L'Academy Language Immersion Preschool

GS 110-102 · Violation

Name of Operation: L'ACADEMY LANGUAGE IMMERSION PRESCHOOL Facility ID: 92003802 Consultant: SCOTT MOORE Operation Type: Center Case Number: Visit Date: 10/30/2025 Number Present: 41 Completed Date: 10/30/2025 Age: From 1 To 5 Total Minutes: 105 Time In: 09:15 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable childcare requirements during your Annual Compliance visit. Applicable childcare requirements and the inspection was discussed with Administrator, Ayana Laurent. Currently this facility operates with a 1 star license effective 5/30/22. During the visit I monitored the indoor and outdoor spaces used for child care. I observed children during routine activities. I observed whole group activities and free play activities. Age appropriate materials and equipment was accessible to all children. The facility was monitored for compliance using the annual compliance monitoring checklist. I also monitored, permit restrictions, posting requirements, training requirements, use of approved space, program records, and nutrition. 4 children's records were reviewed and staff records were reviewed along with the staff and training worksheet. The last fire inspection was completed 11/14/25. The last fire drill was completed on 10/28/25. The last lockdown drill was completed 10/28/25. The operation's EPR plan was last updated 11/22/24. Outdoor inspections were observed to be completed monthly. Diaper creams were observed to have current permissions in all rooms. This operation does not currently provide care for infants. I observed a current menu to be posted that met nutrition requirements. No children present have any medications at this time so medication rules were not evaluated. Transportation is not provided by this facility. This operation was observed to have completed enrollment in asbestos and lead paint testing. This operation was observed to have a current roster in the ABCMS system. I observed 2 violations during this inspection. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child's file was observed to not contain a signed statement that the NC Child Care Law was provided during enrollment. GS 110-102 1329 Application for enrollment did not include all required information. One children's enrollment application did not have the health section addressed regarding allergies, fears, and concerns. .0801(a)(1-7) The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed by November 13, 2025 stating that all violations have been corrected. The letter can be emailed to scott.moore@dhhs.nc.gov or mailed to: DHHS Division of Child Development 2201 Mail Service Center Raleigh, NC 27699-2201 ATTN: Scott Moore If you state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by November 13, 2025 you must contact me with a proposed timeline of the corrections. In some cases the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during today's visit may negatively impact your compliance score. TECHNICAL ASSISTANCE During today’s visit, we discussed the operations pursuit of a higher star rated license. Forms were provided to apply as well as a preliminary staff education review, and additional forms needed for the application. I will send you a list of the step the operation needs to work through while you are completing the 3 month self-study. At your request I reviewed the room that you are looking to open for an infant space. The room needed an evacuation crib or approval from the Fire Marshall to use an alternative device, safe sleep policy to be posted, and a working refrigerator thermometer. Once these items are completed I can submit the paperwork to add infants to your permit. There were 2 new staff present that were not listed on your ABCMS roster. Please remember to promptly submit the connecting background checks when someone is hired and confirm that they are appearing on your roster. It would be good practice to establish a consistent time monthly to review your roster and make updates as needed. If you have any questions or concerns I can be reached at scott.moore@dhhs.nc.gov or 984-389-7839. 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: L'ACADEMY LANGUAGE IMMERSION PRESCHOOL Facility ID: 92003802 Consultant: SCOTT MOORE Operation Type: Center Case Number: Visit Date: 10/30/2025 Number Present: 41 Completed Date: 10/30/2025 Age: From 1 To 5 Total Minutes: 105 Time In: 09:15 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable childcare requirements during your Annual Compliance visit. Applicable childcare requirements and the inspection was discussed with Administrator, Ayana Laurent. Currently this facility operates with a 1 star license effective 5/30/22. During the visit I monitored the indoor and outdoor spaces used for child care. I observed children during routine activities. I observed whole group activities and free play activities. Age appropriate materials and equipment was accessible to all children. The facility was monitored for compliance using the annual compliance monitoring checklist. I also monitored, permit restrictions, posting requirements, training requirements, use of approved space, program records, and nutrition. 4 children's records were reviewed and staff records were reviewed along with the staff and training worksheet. The last fire inspection was completed 11/14/25. The last fire drill was completed on 10/28/25. The last lockdown drill was completed 10/28/25. The operation's EPR plan was last updated 11/22/24. Outdoor inspections were observed to be completed monthly. Diaper creams were observed to have current permissions in all rooms. This operation does not currently provide care for infants. I observed a current menu to be posted that met nutrition requirements. No children present have any medications at this time so medication rules were not evaluated. Transportation is not provided by this facility. This operation was observed to have completed enrollment in asbestos and lead paint testing. This operation was observed to have a current roster in the ABCMS system. I observed 2 violations during this inspection. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child's file was observed to not contain a signed statement that the NC Child Care Law was provided during enrollment. GS 110-102 1329 Application for enrollment did not include all required information. One children's enrollment application did not have the health section addressed regarding allergies, fears, and concerns. .0801(a)(1-7) The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed by November 13, 2025 stating that all violations have been corrected. The letter can be emailed to scott.moore@dhhs.nc.gov or mailed to: DHHS Division of Child Development 2201 Mail Service Center Raleigh, NC 27699-2201 ATTN: Scott Moore If you state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by November 13, 2025 you must contact me with a proposed timeline of the corrections. In some cases the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during today's visit may negatively impact your compliance score. TECHNICAL ASSISTANCE During today’s visit, we discussed the operations pursuit of a higher star rated license. Forms were provided to apply as well as a preliminary staff education review, and additional forms needed for the application. I will send you a list of the step the operation needs to work through while you are completing the 3 month self-study. At your request I reviewed the room that you are looking to open for an infant space. The room needed an evacuation crib or approval from the Fire Marshall to use an alternative device, safe sleep policy to be posted, and a working refrigerator thermometer. Once these items are completed I can submit the paperwork to add infants to your permit. There were 2 new staff present that were not listed on your ABCMS roster. Please remember to promptly submit the connecting background checks when someone is hired and confirm that they are appearing on your roster. It would be good practice to establish a consistent time monthly to review your roster and make updates as needed. If you have any questions or concerns I can be reached at scott.moore@dhhs.nc.gov or 984-389-7839. 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: L'ACADEMY LANGUAGE IMMERSION PRESCHOOL Facility ID: 92003802 Consultant: SCOTT MOORE Operation Type: Center Case Number: Visit Date: 11/4/2024 Number Present: 48 Completed Date: 11/4/2024 Age: From 1 To 5 Total Minutes: 105 Time In: 09:05 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable childcare requirements during your Annual Compliance visit. Applicable childcare requirements and the inspection was discussed with Administrator, Stephanie Paschall. Currently this facility operates with a 1 star license effective May 30, 2022. During the visit I monitored the indoor and outdoor spaces used for child care. I observed children during routine activities. I observed whole group activities and free play activities. Children were observed playing outside during outdoor play with adequate supervision. Age appropriate materials and equipment was accessible to all children. The facility was monitored for compliance using the annual compliance monitoring checklist. I also monitored, permit restrictions, posting requirements, training requirements, use of approved space, program records, and nutrition. 9 children's records were reviewed and staff records were reviewed along with the staff and training worksheet. The last fire inspection was completed in October 2023. The last fire drill was completed on 10/21/24. The last lockdown drill was completed 10/28/24. The operation's EPR plan was last updated 11/14/24. Outdoor inspections were observed to be completed monthly. Diaper creams and suntan lotions were observed to have current permissions in all rooms. This operation does not provide care for infants so sleep checks and safe sleep policy is not required. No medications were observed throughout the building. Transportation is not provided. I observed 1 violation during this inspection. 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. The operation's fire inspection is past due with the last one completed in October 2023. 10A NCAC 09 .0304(a) The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed by November 18, 2024 stating that all violations have been corrected. The letter can be emailed to scott.moore@dhhs.nc.gov or mailed to: Scott Moore 5 Seawell Ct Durham, NC 27703 If you state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by November 18, 2024 you must contact me with a proposed timeline of the corrections. In some cases the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during today's visit may negatively impact your compliance score. TECHNICAL ASSISTANCE We discussed the rated license process and the upcoming QRIS changes which will go into effect at the earliest of July 2025. We discussed exploring resources through NCRLAP that may help the operation prepare for assessment. We discussed putting inspection due dates on a calendar or tracking system to ensure they are addressed timely prior to expiration. 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. If you have any questions or concerns I can be reached at scott.moore@dhhs.nc.gov or 984-389-7839. 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: L'ACADEMY LANGUAGE IMMERSION PRESCHOOL Facility ID: 92003802 Consultant: SCOTT MOORE Operation Type: Center Case Number: Visit Date: 11/4/2024 Number Present: 48 Completed Date: 11/4/2024 Age: From 1 To 5 Total Minutes: 105 Time In: 09:05 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable childcare requirements during your Annual Compliance visit. Applicable childcare requirements and the inspection was discussed with Administrator, Stephanie Paschall. Currently this facility operates with a 1 star license effective May 30, 2022. During the visit I monitored the indoor and outdoor spaces used for child care. I observed children during routine activities. I observed whole group activities and free play activities. Children were observed playing outside during outdoor play with adequate supervision. Age appropriate materials and equipment was accessible to all children. The facility was monitored for compliance using the annual compliance monitoring checklist. I also monitored, permit restrictions, posting requirements, training requirements, use of approved space, program records, and nutrition. 9 children's records were reviewed and staff records were reviewed along with the staff and training worksheet. The last fire inspection was completed in October 2023. The last fire drill was completed on 10/21/24. The last lockdown drill was completed 10/28/24. The operation's EPR plan was last updated 11/14/24. Outdoor inspections were observed to be completed monthly. Diaper creams and suntan lotions were observed to have current permissions in all rooms. This operation does not provide care for infants so sleep checks and safe sleep policy is not required. No medications were observed throughout the building. Transportation is not provided. I observed 1 violation during this inspection. 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. The operation's fire inspection is past due with the last one completed in October 2023. 10A NCAC 09 .0304(a) The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed by November 18, 2024 stating that all violations have been corrected. The letter can be emailed to scott.moore@dhhs.nc.gov or mailed to: Scott Moore 5 Seawell Ct Durham, NC 27703 If you state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by November 18, 2024 you must contact me with a proposed timeline of the corrections. In some cases the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during today's visit may negatively impact your compliance score. TECHNICAL ASSISTANCE We discussed the rated license process and the upcoming QRIS changes which will go into effect at the earliest of July 2025. We discussed exploring resources through NCRLAP that may help the operation prepare for assessment. We discussed putting inspection due dates on a calendar or tracking system to ensure they are addressed timely prior to expiration. 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. If you have any questions or concerns I can be reached at scott.moore@dhhs.nc.gov or 984-389-7839. 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: L'ACADEMY LANGUAGE IMMERSION PRESCHOOL Facility ID: 92003802 Consultant: SCOTT MOORE Operation Type: Center Case Number: Visit Date: 11/4/2024 Number Present: 48 Completed Date: 11/4/2024 Age: From 1 To 5 Total Minutes: 105 Time In: 09:05 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable childcare requirements during your Annual Compliance visit. Applicable childcare requirements and the inspection was discussed with Administrator, Stephanie Paschall. Currently this facility operates with a 1 star license effective May 30, 2022. During the visit I monitored the indoor and outdoor spaces used for child care. I observed children during routine activities. I observed whole group activities and free play activities. Children were observed playing outside during outdoor play with adequate supervision. Age appropriate materials and equipment was accessible to all children. The facility was monitored for compliance using the annual compliance monitoring checklist. I also monitored, permit restrictions, posting requirements, training requirements, use of approved space, program records, and nutrition. 9 children's records were reviewed and staff records were reviewed along with the staff and training worksheet. The last fire inspection was completed in October 2023. The last fire drill was completed on 10/21/24. The last lockdown drill was completed 10/28/24. The operation's EPR plan was last updated 11/14/24. Outdoor inspections were observed to be completed monthly. Diaper creams and suntan lotions were observed to have current permissions in all rooms. This operation does not provide care for infants so sleep checks and safe sleep policy is not required. No medications were observed throughout the building. Transportation is not provided. I observed 1 violation during this inspection. 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. The operation's fire inspection is past due with the last one completed in October 2023. 10A NCAC 09 .0304(a) The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed by November 18, 2024 stating that all violations have been corrected. The letter can be emailed to scott.moore@dhhs.nc.gov or mailed to: Scott Moore 5 Seawell Ct Durham, NC 27703 If you state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by November 18, 2024 you must contact me with a proposed timeline of the corrections. In some cases the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during today's visit may negatively impact your compliance score. TECHNICAL ASSISTANCE We discussed the rated license process and the upcoming QRIS changes which will go into effect at the earliest of July 2025. We discussed exploring resources through NCRLAP that may help the operation prepare for assessment. We discussed putting inspection due dates on a calendar or tracking system to ensure they are addressed timely prior to expiration. 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. If you have any questions or concerns I can be reached at scott.moore@dhhs.nc.gov or 984-389-7839. 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: L'ACADEMY LANGUAGE IMMERSION PRESCHOOL Facility ID: 92003802 Consultant: SCOTT MOORE Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 39 Completed Date: 11/8/2023 Age: From 1 To 5 Total Minutes: 130 Time In: 08:35 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable childcare requirements during your Annual Compliance visit. Applicable childcare requirements and the inspection was discussed with Administrator, Jina Smith. Currently this facility operates with a 1 star license effective May 30, 2022. During the visit I monitored the indoor and outdoor spaces used for child care. I observed children during routine activities. I observed whole group activities and free play activities. Children were observed playing outside during outdoor play with adequate supervision. Age appropriate materials and equipment was accessible to all children. The facility was monitored for compliance using the annual compliance monitoring checklist. I also monitored, permit restrictions, posting requirements, training requirements, use of approved space, program records, and nutrition. 5 children's records were reviewed and staff records were reviewed along with the staff and training worksheet and employee files. The last fire inspection was completed 10/13/23. The last fire drill was completed on 10/11/23. The last shelter-in-place drill was completed 9/15/23. The operation's EPR plan was last updated 11/16/22. Diaper creams and suntan lotions were observed to have current permissions in all rooms. There are no infants in care so sleep checks were not evaluated. There was no emergency medication available in the building to evaluate but there were safe storage areas for medication as needed. Transportation is not provided. I observed 3 violations during this inspection. Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 2 staff were observed to not have completed the annual health questionnaire. .0701(a) 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. 1 staff did not have proof of completion of CPR training in their file. .1102(d) 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. 3 children's records reviewed did not include a medical exam or immunization records. GS 110-91(1);.0302(d)(2); .0304(g) The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed by November 18, 2023 stating that all violations have been corrected. The letter can be emailed to scott.moore@dhhs.nc.gov or mailed to: Scott Moore 5 Seawell Ct Durham, NC 27703 If you state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by November 18, 2023 you must contact me with a proposed timeline of the corrections. In some cases the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during today's visit may negatively impact your compliance score. TECHNICAL ASSISTANCE Your EPR plan is due for renewal by 11/16/23. Please ensure this is reviewed and updated prior to the due date. Mulch in the outdoor area will need replenishing soon. Please take steps to remedy this before it becomes a violation. Baseboards in some rooms were observed to be beginning to pull away from the walls. Please walkthrough the operation and note areas where the baseboards need to be re-glued. If you have any questions or concerns I can be reached at scott.moore@dhhs.nc.gov or 984-389-7839. 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: L'ACADEMY LANGUAGE IMMERSION PRESCHOOL Facility ID: 92003802 Consultant: SCOTT MOORE Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 39 Completed Date: 11/8/2023 Age: From 1 To 5 Total Minutes: 130 Time In: 08:35 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable childcare requirements during your Annual Compliance visit. Applicable childcare requirements and the inspection was discussed with Administrator, Jina Smith. Currently this facility operates with a 1 star license effective May 30, 2022. During the visit I monitored the indoor and outdoor spaces used for child care. I observed children during routine activities. I observed whole group activities and free play activities. Children were observed playing outside during outdoor play with adequate supervision. Age appropriate materials and equipment was accessible to all children. The facility was monitored for compliance using the annual compliance monitoring checklist. I also monitored, permit restrictions, posting requirements, training requirements, use of approved space, program records, and nutrition. 5 children's records were reviewed and staff records were reviewed along with the staff and training worksheet and employee files. The last fire inspection was completed 10/13/23. The last fire drill was completed on 10/11/23. The last shelter-in-place drill was completed 9/15/23. The operation's EPR plan was last updated 11/16/22. Diaper creams and suntan lotions were observed to have current permissions in all rooms. There are no infants in care so sleep checks were not evaluated. There was no emergency medication available in the building to evaluate but there were safe storage areas for medication as needed. Transportation is not provided. I observed 3 violations during this inspection. Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 2 staff were observed to not have completed the annual health questionnaire. .0701(a) 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. 1 staff did not have proof of completion of CPR training in their file. .1102(d) 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. 3 children's records reviewed did not include a medical exam or immunization records. GS 110-91(1);.0302(d)(2); .0304(g) The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed by November 18, 2023 stating that all violations have been corrected. The letter can be emailed to scott.moore@dhhs.nc.gov or mailed to: Scott Moore 5 Seawell Ct Durham, NC 27703 If you state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by November 18, 2023 you must contact me with a proposed timeline of the corrections. In some cases the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during today's visit may negatively impact your compliance score. TECHNICAL ASSISTANCE Your EPR plan is due for renewal by 11/16/23. Please ensure this is reviewed and updated prior to the due date. Mulch in the outdoor area will need replenishing soon. Please take steps to remedy this before it becomes a violation. Baseboards in some rooms were observed to be beginning to pull away from the walls. Please walkthrough the operation and note areas where the baseboards need to be re-glued. If you have any questions or concerns I can be reached at scott.moore@dhhs.nc.gov or 984-389-7839. 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