school age children do go on field trips on occasion. The child care center operates from 7 a.m. to 5:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Surfacing did not extend six (6) feet beyond the external limits of the yellow spinner on the playground. .0605(l)(1-2) 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 van did not have a statement posted. .1003(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence in the lower corner measured 3 feet 11 inches instead of 4 feet high. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of hand sanitizer was sitting on top on a filing cabinet which did not measure five (5) feet high. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A staff purse was out in the classroom. The teacher stated that the purse did have Tylenol inside. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler was in a prescription box that did not match the medication expiration date. The pharmacy label had expired; however, the medication has not expired. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child had a permission slip for Motrin but the medication was Tylenol. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The drill that should have been conducted in June 2025 was missing. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the swings and at the end of the slides did not measure the minimum or 6 inches deep. .0605(k)(1-4) Technical assistance was provided as follows: Item #841 A staff purse was out in the classroom. The teacher stated that the purse did have Tylenol inside. She put it in her locked closet while we were in the classroom. We discussed that staff need to keep purse locked up if it has medication inside or leave it in their personal vehicle. This was corrected during the visit. Item #1867 The mulch under the swings and at the end of the slides did not measure the minimum or 6 inches deep. We discussed fluffing the mulch as needed but also adding more. This will also include the Little Tykes climbers on the P-K (side) playground. Item #1811 A Shelter-in-place or lockdown drill was not practiced every three months. The drill that should have been conducted in June 2025 was missing. You stated you remembered doing the drill, but did not document it and didn’t feel comfortable making up date. We discussed adding it to your calendar or phone reminders. Item #840 A bottle of hand sanitizer was sitting on top on a filing cabinet which did not measure five (5) feet high. To be considered inaccessible to children it has to be at least five feet up. The teacher decided to put it in the closet. This was corrected during the visit. Item #824 The fence in the lower corner measured 3 feet 11 inches instead of 4 feet high. We discussed digging out the fence where the dirt has washed down into the lower corner. Item #849 A child had a permission slip for Motrin but the medication was Tylenol. We discussed that if a parent brings in a new bottle of medication, that a new permission slip needs to be filled out. Item #844 An inhaler was in a prescription box that did not match the medication expiration date. The pharmacy label had expired; however, the medication has not expired. If the parent doesn't have the correct precroption box then have them contact the pharmacy to get a printed label. Item #717 Surfacing did not extend six (6) feet beyond the external limits of the yellow spinner on the playground. Ms. McKinney explained how they had a limb fall and had to have equipment come in and do some work and the boarder was put back in the wrong place. I could see where the border used to be. We discussed moving the boarder back to assure that the surfacing extends six (6) feet. Item #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. We showed them where they could find a sample of this on our website. They printed it and posted. This was corrected during the visit. 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 December 4, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We also discussed the exposed ground cloth on the gravel trike path. More gravel needs to be added on top of it, or it needs to be removed. • We discussed the ABCMS portal and how to update that to the current staff. • Ms. McKinney stated that she was going to get another mat to go at the end of the second slide. • Ms. McKinney stated that there is a piece of deteriorated wood and it is on the list to be replaced. 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. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 35 Completed Date: 4/24/2025 Age: From 3 To 11 Total Minutes: 285 Time In: 10:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Marsha McKinney, administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Mr. Jerry McKinney, finance officer, and Mrs. Marsha McKinney, administrator, and explained the reason for today’s visit. This week is spring break for the county operated schools, so attendance was low due to families being out on vacation. Classrooms #103 & #105 were not in use today. In space #104, children were all playing in centers with a variety of materials such as blocks, magna-tiles, cars, dramatic play and various manipulatives. As I was observing, children cleaned up and gathered on the large carpet for a couple of songs/fingerplays with Ms. Marsha. After that, children went outside to play on the playground. One the playground, there were two swings, riding toys, a slide on the hill, spring rockers and a spinning toy. Room #106, #107, #108 and #109 are school age children from kindergarten through 4th grade. Two groups were eating lunch in the multi-purpose room and the other two grades were doing classroom work. After all children had eaten lunch, the younger children come to the multi-purpose room where cots were placed for rest time. This facility does not provide meals. Children bring packed lunches from home. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc, is current/active as of 4/23/25. There was one (1) new teacher at this facility today, so I monitored that file today. There are forty-seven (47) children enrolled and thirty-five (35) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 12/19/24. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records Permit type- Notice of Compliance (G.S. 110-106) issued 1/6/2017. Special Services/ Restrictions- 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last fire drill was practiced on 3/28/25. An shelter in place drill was conducted on 3/25/25. The last playground inspection was conducted on 3/31/25. The last fire inspection was 12/20/24. The last sanitation inspection was completed on 5/9/24 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The last lead water test was dated 6/29/24 and is due every three (3) years. The Lead-Based Paint and Asbestos testing has not been completed. The following violations were documented during today’s visit: Violation Number Comment Rule 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. The surfacing around the spinner and the spring rockers did not extend 6 feet. .0605(l)(1-2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of mulch at the base of the slide did not measure 6 inches deep. .0605(k)(1-4) 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. The policy was signed today during the visit instead of the first day of employment. .0608(d)(1-4) Technical assistance was provided as follows: Surfacing: We discussed that the depth of mulch at base and sides of the slide, was not deep enough. We discussed filling in the sides of the slide with mulch or sod. They have a second slide that they want to install beside the existing one. We discussed that there needs to be six feet at the base of the slide extending forward. Fall zone: The spinner and the spring rocker have a boarder around them that does not extend six feet. We discussed removing the boarder in between the two items and reshaping the boarder to extend 6 feet. Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy: New staff had not signed the policy prior to caring for children 0-5. She did take the online training a few days after employment, but the policy wasn’t signed until today. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 7, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o 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. • Today we discussed the half-log seats that have rotted and need to be removed. This playground is not being used currently due to no longer enrolling younger children. • We are discussing the possibility of using rock and mulch glue since the trike path can’t be used because the gravel is very fine and loose. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 35 Completed Date: 4/24/2025 Age: From 3 To 11 Total Minutes: 285 Time In: 10:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Marsha McKinney, administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Mr. Jerry McKinney, finance officer, and Mrs. Marsha McKinney, administrator, and explained the reason for today’s visit. This week is spring break for the county operated schools, so attendance was low due to families being out on vacation. Classrooms #103 & #105 were not in use today. In space #104, children were all playing in centers with a variety of materials such as blocks, magna-tiles, cars, dramatic play and various manipulatives. As I was observing, children cleaned up and gathered on the large carpet for a couple of songs/fingerplays with Ms. Marsha. After that, children went outside to play on the playground. One the playground, there were two swings, riding toys, a slide on the hill, spring rockers and a spinning toy. Room #106, #107, #108 and #109 are school age children from kindergarten through 4th grade. Two groups were eating lunch in the multi-purpose room and the other two grades were doing classroom work. After all children had eaten lunch, the younger children come to the multi-purpose room where cots were placed for rest time. This facility does not provide meals. Children bring packed lunches from home. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc, is current/active as of 4/23/25. There was one (1) new teacher at this facility today, so I monitored that file today. There are forty-seven (47) children enrolled and thirty-five (35) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 12/19/24. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records Permit type- Notice of Compliance (G.S. 110-106) issued 1/6/2017. Special Services/ Restrictions- 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last fire drill was practiced on 3/28/25. An shelter in place drill was conducted on 3/25/25. The last playground inspection was conducted on 3/31/25. The last fire inspection was 12/20/24. The last sanitation inspection was completed on 5/9/24 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The last lead water test was dated 6/29/24 and is due every three (3) years. The Lead-Based Paint and Asbestos testing has not been completed. The following violations were documented during today’s visit: Violation Number Comment Rule 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. The surfacing around the spinner and the spring rockers did not extend 6 feet. .0605(l)(1-2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of mulch at the base of the slide did not measure 6 inches deep. .0605(k)(1-4) 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. The policy was signed today during the visit instead of the first day of employment. .0608(d)(1-4) Technical assistance was provided as follows: Surfacing: We discussed that the depth of mulch at base and sides of the slide, was not deep enough. We discussed filling in the sides of the slide with mulch or sod. They have a second slide that they want to install beside the existing one. We discussed that there needs to be six feet at the base of the slide extending forward. Fall zone: The spinner and the spring rocker have a boarder around them that does not extend six feet. We discussed removing the boarder in between the two items and reshaping the boarder to extend 6 feet. Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy: New staff had not signed the policy prior to caring for children 0-5. She did take the online training a few days after employment, but the policy wasn’t signed until today. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 7, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o 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. • Today we discussed the half-log seats that have rotted and need to be removed. This playground is not being used currently due to no longer enrolling younger children. • We are discussing the possibility of using rock and mulch glue since the trike path can’t be used because the gravel is very fine and loose. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 35 Completed Date: 4/24/2025 Age: From 3 To 11 Total Minutes: 285 Time In: 10:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Marsha McKinney, administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Mr. Jerry McKinney, finance officer, and Mrs. Marsha McKinney, administrator, and explained the reason for today’s visit. This week is spring break for the county operated schools, so attendance was low due to families being out on vacation. Classrooms #103 & #105 were not in use today. In space #104, children were all playing in centers with a variety of materials such as blocks, magna-tiles, cars, dramatic play and various manipulatives. As I was observing, children cleaned up and gathered on the large carpet for a couple of songs/fingerplays with Ms. Marsha. After that, children went outside to play on the playground. One the playground, there were two swings, riding toys, a slide on the hill, spring rockers and a spinning toy. Room #106, #107, #108 and #109 are school age children from kindergarten through 4th grade. Two groups were eating lunch in the multi-purpose room and the other two grades were doing classroom work. After all children had eaten lunch, the younger children come to the multi-purpose room where cots were placed for rest time. This facility does not provide meals. Children bring packed lunches from home. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc, is current/active as of 4/23/25. There was one (1) new teacher at this facility today, so I monitored that file today. There are forty-seven (47) children enrolled and thirty-five (35) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 12/19/24. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records Permit type- Notice of Compliance (G.S. 110-106) issued 1/6/2017. Special Services/ Restrictions- 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last fire drill was practiced on 3/28/25. An shelter in place drill was conducted on 3/25/25. The last playground inspection was conducted on 3/31/25. The last fire inspection was 12/20/24. The last sanitation inspection was completed on 5/9/24 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The last lead water test was dated 6/29/24 and is due every three (3) years. The Lead-Based Paint and Asbestos testing has not been completed. The following violations were documented during today’s visit: Violation Number Comment Rule 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. The surfacing around the spinner and the spring rockers did not extend 6 feet. .0605(l)(1-2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of mulch at the base of the slide did not measure 6 inches deep. .0605(k)(1-4) 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. The policy was signed today during the visit instead of the first day of employment. .0608(d)(1-4) Technical assistance was provided as follows: Surfacing: We discussed that the depth of mulch at base and sides of the slide, was not deep enough. We discussed filling in the sides of the slide with mulch or sod. They have a second slide that they want to install beside the existing one. We discussed that there needs to be six feet at the base of the slide extending forward. Fall zone: The spinner and the spring rocker have a boarder around them that does not extend six feet. We discussed removing the boarder in between the two items and reshaping the boarder to extend 6 feet. Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy: New staff had not signed the policy prior to caring for children 0-5. She did take the online training a few days after employment, but the policy wasn’t signed until today. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 7, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o 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. • Today we discussed the half-log seats that have rotted and need to be removed. This playground is not being used currently due to no longer enrolling younger children. • We are discussing the possibility of using rock and mulch glue since the trike path can’t be used because the gravel is very fine and loose. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 35 Completed Date: 4/24/2025 Age: From 3 To 11 Total Minutes: 285 Time In: 10:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Marsha McKinney, administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Mr. Jerry McKinney, finance officer, and Mrs. Marsha McKinney, administrator, and explained the reason for today’s visit. This week is spring break for the county operated schools, so attendance was low due to families being out on vacation. Classrooms #103 & #105 were not in use today. In space #104, children were all playing in centers with a variety of materials such as blocks, magna-tiles, cars, dramatic play and various manipulatives. As I was observing, children cleaned up and gathered on the large carpet for a couple of songs/fingerplays with Ms. Marsha. After that, children went outside to play on the playground. One the playground, there were two swings, riding toys, a slide on the hill, spring rockers and a spinning toy. Room #106, #107, #108 and #109 are school age children from kindergarten through 4th grade. Two groups were eating lunch in the multi-purpose room and the other two grades were doing classroom work. After all children had eaten lunch, the younger children come to the multi-purpose room where cots were placed for rest time. This facility does not provide meals. Children bring packed lunches from home. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc, is current/active as of 4/23/25. There was one (1) new teacher at this facility today, so I monitored that file today. There are forty-seven (47) children enrolled and thirty-five (35) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 12/19/24. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records Permit type- Notice of Compliance (G.S. 110-106) issued 1/6/2017. Special Services/ Restrictions- 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last fire drill was practiced on 3/28/25. An shelter in place drill was conducted on 3/25/25. The last playground inspection was conducted on 3/31/25. The last fire inspection was 12/20/24. The last sanitation inspection was completed on 5/9/24 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The last lead water test was dated 6/29/24 and is due every three (3) years. The Lead-Based Paint and Asbestos testing has not been completed. The following violations were documented during today’s visit: Violation Number Comment Rule 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. The surfacing around the spinner and the spring rockers did not extend 6 feet. .0605(l)(1-2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of mulch at the base of the slide did not measure 6 inches deep. .0605(k)(1-4) 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. The policy was signed today during the visit instead of the first day of employment. .0608(d)(1-4) Technical assistance was provided as follows: Surfacing: We discussed that the depth of mulch at base and sides of the slide, was not deep enough. We discussed filling in the sides of the slide with mulch or sod. They have a second slide that they want to install beside the existing one. We discussed that there needs to be six feet at the base of the slide extending forward. Fall zone: The spinner and the spring rocker have a boarder around them that does not extend six feet. We discussed removing the boarder in between the two items and reshaping the boarder to extend 6 feet. Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy: New staff had not signed the policy prior to caring for children 0-5. She did take the online training a few days after employment, but the policy wasn’t signed until today. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 7, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o 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. • Today we discussed the half-log seats that have rotted and need to be removed. This playground is not being used currently due to no longer enrolling younger children. • We are discussing the possibility of using rock and mulch glue since the trike path can’t be used because the gravel is very fine and loose. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 35 Completed Date: 4/24/2025 Age: From 3 To 11 Total Minutes: 285 Time In: 10:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Marsha McKinney, administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Mr. Jerry McKinney, finance officer, and Mrs. Marsha McKinney, administrator, and explained the reason for today’s visit. This week is spring break for the county operated schools, so attendance was low due to families being out on vacation. Classrooms #103 & #105 were not in use today. In space #104, children were all playing in centers with a variety of materials such as blocks, magna-tiles, cars, dramatic play and various manipulatives. As I was observing, children cleaned up and gathered on the large carpet for a couple of songs/fingerplays with Ms. Marsha. After that, children went outside to play on the playground. One the playground, there were two swings, riding toys, a slide on the hill, spring rockers and a spinning toy. Room #106, #107, #108 and #109 are school age children from kindergarten through 4th grade. Two groups were eating lunch in the multi-purpose room and the other two grades were doing classroom work. After all children had eaten lunch, the younger children come to the multi-purpose room where cots were placed for rest time. This facility does not provide meals. Children bring packed lunches from home. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc, is current/active as of 4/23/25. There was one (1) new teacher at this facility today, so I monitored that file today. There are forty-seven (47) children enrolled and thirty-five (35) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 12/19/24. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records Permit type- Notice of Compliance (G.S. 110-106) issued 1/6/2017. Special Services/ Restrictions- 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last fire drill was practiced on 3/28/25. An shelter in place drill was conducted on 3/25/25. The last playground inspection was conducted on 3/31/25. The last fire inspection was 12/20/24. The last sanitation inspection was completed on 5/9/24 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The last lead water test was dated 6/29/24 and is due every three (3) years. The Lead-Based Paint and Asbestos testing has not been completed. The following violations were documented during today’s visit: Violation Number Comment Rule 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. The surfacing around the spinner and the spring rockers did not extend 6 feet. .0605(l)(1-2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of mulch at the base of the slide did not measure 6 inches deep. .0605(k)(1-4) 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. The policy was signed today during the visit instead of the first day of employment. .0608(d)(1-4) Technical assistance was provided as follows: Surfacing: We discussed that the depth of mulch at base and sides of the slide, was not deep enough. We discussed filling in the sides of the slide with mulch or sod. They have a second slide that they want to install beside the existing one. We discussed that there needs to be six feet at the base of the slide extending forward. Fall zone: The spinner and the spring rocker have a boarder around them that does not extend six feet. We discussed removing the boarder in between the two items and reshaping the boarder to extend 6 feet. Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy: New staff had not signed the policy prior to caring for children 0-5. She did take the online training a few days after employment, but the policy wasn’t signed until today. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 7, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o 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. • Today we discussed the half-log seats that have rotted and need to be removed. This playground is not being used currently due to no longer enrolling younger children. • We are discussing the possibility of using rock and mulch glue since the trike path can’t be used because the gravel is very fine and loose. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 35 Completed Date: 4/24/2025 Age: From 3 To 11 Total Minutes: 285 Time In: 10:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Marsha McKinney, administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Mr. Jerry McKinney, finance officer, and Mrs. Marsha McKinney, administrator, and explained the reason for today’s visit. This week is spring break for the county operated schools, so attendance was low due to families being out on vacation. Classrooms #103 & #105 were not in use today. In space #104, children were all playing in centers with a variety of materials such as blocks, magna-tiles, cars, dramatic play and various manipulatives. As I was observing, children cleaned up and gathered on the large carpet for a couple of songs/fingerplays with Ms. Marsha. After that, children went outside to play on the playground. One the playground, there were two swings, riding toys, a slide on the hill, spring rockers and a spinning toy. Room #106, #107, #108 and #109 are school age children from kindergarten through 4th grade. Two groups were eating lunch in the multi-purpose room and the other two grades were doing classroom work. After all children had eaten lunch, the younger children come to the multi-purpose room where cots were placed for rest time. This facility does not provide meals. Children bring packed lunches from home. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc, is current/active as of 4/23/25. There was one (1) new teacher at this facility today, so I monitored that file today. There are forty-seven (47) children enrolled and thirty-five (35) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 12/19/24. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records Permit type- Notice of Compliance (G.S. 110-106) issued 1/6/2017. Special Services/ Restrictions- 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last fire drill was practiced on 3/28/25. An shelter in place drill was conducted on 3/25/25. The last playground inspection was conducted on 3/31/25. The last fire inspection was 12/20/24. The last sanitation inspection was completed on 5/9/24 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The last lead water test was dated 6/29/24 and is due every three (3) years. The Lead-Based Paint and Asbestos testing has not been completed. The following violations were documented during today’s visit: Violation Number Comment Rule 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. The surfacing around the spinner and the spring rockers did not extend 6 feet. .0605(l)(1-2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of mulch at the base of the slide did not measure 6 inches deep. .0605(k)(1-4) 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. The policy was signed today during the visit instead of the first day of employment. .0608(d)(1-4) Technical assistance was provided as follows: Surfacing: We discussed that the depth of mulch at base and sides of the slide, was not deep enough. We discussed filling in the sides of the slide with mulch or sod. They have a second slide that they want to install beside the existing one. We discussed that there needs to be six feet at the base of the slide extending forward. Fall zone: The spinner and the spring rocker have a boarder around them that does not extend six feet. We discussed removing the boarder in between the two items and reshaping the boarder to extend 6 feet. Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy: New staff had not signed the policy prior to caring for children 0-5. She did take the online training a few days after employment, but the policy wasn’t signed until today. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 7, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o 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. • Today we discussed the half-log seats that have rotted and need to be removed. This playground is not being used currently due to no longer enrolling younger children. • We are discussing the possibility of using rock and mulch glue since the trike path can’t be used because the gravel is very fine and loose. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 39 Completed Date: 12/19/2024 Age: From 3 To 10 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 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, Kaitlyn Marshall, Child Care Consultant and also signed by Marsha McKinney, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McKinney was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 12/16/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc., is current/active as of 12/16/24. Permit type – Notice of Compliance (G.S. 110-106) issued 1/1/17. Special Services/Restrictions – 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last annual compliance visit was conducted on 11/21/23. Due to Tropical Storm Helene, the facility was closed 9/26/24- 10/21/24. An attempted visit was made on 11/19/24. The facility was closed due to a power and water outage. The last fire drill was practiced on 11/27/24. The last shelter-in-place drill was practiced on 11/15/24. The last playground inspection was documented on 11/20/24. The last fire inspection was approved on 11/22/23. The last sanitation inspection was conducted on 5/9/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I was greeted by Marsha McKinney, Administrator, and Susan Ball, Teacher. Children from classrooms 103 and 104 were participating in large group music and movement activity. Children from classrooms 106, 107 and 109 were engaged in outdoor play. Children rode tricycles down a hill, swung on swings and played chasing games. Interactions were positive and nurturing. Supervision was adequate. The program is approved to provide transportation. Currently, the facility only provides transportation for field trips. I monitored one (1) vehicles today. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. Curtains were stored on top of the cots with no barrier. 15A NCAC 18A .2821(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did not have a medical exam or health assessment on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam or health assessment on file. GS110-91(1) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 6/7/24, did not have a signed policy on file. .0608(d)(1-4) Technical assistance was provided as follows: The following items were cited as violations today. Compliance for these items is due by 1/2/24: Shaken Baby Syndrome and Abusive Head Trauma Policy: We discussed the one staff member will sign the policy prior to the Winter Break. Plan to ensure all staff sign the policy prior to caring for children ages 5 and under. Child Medical Report: We discussed the medical report for one (1) child. If the parent has difficulty obtaining an appointment with their physician, they can submit a recent well visit as the medical report to be placed in their file. Cot Storage: As a reminder, if items are to be stored on top of the cots, a sheet or other barrier will need to be placed on the top cot, to prevent contamination. The following items were not cited as violations today. Due to Tropical Storm Helene, additional time and guidance is given to reach compliance in certain situations. Please note that violations may occur in future visits if compliance is not reached: Fire Inspection: The last fire inspection was conducted 11/22/23. You stated that you will reach out to the fire marshal’s office to attempt to schedule a visit. We discussed that local fire departments continue to work with disaster relief efforts and may have a back log of overdue fire inspections. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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.” Criminal Background Check: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-106 · Violation

Name of Operation: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 39 Completed Date: 12/19/2024 Age: From 3 To 10 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 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, Kaitlyn Marshall, Child Care Consultant and also signed by Marsha McKinney, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McKinney was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 12/16/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc., is current/active as of 12/16/24. Permit type – Notice of Compliance (G.S. 110-106) issued 1/1/17. Special Services/Restrictions – 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last annual compliance visit was conducted on 11/21/23. Due to Tropical Storm Helene, the facility was closed 9/26/24- 10/21/24. An attempted visit was made on 11/19/24. The facility was closed due to a power and water outage. The last fire drill was practiced on 11/27/24. The last shelter-in-place drill was practiced on 11/15/24. The last playground inspection was documented on 11/20/24. The last fire inspection was approved on 11/22/23. The last sanitation inspection was conducted on 5/9/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I was greeted by Marsha McKinney, Administrator, and Susan Ball, Teacher. Children from classrooms 103 and 104 were participating in large group music and movement activity. Children from classrooms 106, 107 and 109 were engaged in outdoor play. Children rode tricycles down a hill, swung on swings and played chasing games. Interactions were positive and nurturing. Supervision was adequate. The program is approved to provide transportation. Currently, the facility only provides transportation for field trips. I monitored one (1) vehicles today. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. Curtains were stored on top of the cots with no barrier. 15A NCAC 18A .2821(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did not have a medical exam or health assessment on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam or health assessment on file. GS110-91(1) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 6/7/24, did not have a signed policy on file. .0608(d)(1-4) Technical assistance was provided as follows: The following items were cited as violations today. Compliance for these items is due by 1/2/24: Shaken Baby Syndrome and Abusive Head Trauma Policy: We discussed the one staff member will sign the policy prior to the Winter Break. Plan to ensure all staff sign the policy prior to caring for children ages 5 and under. Child Medical Report: We discussed the medical report for one (1) child. If the parent has difficulty obtaining an appointment with their physician, they can submit a recent well visit as the medical report to be placed in their file. Cot Storage: As a reminder, if items are to be stored on top of the cots, a sheet or other barrier will need to be placed on the top cot, to prevent contamination. The following items were not cited as violations today. Due to Tropical Storm Helene, additional time and guidance is given to reach compliance in certain situations. Please note that violations may occur in future visits if compliance is not reached: Fire Inspection: The last fire inspection was conducted 11/22/23. You stated that you will reach out to the fire marshal’s office to attempt to schedule a visit. We discussed that local fire departments continue to work with disaster relief efforts and may have a back log of overdue fire inspections. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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.” Criminal Background Check: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 39 Completed Date: 12/19/2024 Age: From 3 To 10 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 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, Kaitlyn Marshall, Child Care Consultant and also signed by Marsha McKinney, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McKinney was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 12/16/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc., is current/active as of 12/16/24. Permit type – Notice of Compliance (G.S. 110-106) issued 1/1/17. Special Services/Restrictions – 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last annual compliance visit was conducted on 11/21/23. Due to Tropical Storm Helene, the facility was closed 9/26/24- 10/21/24. An attempted visit was made on 11/19/24. The facility was closed due to a power and water outage. The last fire drill was practiced on 11/27/24. The last shelter-in-place drill was practiced on 11/15/24. The last playground inspection was documented on 11/20/24. The last fire inspection was approved on 11/22/23. The last sanitation inspection was conducted on 5/9/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I was greeted by Marsha McKinney, Administrator, and Susan Ball, Teacher. Children from classrooms 103 and 104 were participating in large group music and movement activity. Children from classrooms 106, 107 and 109 were engaged in outdoor play. Children rode tricycles down a hill, swung on swings and played chasing games. Interactions were positive and nurturing. Supervision was adequate. The program is approved to provide transportation. Currently, the facility only provides transportation for field trips. I monitored one (1) vehicles today. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. Curtains were stored on top of the cots with no barrier. 15A NCAC 18A .2821(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did not have a medical exam or health assessment on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam or health assessment on file. GS110-91(1) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 6/7/24, did not have a signed policy on file. .0608(d)(1-4) Technical assistance was provided as follows: The following items were cited as violations today. Compliance for these items is due by 1/2/24: Shaken Baby Syndrome and Abusive Head Trauma Policy: We discussed the one staff member will sign the policy prior to the Winter Break. Plan to ensure all staff sign the policy prior to caring for children ages 5 and under. Child Medical Report: We discussed the medical report for one (1) child. If the parent has difficulty obtaining an appointment with their physician, they can submit a recent well visit as the medical report to be placed in their file. Cot Storage: As a reminder, if items are to be stored on top of the cots, a sheet or other barrier will need to be placed on the top cot, to prevent contamination. The following items were not cited as violations today. Due to Tropical Storm Helene, additional time and guidance is given to reach compliance in certain situations. Please note that violations may occur in future visits if compliance is not reached: Fire Inspection: The last fire inspection was conducted 11/22/23. You stated that you will reach out to the fire marshal’s office to attempt to schedule a visit. We discussed that local fire departments continue to work with disaster relief efforts and may have a back log of overdue fire inspections. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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.” Criminal Background Check: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 39 Completed Date: 12/19/2024 Age: From 3 To 10 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 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, Kaitlyn Marshall, Child Care Consultant and also signed by Marsha McKinney, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McKinney was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 12/16/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc., is current/active as of 12/16/24. Permit type – Notice of Compliance (G.S. 110-106) issued 1/1/17. Special Services/Restrictions – 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last annual compliance visit was conducted on 11/21/23. Due to Tropical Storm Helene, the facility was closed 9/26/24- 10/21/24. An attempted visit was made on 11/19/24. The facility was closed due to a power and water outage. The last fire drill was practiced on 11/27/24. The last shelter-in-place drill was practiced on 11/15/24. The last playground inspection was documented on 11/20/24. The last fire inspection was approved on 11/22/23. The last sanitation inspection was conducted on 5/9/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I was greeted by Marsha McKinney, Administrator, and Susan Ball, Teacher. Children from classrooms 103 and 104 were participating in large group music and movement activity. Children from classrooms 106, 107 and 109 were engaged in outdoor play. Children rode tricycles down a hill, swung on swings and played chasing games. Interactions were positive and nurturing. Supervision was adequate. The program is approved to provide transportation. Currently, the facility only provides transportation for field trips. I monitored one (1) vehicles today. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. Curtains were stored on top of the cots with no barrier. 15A NCAC 18A .2821(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did not have a medical exam or health assessment on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam or health assessment on file. GS110-91(1) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 6/7/24, did not have a signed policy on file. .0608(d)(1-4) Technical assistance was provided as follows: The following items were cited as violations today. Compliance for these items is due by 1/2/24: Shaken Baby Syndrome and Abusive Head Trauma Policy: We discussed the one staff member will sign the policy prior to the Winter Break. Plan to ensure all staff sign the policy prior to caring for children ages 5 and under. Child Medical Report: We discussed the medical report for one (1) child. If the parent has difficulty obtaining an appointment with their physician, they can submit a recent well visit as the medical report to be placed in their file. Cot Storage: As a reminder, if items are to be stored on top of the cots, a sheet or other barrier will need to be placed on the top cot, to prevent contamination. The following items were not cited as violations today. Due to Tropical Storm Helene, additional time and guidance is given to reach compliance in certain situations. Please note that violations may occur in future visits if compliance is not reached: Fire Inspection: The last fire inspection was conducted 11/22/23. You stated that you will reach out to the fire marshal’s office to attempt to schedule a visit. We discussed that local fire departments continue to work with disaster relief efforts and may have a back log of overdue fire inspections. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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.” Criminal Background Check: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 39 Completed Date: 12/19/2024 Age: From 3 To 10 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 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, Kaitlyn Marshall, Child Care Consultant and also signed by Marsha McKinney, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McKinney was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 12/16/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc., is current/active as of 12/16/24. Permit type – Notice of Compliance (G.S. 110-106) issued 1/1/17. Special Services/Restrictions – 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last annual compliance visit was conducted on 11/21/23. Due to Tropical Storm Helene, the facility was closed 9/26/24- 10/21/24. An attempted visit was made on 11/19/24. The facility was closed due to a power and water outage. The last fire drill was practiced on 11/27/24. The last shelter-in-place drill was practiced on 11/15/24. The last playground inspection was documented on 11/20/24. The last fire inspection was approved on 11/22/23. The last sanitation inspection was conducted on 5/9/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I was greeted by Marsha McKinney, Administrator, and Susan Ball, Teacher. Children from classrooms 103 and 104 were participating in large group music and movement activity. Children from classrooms 106, 107 and 109 were engaged in outdoor play. Children rode tricycles down a hill, swung on swings and played chasing games. Interactions were positive and nurturing. Supervision was adequate. The program is approved to provide transportation. Currently, the facility only provides transportation for field trips. I monitored one (1) vehicles today. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. Curtains were stored on top of the cots with no barrier. 15A NCAC 18A .2821(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did not have a medical exam or health assessment on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam or health assessment on file. GS110-91(1) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 6/7/24, did not have a signed policy on file. .0608(d)(1-4) Technical assistance was provided as follows: The following items were cited as violations today. Compliance for these items is due by 1/2/24: Shaken Baby Syndrome and Abusive Head Trauma Policy: We discussed the one staff member will sign the policy prior to the Winter Break. Plan to ensure all staff sign the policy prior to caring for children ages 5 and under. Child Medical Report: We discussed the medical report for one (1) child. If the parent has difficulty obtaining an appointment with their physician, they can submit a recent well visit as the medical report to be placed in their file. Cot Storage: As a reminder, if items are to be stored on top of the cots, a sheet or other barrier will need to be placed on the top cot, to prevent contamination. The following items were not cited as violations today. Due to Tropical Storm Helene, additional time and guidance is given to reach compliance in certain situations. Please note that violations may occur in future visits if compliance is not reached: Fire Inspection: The last fire inspection was conducted 11/22/23. You stated that you will reach out to the fire marshal’s office to attempt to schedule a visit. We discussed that local fire departments continue to work with disaster relief efforts and may have a back log of overdue fire inspections. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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.” Criminal Background Check: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 39 Completed Date: 12/19/2024 Age: From 3 To 10 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 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, Kaitlyn Marshall, Child Care Consultant and also signed by Marsha McKinney, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McKinney was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 12/16/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Genesis Academy, Inc., is current/active as of 12/16/24. Permit type – Notice of Compliance (G.S. 110-106) issued 1/1/17. Special Services/Restrictions – 1st shift (daytime care). The facility is approved to provide transportation. The facility offers field trips and serves children with special needs. The last annual compliance visit was conducted on 11/21/23. Due to Tropical Storm Helene, the facility was closed 9/26/24- 10/21/24. An attempted visit was made on 11/19/24. The facility was closed due to a power and water outage. The last fire drill was practiced on 11/27/24. The last shelter-in-place drill was practiced on 11/15/24. The last playground inspection was documented on 11/20/24. The last fire inspection was approved on 11/22/23. The last sanitation inspection was conducted on 5/9/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I was greeted by Marsha McKinney, Administrator, and Susan Ball, Teacher. Children from classrooms 103 and 104 were participating in large group music and movement activity. Children from classrooms 106, 107 and 109 were engaged in outdoor play. Children rode tricycles down a hill, swung on swings and played chasing games. Interactions were positive and nurturing. Supervision was adequate. The program is approved to provide transportation. Currently, the facility only provides transportation for field trips. I monitored one (1) vehicles today. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. Curtains were stored on top of the cots with no barrier. 15A NCAC 18A .2821(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did not have a medical exam or health assessment on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam or health assessment on file. GS110-91(1) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 6/7/24, did not have a signed policy on file. .0608(d)(1-4) Technical assistance was provided as follows: The following items were cited as violations today. Compliance for these items is due by 1/2/24: Shaken Baby Syndrome and Abusive Head Trauma Policy: We discussed the one staff member will sign the policy prior to the Winter Break. Plan to ensure all staff sign the policy prior to caring for children ages 5 and under. Child Medical Report: We discussed the medical report for one (1) child. If the parent has difficulty obtaining an appointment with their physician, they can submit a recent well visit as the medical report to be placed in their file. Cot Storage: As a reminder, if items are to be stored on top of the cots, a sheet or other barrier will need to be placed on the top cot, to prevent contamination. The following items were not cited as violations today. Due to Tropical Storm Helene, additional time and guidance is given to reach compliance in certain situations. Please note that violations may occur in future visits if compliance is not reached: Fire Inspection: The last fire inspection was conducted 11/22/23. You stated that you will reach out to the fire marshal’s office to attempt to schedule a visit. We discussed that local fire departments continue to work with disaster relief efforts and may have a back log of overdue fire inspections. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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.” Criminal Background Check: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 44 Completed Date: 5/14/2024 Age: From 2 To 11 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Marsha McKinney, administrator. The computerized generated report of today’s visit was completed and left on site during today’s visit. An electronic version can be emailed to you upon request. Upon my arrival I greeted Mr. McKinney and went to Ms. McKinney’s classroom. She had a combined group of children due to a teacher leaving for an appointment. She was in room #105, where children were cleaning up to go outside. While outside I observed this group of children climbing and sliding on a climber, riding trikes/cozy coupe, digging in the dirt with shovels, running and jumping on mats. The next room I visited was room #104, where children were getting their coats on and sitting on a large rug waiting to go outside. While outside, I observed children swinging, sliding, running and they were very interested in me measuring the depth of the mulch. They were very inquisitive and talkative. The next four (4) classrooms were school age classrooms where finishing their studies and preparing for lunch. In this facility there is a large multi-use area that is used as a shared eating space for the school age children and a nap room after lunch. The teachers sat and ate lunch with the children. In this facility, children bring packed lunches from home. There were no new teachers at this facility today, so no staff files were monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records Letter of intent was posted. The last fire drill was practiced on 4/29/24. A shelter in place drill was conducted on 2/26/24. A lock down drill is due by the end of this month (May) The last fire inspection was 11/22/23. The last sanitation inspection was completed on 5/9/24 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted/recorded in December 2023. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. .0604 (m) 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. Inhaler permission was over a year old (2 months past due). .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One teacher (BG) has expired first aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One teacher (BG) has expired CPR. .1102(d) Technical assistance: Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Inhaler permission was over a year old (2 months past due). Item #828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. Note: The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. Items #1048 and #1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. Item #805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not conducted/recorded in December 2023. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 28, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • Reminder: MM, SB and JC will need to renew her criminal background check (including fingerprints) prior to October and November. • Reminder: approximately 4 teachers will need to renew first aid and CPR soon. • Reminder to keep the toilets clean and flushed. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 44 Completed Date: 5/14/2024 Age: From 2 To 11 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Marsha McKinney, administrator. The computerized generated report of today’s visit was completed and left on site during today’s visit. An electronic version can be emailed to you upon request. Upon my arrival I greeted Mr. McKinney and went to Ms. McKinney’s classroom. She had a combined group of children due to a teacher leaving for an appointment. She was in room #105, where children were cleaning up to go outside. While outside I observed this group of children climbing and sliding on a climber, riding trikes/cozy coupe, digging in the dirt with shovels, running and jumping on mats. The next room I visited was room #104, where children were getting their coats on and sitting on a large rug waiting to go outside. While outside, I observed children swinging, sliding, running and they were very interested in me measuring the depth of the mulch. They were very inquisitive and talkative. The next four (4) classrooms were school age classrooms where finishing their studies and preparing for lunch. In this facility there is a large multi-use area that is used as a shared eating space for the school age children and a nap room after lunch. The teachers sat and ate lunch with the children. In this facility, children bring packed lunches from home. There were no new teachers at this facility today, so no staff files were monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records Letter of intent was posted. The last fire drill was practiced on 4/29/24. A shelter in place drill was conducted on 2/26/24. A lock down drill is due by the end of this month (May) The last fire inspection was 11/22/23. The last sanitation inspection was completed on 5/9/24 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted/recorded in December 2023. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. .0604 (m) 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. Inhaler permission was over a year old (2 months past due). .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One teacher (BG) has expired first aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One teacher (BG) has expired CPR. .1102(d) Technical assistance: Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Inhaler permission was over a year old (2 months past due). Item #828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. Note: The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. Items #1048 and #1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. Item #805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not conducted/recorded in December 2023. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 28, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • Reminder: MM, SB and JC will need to renew her criminal background check (including fingerprints) prior to October and November. • Reminder: approximately 4 teachers will need to renew first aid and CPR soon. • Reminder to keep the toilets clean and flushed. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 44 Completed Date: 5/14/2024 Age: From 2 To 11 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Marsha McKinney, administrator. The computerized generated report of today’s visit was completed and left on site during today’s visit. An electronic version can be emailed to you upon request. Upon my arrival I greeted Mr. McKinney and went to Ms. McKinney’s classroom. She had a combined group of children due to a teacher leaving for an appointment. She was in room #105, where children were cleaning up to go outside. While outside I observed this group of children climbing and sliding on a climber, riding trikes/cozy coupe, digging in the dirt with shovels, running and jumping on mats. The next room I visited was room #104, where children were getting their coats on and sitting on a large rug waiting to go outside. While outside, I observed children swinging, sliding, running and they were very interested in me measuring the depth of the mulch. They were very inquisitive and talkative. The next four (4) classrooms were school age classrooms where finishing their studies and preparing for lunch. In this facility there is a large multi-use area that is used as a shared eating space for the school age children and a nap room after lunch. The teachers sat and ate lunch with the children. In this facility, children bring packed lunches from home. There were no new teachers at this facility today, so no staff files were monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records Letter of intent was posted. The last fire drill was practiced on 4/29/24. A shelter in place drill was conducted on 2/26/24. A lock down drill is due by the end of this month (May) The last fire inspection was 11/22/23. The last sanitation inspection was completed on 5/9/24 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted/recorded in December 2023. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. .0604 (m) 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. Inhaler permission was over a year old (2 months past due). .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One teacher (BG) has expired first aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One teacher (BG) has expired CPR. .1102(d) Technical assistance: Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Inhaler permission was over a year old (2 months past due). Item #828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. Note: The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. Items #1048 and #1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. Item #805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not conducted/recorded in December 2023. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 28, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • Reminder: MM, SB and JC will need to renew her criminal background check (including fingerprints) prior to October and November. • Reminder: approximately 4 teachers will need to renew first aid and CPR soon. • Reminder to keep the toilets clean and flushed. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 44 Completed Date: 5/14/2024 Age: From 2 To 11 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Marsha McKinney, administrator. The computerized generated report of today’s visit was completed and left on site during today’s visit. An electronic version can be emailed to you upon request. Upon my arrival I greeted Mr. McKinney and went to Ms. McKinney’s classroom. She had a combined group of children due to a teacher leaving for an appointment. She was in room #105, where children were cleaning up to go outside. While outside I observed this group of children climbing and sliding on a climber, riding trikes/cozy coupe, digging in the dirt with shovels, running and jumping on mats. The next room I visited was room #104, where children were getting their coats on and sitting on a large rug waiting to go outside. While outside, I observed children swinging, sliding, running and they were very interested in me measuring the depth of the mulch. They were very inquisitive and talkative. The next four (4) classrooms were school age classrooms where finishing their studies and preparing for lunch. In this facility there is a large multi-use area that is used as a shared eating space for the school age children and a nap room after lunch. The teachers sat and ate lunch with the children. In this facility, children bring packed lunches from home. There were no new teachers at this facility today, so no staff files were monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records Letter of intent was posted. The last fire drill was practiced on 4/29/24. A shelter in place drill was conducted on 2/26/24. A lock down drill is due by the end of this month (May) The last fire inspection was 11/22/23. The last sanitation inspection was completed on 5/9/24 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted/recorded in December 2023. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. .0604 (m) 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. Inhaler permission was over a year old (2 months past due). .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One teacher (BG) has expired first aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One teacher (BG) has expired CPR. .1102(d) Technical assistance: Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Inhaler permission was over a year old (2 months past due). Item #828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. Note: The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. Items #1048 and #1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. Item #805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not conducted/recorded in December 2023. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 28, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • Reminder: MM, SB and JC will need to renew her criminal background check (including fingerprints) prior to October and November. • Reminder: approximately 4 teachers will need to renew first aid and CPR soon. • Reminder to keep the toilets clean and flushed. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 44 Completed Date: 5/14/2024 Age: From 2 To 11 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Marsha McKinney, administrator. The computerized generated report of today’s visit was completed and left on site during today’s visit. An electronic version can be emailed to you upon request. Upon my arrival I greeted Mr. McKinney and went to Ms. McKinney’s classroom. She had a combined group of children due to a teacher leaving for an appointment. She was in room #105, where children were cleaning up to go outside. While outside I observed this group of children climbing and sliding on a climber, riding trikes/cozy coupe, digging in the dirt with shovels, running and jumping on mats. The next room I visited was room #104, where children were getting their coats on and sitting on a large rug waiting to go outside. While outside, I observed children swinging, sliding, running and they were very interested in me measuring the depth of the mulch. They were very inquisitive and talkative. The next four (4) classrooms were school age classrooms where finishing their studies and preparing for lunch. In this facility there is a large multi-use area that is used as a shared eating space for the school age children and a nap room after lunch. The teachers sat and ate lunch with the children. In this facility, children bring packed lunches from home. There were no new teachers at this facility today, so no staff files were monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records Letter of intent was posted. The last fire drill was practiced on 4/29/24. A shelter in place drill was conducted on 2/26/24. A lock down drill is due by the end of this month (May) The last fire inspection was 11/22/23. The last sanitation inspection was completed on 5/9/24 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted/recorded in December 2023. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. .0604 (m) 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. Inhaler permission was over a year old (2 months past due). .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One teacher (BG) has expired first aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One teacher (BG) has expired CPR. .1102(d) Technical assistance: Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Inhaler permission was over a year old (2 months past due). Item #828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. Note: The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. Items #1048 and #1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. Item #805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not conducted/recorded in December 2023. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 28, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • Reminder: MM, SB and JC will need to renew her criminal background check (including fingerprints) prior to October and November. • Reminder: approximately 4 teachers will need to renew first aid and CPR soon. • Reminder to keep the toilets clean and flushed. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 44 Completed Date: 5/14/2024 Age: From 2 To 11 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Marsha McKinney, administrator. The computerized generated report of today’s visit was completed and left on site during today’s visit. An electronic version can be emailed to you upon request. Upon my arrival I greeted Mr. McKinney and went to Ms. McKinney’s classroom. She had a combined group of children due to a teacher leaving for an appointment. She was in room #105, where children were cleaning up to go outside. While outside I observed this group of children climbing and sliding on a climber, riding trikes/cozy coupe, digging in the dirt with shovels, running and jumping on mats. The next room I visited was room #104, where children were getting their coats on and sitting on a large rug waiting to go outside. While outside, I observed children swinging, sliding, running and they were very interested in me measuring the depth of the mulch. They were very inquisitive and talkative. The next four (4) classrooms were school age classrooms where finishing their studies and preparing for lunch. In this facility there is a large multi-use area that is used as a shared eating space for the school age children and a nap room after lunch. The teachers sat and ate lunch with the children. In this facility, children bring packed lunches from home. There were no new teachers at this facility today, so no staff files were monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records Letter of intent was posted. The last fire drill was practiced on 4/29/24. A shelter in place drill was conducted on 2/26/24. A lock down drill is due by the end of this month (May) The last fire inspection was 11/22/23. The last sanitation inspection was completed on 5/9/24 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted/recorded in December 2023. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. .0604 (m) 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. Inhaler permission was over a year old (2 months past due). .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One teacher (BG) has expired first aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One teacher (BG) has expired CPR. .1102(d) Technical assistance: Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Inhaler permission was over a year old (2 months past due). Item #828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. Note: The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. Items #1048 and #1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. Item #805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not conducted/recorded in December 2023. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 28, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • Reminder: MM, SB and JC will need to renew her criminal background check (including fingerprints) prior to October and November. • Reminder: approximately 4 teachers will need to renew first aid and CPR soon. • Reminder to keep the toilets clean and flushed. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 44 Completed Date: 5/14/2024 Age: From 2 To 11 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Marsha McKinney, administrator. The computerized generated report of today’s visit was completed and left on site during today’s visit. An electronic version can be emailed to you upon request. Upon my arrival I greeted Mr. McKinney and went to Ms. McKinney’s classroom. She had a combined group of children due to a teacher leaving for an appointment. She was in room #105, where children were cleaning up to go outside. While outside I observed this group of children climbing and sliding on a climber, riding trikes/cozy coupe, digging in the dirt with shovels, running and jumping on mats. The next room I visited was room #104, where children were getting their coats on and sitting on a large rug waiting to go outside. While outside, I observed children swinging, sliding, running and they were very interested in me measuring the depth of the mulch. They were very inquisitive and talkative. The next four (4) classrooms were school age classrooms where finishing their studies and preparing for lunch. In this facility there is a large multi-use area that is used as a shared eating space for the school age children and a nap room after lunch. The teachers sat and ate lunch with the children. In this facility, children bring packed lunches from home. There were no new teachers at this facility today, so no staff files were monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records Letter of intent was posted. The last fire drill was practiced on 4/29/24. A shelter in place drill was conducted on 2/26/24. A lock down drill is due by the end of this month (May) The last fire inspection was 11/22/23. The last sanitation inspection was completed on 5/9/24 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted/recorded in December 2023. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. .0604 (m) 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. Inhaler permission was over a year old (2 months past due). .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One teacher (BG) has expired first aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One teacher (BG) has expired CPR. .1102(d) Technical assistance: Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Inhaler permission was over a year old (2 months past due). Item #828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. Note: The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. Items #1048 and #1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. Item #805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not conducted/recorded in December 2023. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 28, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • Reminder: MM, SB and JC will need to renew her criminal background check (including fingerprints) prior to October and November. • Reminder: approximately 4 teachers will need to renew first aid and CPR soon. • Reminder to keep the toilets clean and flushed. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 44 Completed Date: 5/14/2024 Age: From 2 To 11 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Marsha McKinney, administrator. The computerized generated report of today’s visit was completed and left on site during today’s visit. An electronic version can be emailed to you upon request. Upon my arrival I greeted Mr. McKinney and went to Ms. McKinney’s classroom. She had a combined group of children due to a teacher leaving for an appointment. She was in room #105, where children were cleaning up to go outside. While outside I observed this group of children climbing and sliding on a climber, riding trikes/cozy coupe, digging in the dirt with shovels, running and jumping on mats. The next room I visited was room #104, where children were getting their coats on and sitting on a large rug waiting to go outside. While outside, I observed children swinging, sliding, running and they were very interested in me measuring the depth of the mulch. They were very inquisitive and talkative. The next four (4) classrooms were school age classrooms where finishing their studies and preparing for lunch. In this facility there is a large multi-use area that is used as a shared eating space for the school age children and a nap room after lunch. The teachers sat and ate lunch with the children. In this facility, children bring packed lunches from home. There were no new teachers at this facility today, so no staff files were monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records Letter of intent was posted. The last fire drill was practiced on 4/29/24. A shelter in place drill was conducted on 2/26/24. A lock down drill is due by the end of this month (May) The last fire inspection was 11/22/23. The last sanitation inspection was completed on 5/9/24 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted/recorded in December 2023. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. .0604 (m) 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. Inhaler permission was over a year old (2 months past due). .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One teacher (BG) has expired first aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One teacher (BG) has expired CPR. .1102(d) Technical assistance: Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Inhaler permission was over a year old (2 months past due). Item #828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. Note: The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. Items #1048 and #1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: The air conditioner units and gas meter has a temporary fencing around it to keep children out, however it was secured by clothes pins on top and open at the bottom which would allow a child access. Item #805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not conducted/recorded in December 2023. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 28, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • Reminder: MM, SB and JC will need to renew her criminal background check (including fingerprints) prior to October and November. • Reminder: approximately 4 teachers will need to renew first aid and CPR soon. • Reminder to keep the toilets clean and flushed. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 49 Completed Date: 11/21/2023 Age: From 2 To 11 Total Minutes: 390 Time In: 11:00 AM Time Out: 05:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Monica McKinney, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, the Monica McKinney, Administrator, was in a classroom today, but available for questions. Jerry McKinney, Finance Officer was also available to assist me during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percentage as of 11/20/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Genesis Academy, Inc., is current/active as of 11/2/23. Permit type – GS 110-106 Religious Sponsored Letter of Intent. Special Services/Restrictions – Daytime care only. The last annual compliance visit was conducted on 11/30/23. The last fire drill was practiced on 10/27/23. The last shelter-in-place drill was practiced on 8/23/23. The last playground inspection was documented on 10/27/23. The last fire inspection was approved on 11/1/22, which is past due. The last sanitation inspection was conducted on Juley 21/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon my arrival, I was greeted at the door, by Ms. McKinney. I signed in and washed my hands in the first classroom that I entered. This facility is having a hard time finding teachers, so they are having to combine classrooms to meet ratios. I observed children drawing/coloring and preparing for their school Thanksgiving feast. Children did not go outside today due to the rain. The children at this facility bring packed lunches from home, however today the facility had a pizza party with ice cream (Thanksgiving feast) for everyone all together in the multi-purpose room. This program does not typically provide meals or snacks. Once the feast was over, the children went back to their classrooms to use the bathroom, get diapers changed and prepare for rest time. Teachers cleaned tables, chairs and put the multi-purpose room back together to prepare for rest time. There was a total of twenty (20) children in the multi-purpose room nap during rest time. After rest time the children had snack and free play and homework for the school age children. The staff and training worksheet were not completed so I will have to make a return visit on Monday November 27, 2023. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do provide transportation in the morning and evening for typically four (4) children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one (1), fifteen (15) passenger van today. I observed a 2019, Ford Transit. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 6/30/2024 and the insurance is valid through June 2024. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection is almost a month past due. 10A NCAC 09 .0304(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence did not measure at least 4 feet high throughout the playgrounds. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. .2820(b) 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. An epi pen was not discarded or sent home after the child left the facility and the medication expired. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. .0604(q) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Lipton Green Tea was located on a teachers desk in classroom 109. .0901(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was no mulch as the end of the slide. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One new staff, did not have documentation of reviewing the Shaken Baby and Abusive Head Trauma Policy. .0608(d)(1-4) 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. The person that transports children had not completed the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. The person that transports children had not completed the Health and Safety Trainings. .1102(a) Technical assistance was provided as follows: Item #106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Note: A fire inspection is almost a month past due. Item #849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: An epi pen was not discarded or sent home after the child left the facility and the medication expired. Item #824 and #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) All upright angles shall be greater than 55 degrees to prevent entrapment and entanglement. (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: the fence did not measure at least 4 feet high throughout the playgrounds. (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Note: There was no mulch as the end of the slide. Item #840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. Item 1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: Lipton Green Tea was located on a teachers desk in classroom 109. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 5, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed that incident reports should be maintained in the children’s files. • We discussed that the Secretary of State website is current and active, however the registered agent is not correct. • We discussed that there is one (1) day left for the Emergency Preparedness and Response Plan. This needs to be updated by tomorrow. • We discussed that a lock down drill needs to be conducted this month. • We discussed that they need to call the fire inspector to get a fire inspection completed. • We discussed the fence height in depth today. We discussed the various options that can be done to help raise the fence height. • We discussed how to fill in the dug-out hole at the bottom of the slide. We discussed sowing more grass to help with the erosion problem which also makes the fence shorter. • We discussed the replacement of the broken see-saw. The company has been contacted and they are sending a replacement. • We discussed that the van notebook should been gone through to make sure everyone’s information is up to date and children’s information who no longer get transported, get their information removed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 49 Completed Date: 11/21/2023 Age: From 2 To 11 Total Minutes: 390 Time In: 11:00 AM Time Out: 05:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Monica McKinney, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, the Monica McKinney, Administrator, was in a classroom today, but available for questions. Jerry McKinney, Finance Officer was also available to assist me during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percentage as of 11/20/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Genesis Academy, Inc., is current/active as of 11/2/23. Permit type – GS 110-106 Religious Sponsored Letter of Intent. Special Services/Restrictions – Daytime care only. The last annual compliance visit was conducted on 11/30/23. The last fire drill was practiced on 10/27/23. The last shelter-in-place drill was practiced on 8/23/23. The last playground inspection was documented on 10/27/23. The last fire inspection was approved on 11/1/22, which is past due. The last sanitation inspection was conducted on Juley 21/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon my arrival, I was greeted at the door, by Ms. McKinney. I signed in and washed my hands in the first classroom that I entered. This facility is having a hard time finding teachers, so they are having to combine classrooms to meet ratios. I observed children drawing/coloring and preparing for their school Thanksgiving feast. Children did not go outside today due to the rain. The children at this facility bring packed lunches from home, however today the facility had a pizza party with ice cream (Thanksgiving feast) for everyone all together in the multi-purpose room. This program does not typically provide meals or snacks. Once the feast was over, the children went back to their classrooms to use the bathroom, get diapers changed and prepare for rest time. Teachers cleaned tables, chairs and put the multi-purpose room back together to prepare for rest time. There was a total of twenty (20) children in the multi-purpose room nap during rest time. After rest time the children had snack and free play and homework for the school age children. The staff and training worksheet were not completed so I will have to make a return visit on Monday November 27, 2023. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do provide transportation in the morning and evening for typically four (4) children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one (1), fifteen (15) passenger van today. I observed a 2019, Ford Transit. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 6/30/2024 and the insurance is valid through June 2024. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection is almost a month past due. 10A NCAC 09 .0304(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence did not measure at least 4 feet high throughout the playgrounds. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. .2820(b) 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. An epi pen was not discarded or sent home after the child left the facility and the medication expired. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. .0604(q) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Lipton Green Tea was located on a teachers desk in classroom 109. .0901(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was no mulch as the end of the slide. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One new staff, did not have documentation of reviewing the Shaken Baby and Abusive Head Trauma Policy. .0608(d)(1-4) 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. The person that transports children had not completed the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. The person that transports children had not completed the Health and Safety Trainings. .1102(a) Technical assistance was provided as follows: Item #106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Note: A fire inspection is almost a month past due. Item #849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: An epi pen was not discarded or sent home after the child left the facility and the medication expired. Item #824 and #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) All upright angles shall be greater than 55 degrees to prevent entrapment and entanglement. (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: the fence did not measure at least 4 feet high throughout the playgrounds. (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Note: There was no mulch as the end of the slide. Item #840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. Item 1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: Lipton Green Tea was located on a teachers desk in classroom 109. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 5, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed that incident reports should be maintained in the children’s files. • We discussed that the Secretary of State website is current and active, however the registered agent is not correct. • We discussed that there is one (1) day left for the Emergency Preparedness and Response Plan. This needs to be updated by tomorrow. • We discussed that a lock down drill needs to be conducted this month. • We discussed that they need to call the fire inspector to get a fire inspection completed. • We discussed the fence height in depth today. We discussed the various options that can be done to help raise the fence height. • We discussed how to fill in the dug-out hole at the bottom of the slide. We discussed sowing more grass to help with the erosion problem which also makes the fence shorter. • We discussed the replacement of the broken see-saw. The company has been contacted and they are sending a replacement. • We discussed that the van notebook should been gone through to make sure everyone’s information is up to date and children’s information who no longer get transported, get their information removed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 49 Completed Date: 11/21/2023 Age: From 2 To 11 Total Minutes: 390 Time In: 11:00 AM Time Out: 05:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Monica McKinney, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, the Monica McKinney, Administrator, was in a classroom today, but available for questions. Jerry McKinney, Finance Officer was also available to assist me during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percentage as of 11/20/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Genesis Academy, Inc., is current/active as of 11/2/23. Permit type – GS 110-106 Religious Sponsored Letter of Intent. Special Services/Restrictions – Daytime care only. The last annual compliance visit was conducted on 11/30/23. The last fire drill was practiced on 10/27/23. The last shelter-in-place drill was practiced on 8/23/23. The last playground inspection was documented on 10/27/23. The last fire inspection was approved on 11/1/22, which is past due. The last sanitation inspection was conducted on Juley 21/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon my arrival, I was greeted at the door, by Ms. McKinney. I signed in and washed my hands in the first classroom that I entered. This facility is having a hard time finding teachers, so they are having to combine classrooms to meet ratios. I observed children drawing/coloring and preparing for their school Thanksgiving feast. Children did not go outside today due to the rain. The children at this facility bring packed lunches from home, however today the facility had a pizza party with ice cream (Thanksgiving feast) for everyone all together in the multi-purpose room. This program does not typically provide meals or snacks. Once the feast was over, the children went back to their classrooms to use the bathroom, get diapers changed and prepare for rest time. Teachers cleaned tables, chairs and put the multi-purpose room back together to prepare for rest time. There was a total of twenty (20) children in the multi-purpose room nap during rest time. After rest time the children had snack and free play and homework for the school age children. The staff and training worksheet were not completed so I will have to make a return visit on Monday November 27, 2023. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do provide transportation in the morning and evening for typically four (4) children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one (1), fifteen (15) passenger van today. I observed a 2019, Ford Transit. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 6/30/2024 and the insurance is valid through June 2024. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection is almost a month past due. 10A NCAC 09 .0304(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence did not measure at least 4 feet high throughout the playgrounds. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. .2820(b) 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. An epi pen was not discarded or sent home after the child left the facility and the medication expired. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. .0604(q) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Lipton Green Tea was located on a teachers desk in classroom 109. .0901(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was no mulch as the end of the slide. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One new staff, did not have documentation of reviewing the Shaken Baby and Abusive Head Trauma Policy. .0608(d)(1-4) 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. The person that transports children had not completed the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. The person that transports children had not completed the Health and Safety Trainings. .1102(a) Technical assistance was provided as follows: Item #106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Note: A fire inspection is almost a month past due. Item #849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: An epi pen was not discarded or sent home after the child left the facility and the medication expired. Item #824 and #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) All upright angles shall be greater than 55 degrees to prevent entrapment and entanglement. (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: the fence did not measure at least 4 feet high throughout the playgrounds. (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Note: There was no mulch as the end of the slide. Item #840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. Item 1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: Lipton Green Tea was located on a teachers desk in classroom 109. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 5, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed that incident reports should be maintained in the children’s files. • We discussed that the Secretary of State website is current and active, however the registered agent is not correct. • We discussed that there is one (1) day left for the Emergency Preparedness and Response Plan. This needs to be updated by tomorrow. • We discussed that a lock down drill needs to be conducted this month. • We discussed that they need to call the fire inspector to get a fire inspection completed. • We discussed the fence height in depth today. We discussed the various options that can be done to help raise the fence height. • We discussed how to fill in the dug-out hole at the bottom of the slide. We discussed sowing more grass to help with the erosion problem which also makes the fence shorter. • We discussed the replacement of the broken see-saw. The company has been contacted and they are sending a replacement. • We discussed that the van notebook should been gone through to make sure everyone’s information is up to date and children’s information who no longer get transported, get their information removed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 49 Completed Date: 11/21/2023 Age: From 2 To 11 Total Minutes: 390 Time In: 11:00 AM Time Out: 05:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Monica McKinney, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, the Monica McKinney, Administrator, was in a classroom today, but available for questions. Jerry McKinney, Finance Officer was also available to assist me during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percentage as of 11/20/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Genesis Academy, Inc., is current/active as of 11/2/23. Permit type – GS 110-106 Religious Sponsored Letter of Intent. Special Services/Restrictions – Daytime care only. The last annual compliance visit was conducted on 11/30/23. The last fire drill was practiced on 10/27/23. The last shelter-in-place drill was practiced on 8/23/23. The last playground inspection was documented on 10/27/23. The last fire inspection was approved on 11/1/22, which is past due. The last sanitation inspection was conducted on Juley 21/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon my arrival, I was greeted at the door, by Ms. McKinney. I signed in and washed my hands in the first classroom that I entered. This facility is having a hard time finding teachers, so they are having to combine classrooms to meet ratios. I observed children drawing/coloring and preparing for their school Thanksgiving feast. Children did not go outside today due to the rain. The children at this facility bring packed lunches from home, however today the facility had a pizza party with ice cream (Thanksgiving feast) for everyone all together in the multi-purpose room. This program does not typically provide meals or snacks. Once the feast was over, the children went back to their classrooms to use the bathroom, get diapers changed and prepare for rest time. Teachers cleaned tables, chairs and put the multi-purpose room back together to prepare for rest time. There was a total of twenty (20) children in the multi-purpose room nap during rest time. After rest time the children had snack and free play and homework for the school age children. The staff and training worksheet were not completed so I will have to make a return visit on Monday November 27, 2023. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do provide transportation in the morning and evening for typically four (4) children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one (1), fifteen (15) passenger van today. I observed a 2019, Ford Transit. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 6/30/2024 and the insurance is valid through June 2024. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection is almost a month past due. 10A NCAC 09 .0304(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence did not measure at least 4 feet high throughout the playgrounds. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. .2820(b) 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. An epi pen was not discarded or sent home after the child left the facility and the medication expired. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. .0604(q) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Lipton Green Tea was located on a teachers desk in classroom 109. .0901(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was no mulch as the end of the slide. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One new staff, did not have documentation of reviewing the Shaken Baby and Abusive Head Trauma Policy. .0608(d)(1-4) 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. The person that transports children had not completed the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. The person that transports children had not completed the Health and Safety Trainings. .1102(a) Technical assistance was provided as follows: Item #106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Note: A fire inspection is almost a month past due. Item #849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: An epi pen was not discarded or sent home after the child left the facility and the medication expired. Item #824 and #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) All upright angles shall be greater than 55 degrees to prevent entrapment and entanglement. (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: the fence did not measure at least 4 feet high throughout the playgrounds. (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Note: There was no mulch as the end of the slide. Item #840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. Item 1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: Lipton Green Tea was located on a teachers desk in classroom 109. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 5, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed that incident reports should be maintained in the children’s files. • We discussed that the Secretary of State website is current and active, however the registered agent is not correct. • We discussed that there is one (1) day left for the Emergency Preparedness and Response Plan. This needs to be updated by tomorrow. • We discussed that a lock down drill needs to be conducted this month. • We discussed that they need to call the fire inspector to get a fire inspection completed. • We discussed the fence height in depth today. We discussed the various options that can be done to help raise the fence height. • We discussed how to fill in the dug-out hole at the bottom of the slide. We discussed sowing more grass to help with the erosion problem which also makes the fence shorter. • We discussed the replacement of the broken see-saw. The company has been contacted and they are sending a replacement. • We discussed that the van notebook should been gone through to make sure everyone’s information is up to date and children’s information who no longer get transported, get their information removed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 49 Completed Date: 11/21/2023 Age: From 2 To 11 Total Minutes: 390 Time In: 11:00 AM Time Out: 05:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Monica McKinney, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, the Monica McKinney, Administrator, was in a classroom today, but available for questions. Jerry McKinney, Finance Officer was also available to assist me during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percentage as of 11/20/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Genesis Academy, Inc., is current/active as of 11/2/23. Permit type – GS 110-106 Religious Sponsored Letter of Intent. Special Services/Restrictions – Daytime care only. The last annual compliance visit was conducted on 11/30/23. The last fire drill was practiced on 10/27/23. The last shelter-in-place drill was practiced on 8/23/23. The last playground inspection was documented on 10/27/23. The last fire inspection was approved on 11/1/22, which is past due. The last sanitation inspection was conducted on Juley 21/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon my arrival, I was greeted at the door, by Ms. McKinney. I signed in and washed my hands in the first classroom that I entered. This facility is having a hard time finding teachers, so they are having to combine classrooms to meet ratios. I observed children drawing/coloring and preparing for their school Thanksgiving feast. Children did not go outside today due to the rain. The children at this facility bring packed lunches from home, however today the facility had a pizza party with ice cream (Thanksgiving feast) for everyone all together in the multi-purpose room. This program does not typically provide meals or snacks. Once the feast was over, the children went back to their classrooms to use the bathroom, get diapers changed and prepare for rest time. Teachers cleaned tables, chairs and put the multi-purpose room back together to prepare for rest time. There was a total of twenty (20) children in the multi-purpose room nap during rest time. After rest time the children had snack and free play and homework for the school age children. The staff and training worksheet were not completed so I will have to make a return visit on Monday November 27, 2023. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do provide transportation in the morning and evening for typically four (4) children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one (1), fifteen (15) passenger van today. I observed a 2019, Ford Transit. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 6/30/2024 and the insurance is valid through June 2024. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection is almost a month past due. 10A NCAC 09 .0304(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence did not measure at least 4 feet high throughout the playgrounds. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. .2820(b) 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. An epi pen was not discarded or sent home after the child left the facility and the medication expired. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. .0604(q) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Lipton Green Tea was located on a teachers desk in classroom 109. .0901(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was no mulch as the end of the slide. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One new staff, did not have documentation of reviewing the Shaken Baby and Abusive Head Trauma Policy. .0608(d)(1-4) 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. The person that transports children had not completed the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. The person that transports children had not completed the Health and Safety Trainings. .1102(a) Technical assistance was provided as follows: Item #106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Note: A fire inspection is almost a month past due. Item #849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: An epi pen was not discarded or sent home after the child left the facility and the medication expired. Item #824 and #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) All upright angles shall be greater than 55 degrees to prevent entrapment and entanglement. (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: the fence did not measure at least 4 feet high throughout the playgrounds. (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Note: There was no mulch as the end of the slide. Item #840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. Item 1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: Lipton Green Tea was located on a teachers desk in classroom 109. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 5, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed that incident reports should be maintained in the children’s files. • We discussed that the Secretary of State website is current and active, however the registered agent is not correct. • We discussed that there is one (1) day left for the Emergency Preparedness and Response Plan. This needs to be updated by tomorrow. • We discussed that a lock down drill needs to be conducted this month. • We discussed that they need to call the fire inspector to get a fire inspection completed. • We discussed the fence height in depth today. We discussed the various options that can be done to help raise the fence height. • We discussed how to fill in the dug-out hole at the bottom of the slide. We discussed sowing more grass to help with the erosion problem which also makes the fence shorter. • We discussed the replacement of the broken see-saw. The company has been contacted and they are sending a replacement. • We discussed that the van notebook should been gone through to make sure everyone’s information is up to date and children’s information who no longer get transported, get their information removed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 49 Completed Date: 11/21/2023 Age: From 2 To 11 Total Minutes: 390 Time In: 11:00 AM Time Out: 05:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Monica McKinney, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, the Monica McKinney, Administrator, was in a classroom today, but available for questions. Jerry McKinney, Finance Officer was also available to assist me during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percentage as of 11/20/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Genesis Academy, Inc., is current/active as of 11/2/23. Permit type – GS 110-106 Religious Sponsored Letter of Intent. Special Services/Restrictions – Daytime care only. The last annual compliance visit was conducted on 11/30/23. The last fire drill was practiced on 10/27/23. The last shelter-in-place drill was practiced on 8/23/23. The last playground inspection was documented on 10/27/23. The last fire inspection was approved on 11/1/22, which is past due. The last sanitation inspection was conducted on Juley 21/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon my arrival, I was greeted at the door, by Ms. McKinney. I signed in and washed my hands in the first classroom that I entered. This facility is having a hard time finding teachers, so they are having to combine classrooms to meet ratios. I observed children drawing/coloring and preparing for their school Thanksgiving feast. Children did not go outside today due to the rain. The children at this facility bring packed lunches from home, however today the facility had a pizza party with ice cream (Thanksgiving feast) for everyone all together in the multi-purpose room. This program does not typically provide meals or snacks. Once the feast was over, the children went back to their classrooms to use the bathroom, get diapers changed and prepare for rest time. Teachers cleaned tables, chairs and put the multi-purpose room back together to prepare for rest time. There was a total of twenty (20) children in the multi-purpose room nap during rest time. After rest time the children had snack and free play and homework for the school age children. The staff and training worksheet were not completed so I will have to make a return visit on Monday November 27, 2023. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do provide transportation in the morning and evening for typically four (4) children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one (1), fifteen (15) passenger van today. I observed a 2019, Ford Transit. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 6/30/2024 and the insurance is valid through June 2024. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection is almost a month past due. 10A NCAC 09 .0304(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence did not measure at least 4 feet high throughout the playgrounds. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. .2820(b) 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. An epi pen was not discarded or sent home after the child left the facility and the medication expired. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. .0604(q) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Lipton Green Tea was located on a teachers desk in classroom 109. .0901(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was no mulch as the end of the slide. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One new staff, did not have documentation of reviewing the Shaken Baby and Abusive Head Trauma Policy. .0608(d)(1-4) 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. The person that transports children had not completed the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. The person that transports children had not completed the Health and Safety Trainings. .1102(a) Technical assistance was provided as follows: Item #106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Note: A fire inspection is almost a month past due. Item #849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: An epi pen was not discarded or sent home after the child left the facility and the medication expired. Item #824 and #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) All upright angles shall be greater than 55 degrees to prevent entrapment and entanglement. (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: the fence did not measure at least 4 feet high throughout the playgrounds. (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Note: There was no mulch as the end of the slide. Item #840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. Item 1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: Lipton Green Tea was located on a teachers desk in classroom 109. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 5, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed that incident reports should be maintained in the children’s files. • We discussed that the Secretary of State website is current and active, however the registered agent is not correct. • We discussed that there is one (1) day left for the Emergency Preparedness and Response Plan. This needs to be updated by tomorrow. • We discussed that a lock down drill needs to be conducted this month. • We discussed that they need to call the fire inspector to get a fire inspection completed. • We discussed the fence height in depth today. We discussed the various options that can be done to help raise the fence height. • We discussed how to fill in the dug-out hole at the bottom of the slide. We discussed sowing more grass to help with the erosion problem which also makes the fence shorter. • We discussed the replacement of the broken see-saw. The company has been contacted and they are sending a replacement. • We discussed that the van notebook should been gone through to make sure everyone’s information is up to date and children’s information who no longer get transported, get their information removed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 49 Completed Date: 11/21/2023 Age: From 2 To 11 Total Minutes: 390 Time In: 11:00 AM Time Out: 05:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Monica McKinney, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, the Monica McKinney, Administrator, was in a classroom today, but available for questions. Jerry McKinney, Finance Officer was also available to assist me during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percentage as of 11/20/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Genesis Academy, Inc., is current/active as of 11/2/23. Permit type – GS 110-106 Religious Sponsored Letter of Intent. Special Services/Restrictions – Daytime care only. The last annual compliance visit was conducted on 11/30/23. The last fire drill was practiced on 10/27/23. The last shelter-in-place drill was practiced on 8/23/23. The last playground inspection was documented on 10/27/23. The last fire inspection was approved on 11/1/22, which is past due. The last sanitation inspection was conducted on Juley 21/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon my arrival, I was greeted at the door, by Ms. McKinney. I signed in and washed my hands in the first classroom that I entered. This facility is having a hard time finding teachers, so they are having to combine classrooms to meet ratios. I observed children drawing/coloring and preparing for their school Thanksgiving feast. Children did not go outside today due to the rain. The children at this facility bring packed lunches from home, however today the facility had a pizza party with ice cream (Thanksgiving feast) for everyone all together in the multi-purpose room. This program does not typically provide meals or snacks. Once the feast was over, the children went back to their classrooms to use the bathroom, get diapers changed and prepare for rest time. Teachers cleaned tables, chairs and put the multi-purpose room back together to prepare for rest time. There was a total of twenty (20) children in the multi-purpose room nap during rest time. After rest time the children had snack and free play and homework for the school age children. The staff and training worksheet were not completed so I will have to make a return visit on Monday November 27, 2023. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do provide transportation in the morning and evening for typically four (4) children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one (1), fifteen (15) passenger van today. I observed a 2019, Ford Transit. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 6/30/2024 and the insurance is valid through June 2024. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection is almost a month past due. 10A NCAC 09 .0304(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence did not measure at least 4 feet high throughout the playgrounds. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. .2820(b) 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. An epi pen was not discarded or sent home after the child left the facility and the medication expired. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. .0604(q) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Lipton Green Tea was located on a teachers desk in classroom 109. .0901(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was no mulch as the end of the slide. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One new staff, did not have documentation of reviewing the Shaken Baby and Abusive Head Trauma Policy. .0608(d)(1-4) 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. The person that transports children had not completed the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. The person that transports children had not completed the Health and Safety Trainings. .1102(a) Technical assistance was provided as follows: Item #106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Note: A fire inspection is almost a month past due. Item #849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: An epi pen was not discarded or sent home after the child left the facility and the medication expired. Item #824 and #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) All upright angles shall be greater than 55 degrees to prevent entrapment and entanglement. (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: the fence did not measure at least 4 feet high throughout the playgrounds. (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Note: There was no mulch as the end of the slide. Item #840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. Item 1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: Lipton Green Tea was located on a teachers desk in classroom 109. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 5, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed that incident reports should be maintained in the children’s files. • We discussed that the Secretary of State website is current and active, however the registered agent is not correct. • We discussed that there is one (1) day left for the Emergency Preparedness and Response Plan. This needs to be updated by tomorrow. • We discussed that a lock down drill needs to be conducted this month. • We discussed that they need to call the fire inspector to get a fire inspection completed. • We discussed the fence height in depth today. We discussed the various options that can be done to help raise the fence height. • We discussed how to fill in the dug-out hole at the bottom of the slide. We discussed sowing more grass to help with the erosion problem which also makes the fence shorter. • We discussed the replacement of the broken see-saw. The company has been contacted and they are sending a replacement. • We discussed that the van notebook should been gone through to make sure everyone’s information is up to date and children’s information who no longer get transported, get their information removed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 49 Completed Date: 11/21/2023 Age: From 2 To 11 Total Minutes: 390 Time In: 11:00 AM Time Out: 05:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Monica McKinney, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, the Monica McKinney, Administrator, was in a classroom today, but available for questions. Jerry McKinney, Finance Officer was also available to assist me during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percentage as of 11/20/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Genesis Academy, Inc., is current/active as of 11/2/23. Permit type – GS 110-106 Religious Sponsored Letter of Intent. Special Services/Restrictions – Daytime care only. The last annual compliance visit was conducted on 11/30/23. The last fire drill was practiced on 10/27/23. The last shelter-in-place drill was practiced on 8/23/23. The last playground inspection was documented on 10/27/23. The last fire inspection was approved on 11/1/22, which is past due. The last sanitation inspection was conducted on Juley 21/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon my arrival, I was greeted at the door, by Ms. McKinney. I signed in and washed my hands in the first classroom that I entered. This facility is having a hard time finding teachers, so they are having to combine classrooms to meet ratios. I observed children drawing/coloring and preparing for their school Thanksgiving feast. Children did not go outside today due to the rain. The children at this facility bring packed lunches from home, however today the facility had a pizza party with ice cream (Thanksgiving feast) for everyone all together in the multi-purpose room. This program does not typically provide meals or snacks. Once the feast was over, the children went back to their classrooms to use the bathroom, get diapers changed and prepare for rest time. Teachers cleaned tables, chairs and put the multi-purpose room back together to prepare for rest time. There was a total of twenty (20) children in the multi-purpose room nap during rest time. After rest time the children had snack and free play and homework for the school age children. The staff and training worksheet were not completed so I will have to make a return visit on Monday November 27, 2023. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do provide transportation in the morning and evening for typically four (4) children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one (1), fifteen (15) passenger van today. I observed a 2019, Ford Transit. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 6/30/2024 and the insurance is valid through June 2024. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection is almost a month past due. 10A NCAC 09 .0304(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence did not measure at least 4 feet high throughout the playgrounds. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. .2820(b) 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. An epi pen was not discarded or sent home after the child left the facility and the medication expired. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. .0604(q) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Lipton Green Tea was located on a teachers desk in classroom 109. .0901(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was no mulch as the end of the slide. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One new staff, did not have documentation of reviewing the Shaken Baby and Abusive Head Trauma Policy. .0608(d)(1-4) 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. The person that transports children had not completed the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. The person that transports children had not completed the Health and Safety Trainings. .1102(a) Technical assistance was provided as follows: Item #106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Note: A fire inspection is almost a month past due. Item #849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: An epi pen was not discarded or sent home after the child left the facility and the medication expired. Item #824 and #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) All upright angles shall be greater than 55 degrees to prevent entrapment and entanglement. (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: the fence did not measure at least 4 feet high throughout the playgrounds. (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Note: There was no mulch as the end of the slide. Item #840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. Item 1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: Lipton Green Tea was located on a teachers desk in classroom 109. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 5, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed that incident reports should be maintained in the children’s files. • We discussed that the Secretary of State website is current and active, however the registered agent is not correct. • We discussed that there is one (1) day left for the Emergency Preparedness and Response Plan. This needs to be updated by tomorrow. • We discussed that a lock down drill needs to be conducted this month. • We discussed that they need to call the fire inspector to get a fire inspection completed. • We discussed the fence height in depth today. We discussed the various options that can be done to help raise the fence height. • We discussed how to fill in the dug-out hole at the bottom of the slide. We discussed sowing more grass to help with the erosion problem which also makes the fence shorter. • We discussed the replacement of the broken see-saw. The company has been contacted and they are sending a replacement. • We discussed that the van notebook should been gone through to make sure everyone’s information is up to date and children’s information who no longer get transported, get their information removed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 49 Completed Date: 11/21/2023 Age: From 2 To 11 Total Minutes: 390 Time In: 11:00 AM Time Out: 05:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Monica McKinney, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, the Monica McKinney, Administrator, was in a classroom today, but available for questions. Jerry McKinney, Finance Officer was also available to assist me during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percentage as of 11/20/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Genesis Academy, Inc., is current/active as of 11/2/23. Permit type – GS 110-106 Religious Sponsored Letter of Intent. Special Services/Restrictions – Daytime care only. The last annual compliance visit was conducted on 11/30/23. The last fire drill was practiced on 10/27/23. The last shelter-in-place drill was practiced on 8/23/23. The last playground inspection was documented on 10/27/23. The last fire inspection was approved on 11/1/22, which is past due. The last sanitation inspection was conducted on Juley 21/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon my arrival, I was greeted at the door, by Ms. McKinney. I signed in and washed my hands in the first classroom that I entered. This facility is having a hard time finding teachers, so they are having to combine classrooms to meet ratios. I observed children drawing/coloring and preparing for their school Thanksgiving feast. Children did not go outside today due to the rain. The children at this facility bring packed lunches from home, however today the facility had a pizza party with ice cream (Thanksgiving feast) for everyone all together in the multi-purpose room. This program does not typically provide meals or snacks. Once the feast was over, the children went back to their classrooms to use the bathroom, get diapers changed and prepare for rest time. Teachers cleaned tables, chairs and put the multi-purpose room back together to prepare for rest time. There was a total of twenty (20) children in the multi-purpose room nap during rest time. After rest time the children had snack and free play and homework for the school age children. The staff and training worksheet were not completed so I will have to make a return visit on Monday November 27, 2023. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do provide transportation in the morning and evening for typically four (4) children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one (1), fifteen (15) passenger van today. I observed a 2019, Ford Transit. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 6/30/2024 and the insurance is valid through June 2024. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection is almost a month past due. 10A NCAC 09 .0304(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence did not measure at least 4 feet high throughout the playgrounds. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. .2820(b) 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. An epi pen was not discarded or sent home after the child left the facility and the medication expired. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. .0604(q) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Lipton Green Tea was located on a teachers desk in classroom 109. .0901(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was no mulch as the end of the slide. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One new staff, did not have documentation of reviewing the Shaken Baby and Abusive Head Trauma Policy. .0608(d)(1-4) 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. The person that transports children had not completed the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. The person that transports children had not completed the Health and Safety Trainings. .1102(a) Technical assistance was provided as follows: Item #106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Note: A fire inspection is almost a month past due. Item #849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: An epi pen was not discarded or sent home after the child left the facility and the medication expired. Item #824 and #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) All upright angles shall be greater than 55 degrees to prevent entrapment and entanglement. (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: the fence did not measure at least 4 feet high throughout the playgrounds. (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Note: There was no mulch as the end of the slide. Item #840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. Item 1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: Lipton Green Tea was located on a teachers desk in classroom 109. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 5, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed that incident reports should be maintained in the children’s files. • We discussed that the Secretary of State website is current and active, however the registered agent is not correct. • We discussed that there is one (1) day left for the Emergency Preparedness and Response Plan. This needs to be updated by tomorrow. • We discussed that a lock down drill needs to be conducted this month. • We discussed that they need to call the fire inspector to get a fire inspection completed. • We discussed the fence height in depth today. We discussed the various options that can be done to help raise the fence height. • We discussed how to fill in the dug-out hole at the bottom of the slide. We discussed sowing more grass to help with the erosion problem which also makes the fence shorter. • We discussed the replacement of the broken see-saw. The company has been contacted and they are sending a replacement. • We discussed that the van notebook should been gone through to make sure everyone’s information is up to date and children’s information who no longer get transported, get their information removed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, 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: GENESIS ACADEMY, INC Facility ID: 00000039 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 49 Completed Date: 11/21/2023 Age: From 2 To 11 Total Minutes: 390 Time In: 11:00 AM Time Out: 05:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Monica McKinney, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, the Monica McKinney, Administrator, was in a classroom today, but available for questions. Jerry McKinney, Finance Officer was also available to assist me during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percentage as of 11/20/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Genesis Academy, Inc., is current/active as of 11/2/23. Permit type – GS 110-106 Religious Sponsored Letter of Intent. Special Services/Restrictions – Daytime care only. The last annual compliance visit was conducted on 11/30/23. The last fire drill was practiced on 10/27/23. The last shelter-in-place drill was practiced on 8/23/23. The last playground inspection was documented on 10/27/23. The last fire inspection was approved on 11/1/22, which is past due. The last sanitation inspection was conducted on Juley 21/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon my arrival, I was greeted at the door, by Ms. McKinney. I signed in and washed my hands in the first classroom that I entered. This facility is having a hard time finding teachers, so they are having to combine classrooms to meet ratios. I observed children drawing/coloring and preparing for their school Thanksgiving feast. Children did not go outside today due to the rain. The children at this facility bring packed lunches from home, however today the facility had a pizza party with ice cream (Thanksgiving feast) for everyone all together in the multi-purpose room. This program does not typically provide meals or snacks. Once the feast was over, the children went back to their classrooms to use the bathroom, get diapers changed and prepare for rest time. Teachers cleaned tables, chairs and put the multi-purpose room back together to prepare for rest time. There was a total of twenty (20) children in the multi-purpose room nap during rest time. After rest time the children had snack and free play and homework for the school age children. The staff and training worksheet were not completed so I will have to make a return visit on Monday November 27, 2023. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do provide transportation in the morning and evening for typically four (4) children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one (1), fifteen (15) passenger van today. I observed a 2019, Ford Transit. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 6/30/2024 and the insurance is valid through June 2024. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection is almost a month past due. 10A NCAC 09 .0304(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence did not measure at least 4 feet high throughout the playgrounds. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. .2820(b) 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. An epi pen was not discarded or sent home after the child left the facility and the medication expired. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. .0604(q) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Lipton Green Tea was located on a teachers desk in classroom 109. .0901(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was no mulch as the end of the slide. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One new staff, did not have documentation of reviewing the Shaken Baby and Abusive Head Trauma Policy. .0608(d)(1-4) 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. The person that transports children had not completed the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. The person that transports children had not completed the Health and Safety Trainings. .1102(a) Technical assistance was provided as follows: Item #106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Note: A fire inspection is almost a month past due. Item #849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: An epi pen was not discarded or sent home after the child left the facility and the medication expired. Item #824 and #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) All upright angles shall be greater than 55 degrees to prevent entrapment and entanglement. (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: the fence did not measure at least 4 feet high throughout the playgrounds. (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Note: There was no mulch as the end of the slide. Item #840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer and essential oil was found in classroom 107 and Armor-All wipes were in the van. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Plastic was found in classroom 103 and 105. Plastic around packages of paper plates, diapers and wipes. Item 1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: Lipton Green Tea was located on a teachers desk in classroom 109. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 5, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed that incident reports should be maintained in the children’s files. • We discussed that the Secretary of State website is current and active, however the registered agent is not correct. • We discussed that there is one (1) day left for the Emergency Preparedness and Response Plan. This needs to be updated by tomorrow. • We discussed that a lock down drill needs to be conducted this month. • We discussed that they need to call the fire inspector to get a fire inspection completed. • We discussed the fence height in depth today. We discussed the various options that can be done to help raise the fence height. • We discussed how to fill in the dug-out hole at the bottom of the slide. We discussed sowing more grass to help with the erosion problem which also makes the fence shorter. • We discussed the replacement of the broken see-saw. The company has been contacted and they are sending a replacement. • We discussed that the van notebook should been gone through to make sure everyone’s information is up to date and children’s information who no longer get transported, get their information removed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, 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