Babies And Beyond Academy

G.S. 110-90 · Violation

Name of Operation: Babies and Beyond Academy Facility ID: 60004381 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 6/15/2026 Number Present: 39 Completed Date: 6/15/2026 Age: From 0 To 6 Total Minutes: 115 Time In: 01:15 PM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during an Administrative Action Follow-Up Visit. The last annual compliance visit was conducted on December 9, 2025. The center had a compliance history of 79% prior to today’s visit. The following was monitored using the May 2026 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). The Written Warning administrative action was observed posted in the lobby. Upon arrival I was greeted by Ms. K. Bell, Director, and I explained the purpose of the visit. Ms. G. Turner, Owner/operator, was present supervising children in Space 1. Toddlers and preschool aged children were observed napping. School-aged children were observed on the playground. One (1) three-year old was present with the school-age children. It was explained that the child had an appointment and was being picked up early and that he was not assigned to that group. I observed three (3) children in Space 6 without sheets covering their cots. Ms. Bell stated the sheets were onsite and the children fell asleep before the sheets could be placed on the cot. Space 4 was empty during the last visit and was now being used to care for school-age children. Space 4 met requirements. I verified the following violations were corrected from the 6/3/26 visit. Item #301 regarding staff/child ratio and group size. All classrooms and spaces met staff/child ratio and group size requirements. Item #887 regarding safe sleep documentation. Both children under 12 months had safe sleep checks were documented as required. Item #902 regarding nurture and care. I observed positive staff interactions and developmentally appropriate interactions. Children woke up during the visit and I heard staff playing with children providing a nurturing environment. Item #1041 regarding a volunteer’s CBC background check. The volunteers background check was listed as “ready for determination” in the ABCMS system. I called and left a message with the CBC unit during the visit. Ms. Turner stated the volunteer, A. Jeter, was not left alone with children. I observed her with a qualified staff member today. The following violation was a repeat violation and was corrected during the visit. Item #840 regarding storage of hazardous products. I observed a tub of Vaseline stored on the counter in Space 4. Ms. Bell removed the Vaseline and locked it in the office. She stated it did not belong to a child and was left over when cleaning out Space 4. No new staff were hired since the last visit. Two (2) violations were cited and corrected during the visit. Therefore, no correction letter was required. Violation Number Comment Rule 611 All beds,cots, or mats with individual linen were not provided for each child. Three (3) children in Space 6 did not have a sheet covering their cot. 15A NCAC 18A .2821(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. .2820(b) Technical Assistance/General Comments: I reviewed the Written Warning Administrative Action with Ms. Turner during the visit on 6/3/26. We scheduled a review of the rules for 6/18/26 during the visit. I received corrections from Ms. Turner on 6/11/26. The corrections addressed past violations that had already been verified corrected. The email stated Ms. Turner filed an appeal for the administrative action. Ms. Turner stated today that she filed an appeal with the Office of Administrative Hearing on 6/10/26. I explained that she did not have to proceed with the corrective action plan outlined in the Action until the appeal process was completed. A visit will still be conducted every 4 – 6 weeks even during the appeal process. Administrative Action is required to remain posted as well. The rules review will be rescheduled for a later date. - I recommend conducting compliance checks in all spaces each morning to ensure classrooms met compliance prior to children arriving. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. 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: Babies and Beyond Academy Facility ID: 60004381 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0626-026L Visit Date: 6/3/2026 Number Present: 37 Completed Date: 6/3/2026 Age: From 0 To 4 Total Minutes: 254 Time In: 10:06 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements during a complaint visit. The concerns were related to nutrition, supervision, staff/child ratio, and discipline. Upon arrival I was allowed entrance to the facility by the teacher in Space 6. I was greeted by Ms. K. Bell, director, in the hallway and I asked if Ms. G. Turner, owner, was onsite today. Ms. Bell and Ms. Turner were working in classrooms. I completed a walk through unaccompanied. I observed two (2) new employees. One (1) new teacher was supervising children in Space 1 with Ms. Bell and the other new teacher was supervising infants in Space 5. Ms. Bell stated the infant teacher was a volunteer. The volunteer, A. Jeter, was supervising infants alone when I arrived. Ms. Bell stated she did not have CBC qualification letter onsite and was waiting for her qualification to come back from ABCMS. I observed a second teacher arrive to Space 5 to assist the volunteer. I observed a container of baby wash sitting on the lower shelf of the changing table located in the hall bathroom. The soap stated, “keep out of reach of children.” I moved the soap to the top of the paper towel holder so that it was above 5 feet. I explained what I did and why to Ms. Turner. In the room for infant care I observed one (1) infant's safe sleep chart incomplete. The time the child was laid down was not documented. The volunteer stated she forgot to write the time down for the nap and that the infant did not sleep for a long time. After the walk through I asked Ms. Turner if she received the administrative action in the that was mailed 5/14/26. She stated she had not received mail as they did not have a key to mailbox. She stated there was nothing posted on either entrance door stating a certified letter was attempted to be delivered. I emailed a copy of the administrative action to Ms. Turner and reviewed the entire action with her in the office. I explained that the action must be posted where it can be seen by parents and that it should remain posted for at least three months and until the closure letter was received. Ms. Turner and I tentatively scheduled the full rules review for 6/18/26 at 5:45 pm. I discussed the following concerns with Ms. Turner: 1. Inadequate Nutrition for Children Children are not consistently provided with appropriate portion sizes to meet their daily nutritional needs. Additionally, milk is generally not served to children except during licensing visits, which creates a misleading impression of the daycare’s normal practices. 2. Children Left Unsupervised Teachers frequently leave classrooms for periods of time, resulting in children being left without proper supervision. 3. Ratio Violations There have been occasions where classrooms were left out of required staff-to-child ratios due to administrative decisions, placing both children and staff in unsafe situations. 4. Lack of Supervision in Summer Camp Program During a previous summer camp enrollment period, there was a child enrolled who was not assigned a teacher and was left sitting in a hallway without appropriate supervision. 5. Use of Time-Out as Punishment Children are regularly placed in time-out as a form of punishment. 6. Excessive Yelling at Children Teachers frequently raise their voices and yell at children in a manner that appears excessive and inappropriate for a childcare environment. Based on interviews and observations the following was determined: 1. Inadequate Nutrition for Children – The posted menu reflected what was served during the visit. When I arrived, I observed morning snack being served. Snack consisted of goldfish and water. Lunch consisted of spaghetti marinara, mixed vegetables, yogurt, bread, and milk. Appropriate portion sizes were observed served. The concern regarding inadequate nutrition was unconfirmed. 2. Supervision – Children were adequately supervised during today’s visit. The concern regarding supervision was unconfirmed. 3. Staff/child ratio – Space 6 and Space 1 came indoors at the same time today. Restrooms were located next to the large open area where children eat breakfast when they arrive. I observed sixteen (16) children ages 1 – 2 years old being cared for by two (2) teachers. One (1) teacher sat with children at the tables located in Space 7 outside of the restrooms while one (1) teacher changed diapers and washed children’s hands. Ms. Turner assisted the group of sixteen (16) transition to their classrooms. The maximum group size for one year old children is twelve (12). Based on observations the concern regarding staff/child ratio and group size was confirmed. 4. Summer Camp Supervision – The facility had not started offering summer camp this year. Summer camp was scheduled to begin 6/15/26. Ms. Turner stated she did not offer summer camp during 2025. Based on observations and interviews, the concern regarding supervision during summer camp was unconfirmed. 5. Discipline Policy – The discipline policy was reviewed today. The facility stated it would not use time out. Ms. Turner stated she encouraged staff to offer children quiet activities or call administration for assistance. I did not observe children sitting in time out and I did not hear staff tell children they were in time out. The concern regarding the time out being used as discipline was unconfirmed. 6. Excessive yelling – While reviewing the administrative action with Ms. Turner we heard a staff member using a harsh tone and raised voice telling a child to “sit down” and to “stop it”. The staff member repeatedly used a tone and volume that was inappropriate. Based on observations the concern regarding excessive yelling and tone was confirmed. I monitored one (1) new staff file and the volunteer’s file. The volunteer had a TB screening, emergency information, health questionnaire, and documentation of EPR plan training. She did not have a CBC qualification letter on file. All required paperwork for the new employee was verified. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Sixteen (16) children aged 1 - 2 years were grouped together. The maximum group size for 1 year old children is twelve. GS 110-91(7);.0713(a-d) 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 container of baby wash sitting on the lower shelf of the changing table located in the hall bathroom. The soap stated, “keep out of reach of children.” .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The time was not documented for a sleeping infant on 6/2/26. .0606(g) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member used a harsh tone and raised voice telling a child to “sit down” and to “stop it”. The staff member repeatedly used a tone and volume that was inappropriate. G.S. 110-91(10) 1041 Prior to employment a Criminal Background Check was not completed. A volunteer who was supervising children alone did not have a CBC qualification completed. G.S. 110-90.2(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, June 17, 2026, 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. Email the information to jennifer.stansfield@dhhs.nc.gov. The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An unannounced follow-up visit will be conducted in the near future to verify compliance with staff/child ratio/group size. General Comments/Technical Assistance: - I recommend staggering restroom times so that two (2) classes are not waiting at the same time to avoid ratio/group size non-compliance. I also recommend using a floater or administrative staff to move children to their classrooms when they are finished toileting and washing their hands. - I discussed appropriate volume and tone with a staff member today. Teachers should walk over to children and speak to them when redirecting rather than yelling across the room or center. Staff should demand children to obey directions. - Only staff who have qualification letters on file may supervise children independently. A volunteer means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. Staff with provisional qualification letters shall be supervised at all times by an individual who received a qualifying result on a criminal background check within the past five years and may not be left alone with children. - Safe sleep checks should be documented every fifteen (15) minutes. The times of the safe sleep check must be written on the safe sleep chart. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Babies and Beyond Academy Facility ID: 60004381 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0626-026L Visit Date: 6/3/2026 Number Present: 37 Completed Date: 6/3/2026 Age: From 0 To 4 Total Minutes: 254 Time In: 10:06 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements during a complaint visit. The concerns were related to nutrition, supervision, staff/child ratio, and discipline. Upon arrival I was allowed entrance to the facility by the teacher in Space 6. I was greeted by Ms. K. Bell, director, in the hallway and I asked if Ms. G. Turner, owner, was onsite today. Ms. Bell and Ms. Turner were working in classrooms. I completed a walk through unaccompanied. I observed two (2) new employees. One (1) new teacher was supervising children in Space 1 with Ms. Bell and the other new teacher was supervising infants in Space 5. Ms. Bell stated the infant teacher was a volunteer. The volunteer, A. Jeter, was supervising infants alone when I arrived. Ms. Bell stated she did not have CBC qualification letter onsite and was waiting for her qualification to come back from ABCMS. I observed a second teacher arrive to Space 5 to assist the volunteer. I observed a container of baby wash sitting on the lower shelf of the changing table located in the hall bathroom. The soap stated, “keep out of reach of children.” I moved the soap to the top of the paper towel holder so that it was above 5 feet. I explained what I did and why to Ms. Turner. In the room for infant care I observed one (1) infant's safe sleep chart incomplete. The time the child was laid down was not documented. The volunteer stated she forgot to write the time down for the nap and that the infant did not sleep for a long time. After the walk through I asked Ms. Turner if she received the administrative action in the that was mailed 5/14/26. She stated she had not received mail as they did not have a key to mailbox. She stated there was nothing posted on either entrance door stating a certified letter was attempted to be delivered. I emailed a copy of the administrative action to Ms. Turner and reviewed the entire action with her in the office. I explained that the action must be posted where it can be seen by parents and that it should remain posted for at least three months and until the closure letter was received. Ms. Turner and I tentatively scheduled the full rules review for 6/18/26 at 5:45 pm. I discussed the following concerns with Ms. Turner: 1. Inadequate Nutrition for Children Children are not consistently provided with appropriate portion sizes to meet their daily nutritional needs. Additionally, milk is generally not served to children except during licensing visits, which creates a misleading impression of the daycare’s normal practices. 2. Children Left Unsupervised Teachers frequently leave classrooms for periods of time, resulting in children being left without proper supervision. 3. Ratio Violations There have been occasions where classrooms were left out of required staff-to-child ratios due to administrative decisions, placing both children and staff in unsafe situations. 4. Lack of Supervision in Summer Camp Program During a previous summer camp enrollment period, there was a child enrolled who was not assigned a teacher and was left sitting in a hallway without appropriate supervision. 5. Use of Time-Out as Punishment Children are regularly placed in time-out as a form of punishment. 6. Excessive Yelling at Children Teachers frequently raise their voices and yell at children in a manner that appears excessive and inappropriate for a childcare environment. Based on interviews and observations the following was determined: 1. Inadequate Nutrition for Children – The posted menu reflected what was served during the visit. When I arrived, I observed morning snack being served. Snack consisted of goldfish and water. Lunch consisted of spaghetti marinara, mixed vegetables, yogurt, bread, and milk. Appropriate portion sizes were observed served. The concern regarding inadequate nutrition was unconfirmed. 2. Supervision – Children were adequately supervised during today’s visit. The concern regarding supervision was unconfirmed. 3. Staff/child ratio – Space 6 and Space 1 came indoors at the same time today. Restrooms were located next to the large open area where children eat breakfast when they arrive. I observed sixteen (16) children ages 1 – 2 years old being cared for by two (2) teachers. One (1) teacher sat with children at the tables located in Space 7 outside of the restrooms while one (1) teacher changed diapers and washed children’s hands. Ms. Turner assisted the group of sixteen (16) transition to their classrooms. The maximum group size for one year old children is twelve (12). Based on observations the concern regarding staff/child ratio and group size was confirmed. 4. Summer Camp Supervision – The facility had not started offering summer camp this year. Summer camp was scheduled to begin 6/15/26. Ms. Turner stated she did not offer summer camp during 2025. Based on observations and interviews, the concern regarding supervision during summer camp was unconfirmed. 5. Discipline Policy – The discipline policy was reviewed today. The facility stated it would not use time out. Ms. Turner stated she encouraged staff to offer children quiet activities or call administration for assistance. I did not observe children sitting in time out and I did not hear staff tell children they were in time out. The concern regarding the time out being used as discipline was unconfirmed. 6. Excessive yelling – While reviewing the administrative action with Ms. Turner we heard a staff member using a harsh tone and raised voice telling a child to “sit down” and to “stop it”. The staff member repeatedly used a tone and volume that was inappropriate. Based on observations the concern regarding excessive yelling and tone was confirmed. I monitored one (1) new staff file and the volunteer’s file. The volunteer had a TB screening, emergency information, health questionnaire, and documentation of EPR plan training. She did not have a CBC qualification letter on file. All required paperwork for the new employee was verified. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Sixteen (16) children aged 1 - 2 years were grouped together. The maximum group size for 1 year old children is twelve. GS 110-91(7);.0713(a-d) 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 container of baby wash sitting on the lower shelf of the changing table located in the hall bathroom. The soap stated, “keep out of reach of children.” .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The time was not documented for a sleeping infant on 6/2/26. .0606(g) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member used a harsh tone and raised voice telling a child to “sit down” and to “stop it”. The staff member repeatedly used a tone and volume that was inappropriate. G.S. 110-91(10) 1041 Prior to employment a Criminal Background Check was not completed. A volunteer who was supervising children alone did not have a CBC qualification completed. G.S. 110-90.2(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, June 17, 2026, 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. Email the information to jennifer.stansfield@dhhs.nc.gov. The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An unannounced follow-up visit will be conducted in the near future to verify compliance with staff/child ratio/group size. General Comments/Technical Assistance: - I recommend staggering restroom times so that two (2) classes are not waiting at the same time to avoid ratio/group size non-compliance. I also recommend using a floater or administrative staff to move children to their classrooms when they are finished toileting and washing their hands. - I discussed appropriate volume and tone with a staff member today. Teachers should walk over to children and speak to them when redirecting rather than yelling across the room or center. Staff should demand children to obey directions. - Only staff who have qualification letters on file may supervise children independently. A volunteer means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. Staff with provisional qualification letters shall be supervised at all times by an individual who received a qualifying result on a criminal background check within the past five years and may not be left alone with children. - Safe sleep checks should be documented every fifteen (15) minutes. The times of the safe sleep check must be written on the safe sleep chart. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. 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: Babies and Beyond Academy Facility ID: 60004381 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0626-026L Visit Date: 6/3/2026 Number Present: 37 Completed Date: 6/3/2026 Age: From 0 To 4 Total Minutes: 254 Time In: 10:06 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements during a complaint visit. The concerns were related to nutrition, supervision, staff/child ratio, and discipline. Upon arrival I was allowed entrance to the facility by the teacher in Space 6. I was greeted by Ms. K. Bell, director, in the hallway and I asked if Ms. G. Turner, owner, was onsite today. Ms. Bell and Ms. Turner were working in classrooms. I completed a walk through unaccompanied. I observed two (2) new employees. One (1) new teacher was supervising children in Space 1 with Ms. Bell and the other new teacher was supervising infants in Space 5. Ms. Bell stated the infant teacher was a volunteer. The volunteer, A. Jeter, was supervising infants alone when I arrived. Ms. Bell stated she did not have CBC qualification letter onsite and was waiting for her qualification to come back from ABCMS. I observed a second teacher arrive to Space 5 to assist the volunteer. I observed a container of baby wash sitting on the lower shelf of the changing table located in the hall bathroom. The soap stated, “keep out of reach of children.” I moved the soap to the top of the paper towel holder so that it was above 5 feet. I explained what I did and why to Ms. Turner. In the room for infant care I observed one (1) infant's safe sleep chart incomplete. The time the child was laid down was not documented. The volunteer stated she forgot to write the time down for the nap and that the infant did not sleep for a long time. After the walk through I asked Ms. Turner if she received the administrative action in the that was mailed 5/14/26. She stated she had not received mail as they did not have a key to mailbox. She stated there was nothing posted on either entrance door stating a certified letter was attempted to be delivered. I emailed a copy of the administrative action to Ms. Turner and reviewed the entire action with her in the office. I explained that the action must be posted where it can be seen by parents and that it should remain posted for at least three months and until the closure letter was received. Ms. Turner and I tentatively scheduled the full rules review for 6/18/26 at 5:45 pm. I discussed the following concerns with Ms. Turner: 1. Inadequate Nutrition for Children Children are not consistently provided with appropriate portion sizes to meet their daily nutritional needs. Additionally, milk is generally not served to children except during licensing visits, which creates a misleading impression of the daycare’s normal practices. 2. Children Left Unsupervised Teachers frequently leave classrooms for periods of time, resulting in children being left without proper supervision. 3. Ratio Violations There have been occasions where classrooms were left out of required staff-to-child ratios due to administrative decisions, placing both children and staff in unsafe situations. 4. Lack of Supervision in Summer Camp Program During a previous summer camp enrollment period, there was a child enrolled who was not assigned a teacher and was left sitting in a hallway without appropriate supervision. 5. Use of Time-Out as Punishment Children are regularly placed in time-out as a form of punishment. 6. Excessive Yelling at Children Teachers frequently raise their voices and yell at children in a manner that appears excessive and inappropriate for a childcare environment. Based on interviews and observations the following was determined: 1. Inadequate Nutrition for Children – The posted menu reflected what was served during the visit. When I arrived, I observed morning snack being served. Snack consisted of goldfish and water. Lunch consisted of spaghetti marinara, mixed vegetables, yogurt, bread, and milk. Appropriate portion sizes were observed served. The concern regarding inadequate nutrition was unconfirmed. 2. Supervision – Children were adequately supervised during today’s visit. The concern regarding supervision was unconfirmed. 3. Staff/child ratio – Space 6 and Space 1 came indoors at the same time today. Restrooms were located next to the large open area where children eat breakfast when they arrive. I observed sixteen (16) children ages 1 – 2 years old being cared for by two (2) teachers. One (1) teacher sat with children at the tables located in Space 7 outside of the restrooms while one (1) teacher changed diapers and washed children’s hands. Ms. Turner assisted the group of sixteen (16) transition to their classrooms. The maximum group size for one year old children is twelve (12). Based on observations the concern regarding staff/child ratio and group size was confirmed. 4. Summer Camp Supervision – The facility had not started offering summer camp this year. Summer camp was scheduled to begin 6/15/26. Ms. Turner stated she did not offer summer camp during 2025. Based on observations and interviews, the concern regarding supervision during summer camp was unconfirmed. 5. Discipline Policy – The discipline policy was reviewed today. The facility stated it would not use time out. Ms. Turner stated she encouraged staff to offer children quiet activities or call administration for assistance. I did not observe children sitting in time out and I did not hear staff tell children they were in time out. The concern regarding the time out being used as discipline was unconfirmed. 6. Excessive yelling – While reviewing the administrative action with Ms. Turner we heard a staff member using a harsh tone and raised voice telling a child to “sit down” and to “stop it”. The staff member repeatedly used a tone and volume that was inappropriate. Based on observations the concern regarding excessive yelling and tone was confirmed. I monitored one (1) new staff file and the volunteer’s file. The volunteer had a TB screening, emergency information, health questionnaire, and documentation of EPR plan training. She did not have a CBC qualification letter on file. All required paperwork for the new employee was verified. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Sixteen (16) children aged 1 - 2 years were grouped together. The maximum group size for 1 year old children is twelve. GS 110-91(7);.0713(a-d) 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 container of baby wash sitting on the lower shelf of the changing table located in the hall bathroom. The soap stated, “keep out of reach of children.” .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The time was not documented for a sleeping infant on 6/2/26. .0606(g) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member used a harsh tone and raised voice telling a child to “sit down” and to “stop it”. The staff member repeatedly used a tone and volume that was inappropriate. G.S. 110-91(10) 1041 Prior to employment a Criminal Background Check was not completed. A volunteer who was supervising children alone did not have a CBC qualification completed. G.S. 110-90.2(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, June 17, 2026, 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. Email the information to jennifer.stansfield@dhhs.nc.gov. The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An unannounced follow-up visit will be conducted in the near future to verify compliance with staff/child ratio/group size. General Comments/Technical Assistance: - I recommend staggering restroom times so that two (2) classes are not waiting at the same time to avoid ratio/group size non-compliance. I also recommend using a floater or administrative staff to move children to their classrooms when they are finished toileting and washing their hands. - I discussed appropriate volume and tone with a staff member today. Teachers should walk over to children and speak to them when redirecting rather than yelling across the room or center. Staff should demand children to obey directions. - Only staff who have qualification letters on file may supervise children independently. A volunteer means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. Staff with provisional qualification letters shall be supervised at all times by an individual who received a qualifying result on a criminal background check within the past five years and may not be left alone with children. - Safe sleep checks should be documented every fifteen (15) minutes. The times of the safe sleep check must be written on the safe sleep chart. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. 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: Babies and Beyond Academy Facility ID: 60004381 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0626-026L Visit Date: 6/3/2026 Number Present: 37 Completed Date: 6/3/2026 Age: From 0 To 4 Total Minutes: 254 Time In: 10:06 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements during a complaint visit. The concerns were related to nutrition, supervision, staff/child ratio, and discipline. Upon arrival I was allowed entrance to the facility by the teacher in Space 6. I was greeted by Ms. K. Bell, director, in the hallway and I asked if Ms. G. Turner, owner, was onsite today. Ms. Bell and Ms. Turner were working in classrooms. I completed a walk through unaccompanied. I observed two (2) new employees. One (1) new teacher was supervising children in Space 1 with Ms. Bell and the other new teacher was supervising infants in Space 5. Ms. Bell stated the infant teacher was a volunteer. The volunteer, A. Jeter, was supervising infants alone when I arrived. Ms. Bell stated she did not have CBC qualification letter onsite and was waiting for her qualification to come back from ABCMS. I observed a second teacher arrive to Space 5 to assist the volunteer. I observed a container of baby wash sitting on the lower shelf of the changing table located in the hall bathroom. The soap stated, “keep out of reach of children.” I moved the soap to the top of the paper towel holder so that it was above 5 feet. I explained what I did and why to Ms. Turner. In the room for infant care I observed one (1) infant's safe sleep chart incomplete. The time the child was laid down was not documented. The volunteer stated she forgot to write the time down for the nap and that the infant did not sleep for a long time. After the walk through I asked Ms. Turner if she received the administrative action in the that was mailed 5/14/26. She stated she had not received mail as they did not have a key to mailbox. She stated there was nothing posted on either entrance door stating a certified letter was attempted to be delivered. I emailed a copy of the administrative action to Ms. Turner and reviewed the entire action with her in the office. I explained that the action must be posted where it can be seen by parents and that it should remain posted for at least three months and until the closure letter was received. Ms. Turner and I tentatively scheduled the full rules review for 6/18/26 at 5:45 pm. I discussed the following concerns with Ms. Turner: 1. Inadequate Nutrition for Children Children are not consistently provided with appropriate portion sizes to meet their daily nutritional needs. Additionally, milk is generally not served to children except during licensing visits, which creates a misleading impression of the daycare’s normal practices. 2. Children Left Unsupervised Teachers frequently leave classrooms for periods of time, resulting in children being left without proper supervision. 3. Ratio Violations There have been occasions where classrooms were left out of required staff-to-child ratios due to administrative decisions, placing both children and staff in unsafe situations. 4. Lack of Supervision in Summer Camp Program During a previous summer camp enrollment period, there was a child enrolled who was not assigned a teacher and was left sitting in a hallway without appropriate supervision. 5. Use of Time-Out as Punishment Children are regularly placed in time-out as a form of punishment. 6. Excessive Yelling at Children Teachers frequently raise their voices and yell at children in a manner that appears excessive and inappropriate for a childcare environment. Based on interviews and observations the following was determined: 1. Inadequate Nutrition for Children – The posted menu reflected what was served during the visit. When I arrived, I observed morning snack being served. Snack consisted of goldfish and water. Lunch consisted of spaghetti marinara, mixed vegetables, yogurt, bread, and milk. Appropriate portion sizes were observed served. The concern regarding inadequate nutrition was unconfirmed. 2. Supervision – Children were adequately supervised during today’s visit. The concern regarding supervision was unconfirmed. 3. Staff/child ratio – Space 6 and Space 1 came indoors at the same time today. Restrooms were located next to the large open area where children eat breakfast when they arrive. I observed sixteen (16) children ages 1 – 2 years old being cared for by two (2) teachers. One (1) teacher sat with children at the tables located in Space 7 outside of the restrooms while one (1) teacher changed diapers and washed children’s hands. Ms. Turner assisted the group of sixteen (16) transition to their classrooms. The maximum group size for one year old children is twelve (12). Based on observations the concern regarding staff/child ratio and group size was confirmed. 4. Summer Camp Supervision – The facility had not started offering summer camp this year. Summer camp was scheduled to begin 6/15/26. Ms. Turner stated she did not offer summer camp during 2025. Based on observations and interviews, the concern regarding supervision during summer camp was unconfirmed. 5. Discipline Policy – The discipline policy was reviewed today. The facility stated it would not use time out. Ms. Turner stated she encouraged staff to offer children quiet activities or call administration for assistance. I did not observe children sitting in time out and I did not hear staff tell children they were in time out. The concern regarding the time out being used as discipline was unconfirmed. 6. Excessive yelling – While reviewing the administrative action with Ms. Turner we heard a staff member using a harsh tone and raised voice telling a child to “sit down” and to “stop it”. The staff member repeatedly used a tone and volume that was inappropriate. Based on observations the concern regarding excessive yelling and tone was confirmed. I monitored one (1) new staff file and the volunteer’s file. The volunteer had a TB screening, emergency information, health questionnaire, and documentation of EPR plan training. She did not have a CBC qualification letter on file. All required paperwork for the new employee was verified. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Sixteen (16) children aged 1 - 2 years were grouped together. The maximum group size for 1 year old children is twelve. GS 110-91(7);.0713(a-d) 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 container of baby wash sitting on the lower shelf of the changing table located in the hall bathroom. The soap stated, “keep out of reach of children.” .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The time was not documented for a sleeping infant on 6/2/26. .0606(g) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member used a harsh tone and raised voice telling a child to “sit down” and to “stop it”. The staff member repeatedly used a tone and volume that was inappropriate. G.S. 110-91(10) 1041 Prior to employment a Criminal Background Check was not completed. A volunteer who was supervising children alone did not have a CBC qualification completed. G.S. 110-90.2(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, June 17, 2026, 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. Email the information to jennifer.stansfield@dhhs.nc.gov. The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An unannounced follow-up visit will be conducted in the near future to verify compliance with staff/child ratio/group size. General Comments/Technical Assistance: - I recommend staggering restroom times so that two (2) classes are not waiting at the same time to avoid ratio/group size non-compliance. I also recommend using a floater or administrative staff to move children to their classrooms when they are finished toileting and washing their hands. - I discussed appropriate volume and tone with a staff member today. Teachers should walk over to children and speak to them when redirecting rather than yelling across the room or center. Staff should demand children to obey directions. - Only staff who have qualification letters on file may supervise children independently. A volunteer means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. Staff with provisional qualification letters shall be supervised at all times by an individual who received a qualifying result on a criminal background check within the past five years and may not be left alone with children. - Safe sleep checks should be documented every fifteen (15) minutes. The times of the safe sleep check must be written on the safe sleep chart. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. 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: Babies and Beyond Academy Facility ID: 60004381 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0426-082L Visit Date: 4/15/2026 Number Present: 35 Completed Date: 4/15/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 08:05 AM Time Out: 02:00 PM Time In: 05:00 PM Time Out: 06:10 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements during a complaint visit. The concerns were related to discipline, nutrition, and supervision. Ms. Mara Brinton, Child Care Consultant, accompanied me today. Upon arrival, we were allowed entrance by a parent who was exiting the building. We observed children sitting in the open area outside of the kitchen and bathrooms. One (1) child was observed sitting in a booster like highchair placed on the floor without any food in front of the child or any materials presented to the child. Ms. Brinton introduced herself to Ms. K. Bell, Director. There were four (4) children observed unsupervised in Space 1 sitting on the carpet. There were two (2) teachers supervising children in the open area while Ms. Bell was plating and serving breakfast and also answering the front door. Breakfast consisted of one (1) sausage link and three (3) silver dollar sized pancakes. As children finished eating, they were taken to their classrooms. Ms. Geena Turner, owner, arrived at approximately 9:00 am and we met in her office with Ms. Bell. We discussed the following concerns: Concern #1 – It was reported that “difficult” children were placed in highchairs to control movement. The children placed in highchairs were reported as preschool aged children. It was reported that the children were not provided with an activity or food while sitting in the highchair. It was reported that children were placed in highchairs up to 1 ½ hours at a time. It was reported that one (1) child was tied to the highchair with a blanket. Concern #2 – It was reported that meal portions did not meet nutritional requirements. For example, one (1) chicken nugget, three (3) pieces of broccoli, and three (3) pieces of diced fruit was served. Concern #3 – It was reported that children were left in the hallway unsupervised sitting in chairs or highchairs. Concern #4 – It was reported that unqualified individuals supervised children when staff went to lunch or for restroom breaks. Unqualified individuals were reported as being teenagers between the ages of 12 and 14 years old. Concern #5 – It was reported that staff instruct children to hit children back when they are hit by another child. It was reported that a staff member did not think the child hit the child back hard enough and placed her hand over the child’s hand and assisted the child hit the other child again. Eleven (11) individuals were interviewed, and a walkthrough of the facility was conducted. Based on interviews and observations the following was determined for each concern: Concern #1 – During the walkthrough I observed a highchair in Space 1 for children aged four and five years. The teacher stated that one (1) four-year-old child was placed in the highchair during transition periods and meal times. It was also stated the highchairs were used to prevent children from running in the classroom and leaving the classroom. We discussed that it was not developmentally appropriate for a four-year-old child to sit in a highchair unless there was documentation from a medical professional stating a purpose for the additional support and/or special modifications. When we arrived one (1) child was observed sitting in a booster like highchair placed on the floor without any food in front of the child or any materials presented to the child. Eight (8) individuals interviewed confirmed that three (3) 3 and 4 year old children were placed in highchairs for extended periods during the day and were not provided materials while in the highchair and highchairs were not used for meals. We were unable to confirm a child was restrained in a high chair with a blanket. Concern #1 regarding discipline was confirmed. Concern #2 – We observed breakfast and lunch served. When we arrived, there was no 1% milk stored in the refrigerator. There was a gallon of whole milk in the refrigerator. Staff stated most children did not drink milk so they did not serve milk. Lunch consisted of fish sticks, carrots, and applesauce. Because milk was not previously being served the concern regarding nutrition was confirmed. Concern #3 – We observed four (4) children unsupervised in Space 1 when we arrived. The infant teacher was observed exiting Space 5 to retrieve a diaper bag stored on shelves in the hallway. Five (5) children were present in the classroom and left unsupervised. Concern #3 was confirmed. Concern #4 – During interviews it was explained that Ms. Turner’s two (2) teenage children come inside the building to pick up Ms. Turner’s youngest child. Individuals stated the teenagers did not supervise children in the classroom. They were in the building to pick up their sibling. Concern #4 was unconfirmed. Concern #5 – We did not observe staff instruct children to hit another child back during the visit. Concern #5 was unconfirmed. During the visit we observed the license was not posted on the parent board. Ms. Bell stated she was changing the board for spring. The license was located in a basket underneath files on the Ms. Bell’s desk. Ms. Bell posted the license. This violation was cited during the annual compliance visit conducted on 12/9/25. I reiterated the license was required to be posted at all times. Glitter and glitter glue was observed in Space 6 and Space 2 for children two years and younger. The storage room was observed unlocked and I observed paint sitting on a counter accessible to children. The open space where children were eating breakfast was not measured for routine care. We measured the space today and a maximum of fifteen (15) children is allowed. The calculation worksheet was provided and the space was identified as Space 7 on the floor plan. We observed children going outside for play. Children had to cross a driveway at the back of a strip mall to get to the playground. It was recommended to purchase a walking rope for toddlers to go back and forth from the playground. Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The One Star permit was not posted. The license was observed in a basket on the director's desk. G.S. 110-99(a1) 303 Children were not adequately supervised at all times. Four (4) children were unsupervised in Space 1 today. The infant teacher was observed exiting Space 5 to retrieve a diaper bag stored on shelves in the hallway. Five (5) children were present in the classroom and left unsupervised. .1801(a)(1-5) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Milk was not being provided to children during meal times. 10A NCAC 09 .0901(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Dumpsters located next the playground were overflowing with garbage. 15A NCAC 18A .2832(a) 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. The storage room was observed unlocked and a quart of paint was observed on the counter accessible to children. Glitter and glitter glue was observed in Space 6 and Space 2 for children two years and younger. .2820(b) 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 grocery bags and opened plastic diaper bags were store on child cubbies in the hallway accessible to children. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. It was reported by eight (8) individuals during interviews that three (3) three and four year old children were placed in highchairs for extended periods during the day. Children were not provided materials while in the highchairs and highchairs were not used for meals. G.S. 110-91(10) 1043 All staff records, except financial records, were not made available for review. ABA therapists responsible for the direct care of children who were also enrolled for child care at the center did not have a completed staff file. ABA therapists supervised children alone and provided care daily for individual clients onsite in licensed space. G.S. 110-91( 9) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, April 29, 2026, 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. Email the information to jennifer.stansfield@dhhs.nc.gov. The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments/Technical Assistance: - We explained the administrative action process to Ms. Turner and Ms. Bell. An administrative action may be issued based on the outcome of today’s visit. We explained that milk should be offered at breakfast and lunch to every child unless there was a diagnosed allergy. -The following documents were provided to Ms. Turner and Ms. Bell to assist with ensuring meal pattern guidelines are met when serving foods to children: CACFP-Infant Meal Patterns, Child and Adult Care Food Program Breakfast, Child and Adult Care Food Program Lunch and Supper, and Child and Adult Care FOOD Program Snack. It was explained that 1% milk was required for children two years and older. The appropriate milk must be served with each required meal except for PM snack, even if the child does not like milk. Sample menu formats for children and infants were printed from the DCDEE provider documents tab and provided. The sample menu format has the required portions of foods listed to assist the provider to ensure meeting child care requirements. -There were two red plastic dirty toy buckets monitored outside of space #2 and #6 (one- and two-year-old classrooms). It was explained to the caregivers, Ms. Bell and Ms. Turner, that dirty toy bins should be maintained in each applicable classroom to help staff maximize their ability to supervise children. It was explained to the caregivers and administration that if they are reaching in the hallway to place dirty toys down in a bin on the floor that their backs are facing the children remaining inside of the classroom and that would be considered a lack of supervision. -Administration stated they were down one staff person and were in process of hiring a new staff member. It was stated to Ms. Turner that if there is not adequate staff to maintain staff child ratio that the classroom should not operate until ratio can be maintained. Concerns were expressed regarding today’s observed children’s arrival and breakfast time. Children waited for long periods of time to be served all required components. -At the back of the child care hallway-off of the kitchen and bathrooms was used to serve only breakfast. The space was not measured to determine the maximum number of children permitted. The space (#7) was measured for not more than fifteen (15) children. A staff to child ratio worksheet will need to be completed and posted. It was also recommended to review the updated information and requirements with existing staff members. -Plastic bags shall not be accessible to children under the age of three. Today, plastic bags were observed in hallway cubbies. It was recommended to purchase storage containers that can fit in the top spaces of the cubicles to store the items currently in zip lock bags or other types of plastic bags. -We also discussed removal and storage of materials that were not developmentally appropriate for children under the age of three. There was glitter glue and glue sticks with small parts. It was recommended to conduct a full audit of materials maintained and stored in classrooms serving children under the age of three to ensure developmentally appropriate items are maintained in the appropriate classrooms. -Issued licenses are required to be posted in a prominent place for parents and the public to observe. The facility has been cited for not posting the issued license during their annual compliance completed on December 9, 2025. Today, no license was posted. Ms. Bell stated she was in process of re-doing the board for spring. It was recommended to maintain a list of required posted items to aid staff in ensuring all required posted documents are maintained posted. -SECTION .1800 - STAFF/CHILD INTERACTIONS AND BEHAVIOR MANAGEMENT 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. History Note: Authority G.S. 110-85; 110-91(7); 143B-168.3; Eff. October 1, 2017. -It was recommended to review child care rule .1801 with all staff during the next staff meeting. Today, four children were observed in space #3 without an adult. The caregiver in space #5 was also observed leaving the classroom with five infant/toddlers present. We recommend contacting CCRI’s Behavior Health Specialist, Stephanie Dryer. A flyer with training topics was printed and provided to Ms. Bell and Ms. Turner. Since several children with identified behavior challenges and some children with diagnoses were identified the staff would benefit from additional training and support. -Ms. Turner must work with the strip mall ownership to resolve the on-going garbage disposal issues at the back of the facility. There were three dumpsters with garbage observed on the ground surrounding the dumpsters. Violations have been cited in the past regarding the garbage on the ground and in the path of travel for children. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Lead Child Care Consultant, at amy.italiano@dhhs.nc.gov or 704-936-6065. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: Babies and Beyond Academy Facility ID: 60004381 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0426-082L Visit Date: 4/15/2026 Number Present: 35 Completed Date: 4/15/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 08:05 AM Time Out: 02:00 PM Time In: 05:00 PM Time Out: 06:10 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements during a complaint visit. The concerns were related to discipline, nutrition, and supervision. Ms. Mara Brinton, Child Care Consultant, accompanied me today. Upon arrival, we were allowed entrance by a parent who was exiting the building. We observed children sitting in the open area outside of the kitchen and bathrooms. One (1) child was observed sitting in a booster like highchair placed on the floor without any food in front of the child or any materials presented to the child. Ms. Brinton introduced herself to Ms. K. Bell, Director. There were four (4) children observed unsupervised in Space 1 sitting on the carpet. There were two (2) teachers supervising children in the open area while Ms. Bell was plating and serving breakfast and also answering the front door. Breakfast consisted of one (1) sausage link and three (3) silver dollar sized pancakes. As children finished eating, they were taken to their classrooms. Ms. Geena Turner, owner, arrived at approximately 9:00 am and we met in her office with Ms. Bell. We discussed the following concerns: Concern #1 – It was reported that “difficult” children were placed in highchairs to control movement. The children placed in highchairs were reported as preschool aged children. It was reported that the children were not provided with an activity or food while sitting in the highchair. It was reported that children were placed in highchairs up to 1 ½ hours at a time. It was reported that one (1) child was tied to the highchair with a blanket. Concern #2 – It was reported that meal portions did not meet nutritional requirements. For example, one (1) chicken nugget, three (3) pieces of broccoli, and three (3) pieces of diced fruit was served. Concern #3 – It was reported that children were left in the hallway unsupervised sitting in chairs or highchairs. Concern #4 – It was reported that unqualified individuals supervised children when staff went to lunch or for restroom breaks. Unqualified individuals were reported as being teenagers between the ages of 12 and 14 years old. Concern #5 – It was reported that staff instruct children to hit children back when they are hit by another child. It was reported that a staff member did not think the child hit the child back hard enough and placed her hand over the child’s hand and assisted the child hit the other child again. Eleven (11) individuals were interviewed, and a walkthrough of the facility was conducted. Based on interviews and observations the following was determined for each concern: Concern #1 – During the walkthrough I observed a highchair in Space 1 for children aged four and five years. The teacher stated that one (1) four-year-old child was placed in the highchair during transition periods and meal times. It was also stated the highchairs were used to prevent children from running in the classroom and leaving the classroom. We discussed that it was not developmentally appropriate for a four-year-old child to sit in a highchair unless there was documentation from a medical professional stating a purpose for the additional support and/or special modifications. When we arrived one (1) child was observed sitting in a booster like highchair placed on the floor without any food in front of the child or any materials presented to the child. Eight (8) individuals interviewed confirmed that three (3) 3 and 4 year old children were placed in highchairs for extended periods during the day and were not provided materials while in the highchair and highchairs were not used for meals. We were unable to confirm a child was restrained in a high chair with a blanket. Concern #1 regarding discipline was confirmed. Concern #2 – We observed breakfast and lunch served. When we arrived, there was no 1% milk stored in the refrigerator. There was a gallon of whole milk in the refrigerator. Staff stated most children did not drink milk so they did not serve milk. Lunch consisted of fish sticks, carrots, and applesauce. Because milk was not previously being served the concern regarding nutrition was confirmed. Concern #3 – We observed four (4) children unsupervised in Space 1 when we arrived. The infant teacher was observed exiting Space 5 to retrieve a diaper bag stored on shelves in the hallway. Five (5) children were present in the classroom and left unsupervised. Concern #3 was confirmed. Concern #4 – During interviews it was explained that Ms. Turner’s two (2) teenage children come inside the building to pick up Ms. Turner’s youngest child. Individuals stated the teenagers did not supervise children in the classroom. They were in the building to pick up their sibling. Concern #4 was unconfirmed. Concern #5 – We did not observe staff instruct children to hit another child back during the visit. Concern #5 was unconfirmed. During the visit we observed the license was not posted on the parent board. Ms. Bell stated she was changing the board for spring. The license was located in a basket underneath files on the Ms. Bell’s desk. Ms. Bell posted the license. This violation was cited during the annual compliance visit conducted on 12/9/25. I reiterated the license was required to be posted at all times. Glitter and glitter glue was observed in Space 6 and Space 2 for children two years and younger. The storage room was observed unlocked and I observed paint sitting on a counter accessible to children. The open space where children were eating breakfast was not measured for routine care. We measured the space today and a maximum of fifteen (15) children is allowed. The calculation worksheet was provided and the space was identified as Space 7 on the floor plan. We observed children going outside for play. Children had to cross a driveway at the back of a strip mall to get to the playground. It was recommended to purchase a walking rope for toddlers to go back and forth from the playground. Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The One Star permit was not posted. The license was observed in a basket on the director's desk. G.S. 110-99(a1) 303 Children were not adequately supervised at all times. Four (4) children were unsupervised in Space 1 today. The infant teacher was observed exiting Space 5 to retrieve a diaper bag stored on shelves in the hallway. Five (5) children were present in the classroom and left unsupervised. .1801(a)(1-5) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Milk was not being provided to children during meal times. 10A NCAC 09 .0901(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Dumpsters located next the playground were overflowing with garbage. 15A NCAC 18A .2832(a) 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. The storage room was observed unlocked and a quart of paint was observed on the counter accessible to children. Glitter and glitter glue was observed in Space 6 and Space 2 for children two years and younger. .2820(b) 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 grocery bags and opened plastic diaper bags were store on child cubbies in the hallway accessible to children. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. It was reported by eight (8) individuals during interviews that three (3) three and four year old children were placed in highchairs for extended periods during the day. Children were not provided materials while in the highchairs and highchairs were not used for meals. G.S. 110-91(10) 1043 All staff records, except financial records, were not made available for review. ABA therapists responsible for the direct care of children who were also enrolled for child care at the center did not have a completed staff file. ABA therapists supervised children alone and provided care daily for individual clients onsite in licensed space. G.S. 110-91( 9) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, April 29, 2026, 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. Email the information to jennifer.stansfield@dhhs.nc.gov. The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments/Technical Assistance: - We explained the administrative action process to Ms. Turner and Ms. Bell. An administrative action may be issued based on the outcome of today’s visit. We explained that milk should be offered at breakfast and lunch to every child unless there was a diagnosed allergy. -The following documents were provided to Ms. Turner and Ms. Bell to assist with ensuring meal pattern guidelines are met when serving foods to children: CACFP-Infant Meal Patterns, Child and Adult Care Food Program Breakfast, Child and Adult Care Food Program Lunch and Supper, and Child and Adult Care FOOD Program Snack. It was explained that 1% milk was required for children two years and older. The appropriate milk must be served with each required meal except for PM snack, even if the child does not like milk. Sample menu formats for children and infants were printed from the DCDEE provider documents tab and provided. The sample menu format has the required portions of foods listed to assist the provider to ensure meeting child care requirements. -There were two red plastic dirty toy buckets monitored outside of space #2 and #6 (one- and two-year-old classrooms). It was explained to the caregivers, Ms. Bell and Ms. Turner, that dirty toy bins should be maintained in each applicable classroom to help staff maximize their ability to supervise children. It was explained to the caregivers and administration that if they are reaching in the hallway to place dirty toys down in a bin on the floor that their backs are facing the children remaining inside of the classroom and that would be considered a lack of supervision. -Administration stated they were down one staff person and were in process of hiring a new staff member. It was stated to Ms. Turner that if there is not adequate staff to maintain staff child ratio that the classroom should not operate until ratio can be maintained. Concerns were expressed regarding today’s observed children’s arrival and breakfast time. Children waited for long periods of time to be served all required components. -At the back of the child care hallway-off of the kitchen and bathrooms was used to serve only breakfast. The space was not measured to determine the maximum number of children permitted. The space (#7) was measured for not more than fifteen (15) children. A staff to child ratio worksheet will need to be completed and posted. It was also recommended to review the updated information and requirements with existing staff members. -Plastic bags shall not be accessible to children under the age of three. Today, plastic bags were observed in hallway cubbies. It was recommended to purchase storage containers that can fit in the top spaces of the cubicles to store the items currently in zip lock bags or other types of plastic bags. -We also discussed removal and storage of materials that were not developmentally appropriate for children under the age of three. There was glitter glue and glue sticks with small parts. It was recommended to conduct a full audit of materials maintained and stored in classrooms serving children under the age of three to ensure developmentally appropriate items are maintained in the appropriate classrooms. -Issued licenses are required to be posted in a prominent place for parents and the public to observe. The facility has been cited for not posting the issued license during their annual compliance completed on December 9, 2025. Today, no license was posted. Ms. Bell stated she was in process of re-doing the board for spring. It was recommended to maintain a list of required posted items to aid staff in ensuring all required posted documents are maintained posted. -SECTION .1800 - STAFF/CHILD INTERACTIONS AND BEHAVIOR MANAGEMENT 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. History Note: Authority G.S. 110-85; 110-91(7); 143B-168.3; Eff. October 1, 2017. -It was recommended to review child care rule .1801 with all staff during the next staff meeting. Today, four children were observed in space #3 without an adult. The caregiver in space #5 was also observed leaving the classroom with five infant/toddlers present. We recommend contacting CCRI’s Behavior Health Specialist, Stephanie Dryer. A flyer with training topics was printed and provided to Ms. Bell and Ms. Turner. Since several children with identified behavior challenges and some children with diagnoses were identified the staff would benefit from additional training and support. -Ms. Turner must work with the strip mall ownership to resolve the on-going garbage disposal issues at the back of the facility. There were three dumpsters with garbage observed on the ground surrounding the dumpsters. Violations have been cited in the past regarding the garbage on the ground and in the path of travel for children. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Lead Child Care Consultant, at amy.italiano@dhhs.nc.gov or 704-936-6065. 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. 110-85 · Violation

Name of Operation: Babies and Beyond Academy Facility ID: 60004381 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0426-082L Visit Date: 4/15/2026 Number Present: 35 Completed Date: 4/15/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 08:05 AM Time Out: 02:00 PM Time In: 05:00 PM Time Out: 06:10 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements during a complaint visit. The concerns were related to discipline, nutrition, and supervision. Ms. Mara Brinton, Child Care Consultant, accompanied me today. Upon arrival, we were allowed entrance by a parent who was exiting the building. We observed children sitting in the open area outside of the kitchen and bathrooms. One (1) child was observed sitting in a booster like highchair placed on the floor without any food in front of the child or any materials presented to the child. Ms. Brinton introduced herself to Ms. K. Bell, Director. There were four (4) children observed unsupervised in Space 1 sitting on the carpet. There were two (2) teachers supervising children in the open area while Ms. Bell was plating and serving breakfast and also answering the front door. Breakfast consisted of one (1) sausage link and three (3) silver dollar sized pancakes. As children finished eating, they were taken to their classrooms. Ms. Geena Turner, owner, arrived at approximately 9:00 am and we met in her office with Ms. Bell. We discussed the following concerns: Concern #1 – It was reported that “difficult” children were placed in highchairs to control movement. The children placed in highchairs were reported as preschool aged children. It was reported that the children were not provided with an activity or food while sitting in the highchair. It was reported that children were placed in highchairs up to 1 ½ hours at a time. It was reported that one (1) child was tied to the highchair with a blanket. Concern #2 – It was reported that meal portions did not meet nutritional requirements. For example, one (1) chicken nugget, three (3) pieces of broccoli, and three (3) pieces of diced fruit was served. Concern #3 – It was reported that children were left in the hallway unsupervised sitting in chairs or highchairs. Concern #4 – It was reported that unqualified individuals supervised children when staff went to lunch or for restroom breaks. Unqualified individuals were reported as being teenagers between the ages of 12 and 14 years old. Concern #5 – It was reported that staff instruct children to hit children back when they are hit by another child. It was reported that a staff member did not think the child hit the child back hard enough and placed her hand over the child’s hand and assisted the child hit the other child again. Eleven (11) individuals were interviewed, and a walkthrough of the facility was conducted. Based on interviews and observations the following was determined for each concern: Concern #1 – During the walkthrough I observed a highchair in Space 1 for children aged four and five years. The teacher stated that one (1) four-year-old child was placed in the highchair during transition periods and meal times. It was also stated the highchairs were used to prevent children from running in the classroom and leaving the classroom. We discussed that it was not developmentally appropriate for a four-year-old child to sit in a highchair unless there was documentation from a medical professional stating a purpose for the additional support and/or special modifications. When we arrived one (1) child was observed sitting in a booster like highchair placed on the floor without any food in front of the child or any materials presented to the child. Eight (8) individuals interviewed confirmed that three (3) 3 and 4 year old children were placed in highchairs for extended periods during the day and were not provided materials while in the highchair and highchairs were not used for meals. We were unable to confirm a child was restrained in a high chair with a blanket. Concern #1 regarding discipline was confirmed. Concern #2 – We observed breakfast and lunch served. When we arrived, there was no 1% milk stored in the refrigerator. There was a gallon of whole milk in the refrigerator. Staff stated most children did not drink milk so they did not serve milk. Lunch consisted of fish sticks, carrots, and applesauce. Because milk was not previously being served the concern regarding nutrition was confirmed. Concern #3 – We observed four (4) children unsupervised in Space 1 when we arrived. The infant teacher was observed exiting Space 5 to retrieve a diaper bag stored on shelves in the hallway. Five (5) children were present in the classroom and left unsupervised. Concern #3 was confirmed. Concern #4 – During interviews it was explained that Ms. Turner’s two (2) teenage children come inside the building to pick up Ms. Turner’s youngest child. Individuals stated the teenagers did not supervise children in the classroom. They were in the building to pick up their sibling. Concern #4 was unconfirmed. Concern #5 – We did not observe staff instruct children to hit another child back during the visit. Concern #5 was unconfirmed. During the visit we observed the license was not posted on the parent board. Ms. Bell stated she was changing the board for spring. The license was located in a basket underneath files on the Ms. Bell’s desk. Ms. Bell posted the license. This violation was cited during the annual compliance visit conducted on 12/9/25. I reiterated the license was required to be posted at all times. Glitter and glitter glue was observed in Space 6 and Space 2 for children two years and younger. The storage room was observed unlocked and I observed paint sitting on a counter accessible to children. The open space where children were eating breakfast was not measured for routine care. We measured the space today and a maximum of fifteen (15) children is allowed. The calculation worksheet was provided and the space was identified as Space 7 on the floor plan. We observed children going outside for play. Children had to cross a driveway at the back of a strip mall to get to the playground. It was recommended to purchase a walking rope for toddlers to go back and forth from the playground. Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The One Star permit was not posted. The license was observed in a basket on the director's desk. G.S. 110-99(a1) 303 Children were not adequately supervised at all times. Four (4) children were unsupervised in Space 1 today. The infant teacher was observed exiting Space 5 to retrieve a diaper bag stored on shelves in the hallway. Five (5) children were present in the classroom and left unsupervised. .1801(a)(1-5) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Milk was not being provided to children during meal times. 10A NCAC 09 .0901(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Dumpsters located next the playground were overflowing with garbage. 15A NCAC 18A .2832(a) 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. The storage room was observed unlocked and a quart of paint was observed on the counter accessible to children. Glitter and glitter glue was observed in Space 6 and Space 2 for children two years and younger. .2820(b) 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 grocery bags and opened plastic diaper bags were store on child cubbies in the hallway accessible to children. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. It was reported by eight (8) individuals during interviews that three (3) three and four year old children were placed in highchairs for extended periods during the day. Children were not provided materials while in the highchairs and highchairs were not used for meals. G.S. 110-91(10) 1043 All staff records, except financial records, were not made available for review. ABA therapists responsible for the direct care of children who were also enrolled for child care at the center did not have a completed staff file. ABA therapists supervised children alone and provided care daily for individual clients onsite in licensed space. G.S. 110-91( 9) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, April 29, 2026, 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. Email the information to jennifer.stansfield@dhhs.nc.gov. The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments/Technical Assistance: - We explained the administrative action process to Ms. Turner and Ms. Bell. An administrative action may be issued based on the outcome of today’s visit. We explained that milk should be offered at breakfast and lunch to every child unless there was a diagnosed allergy. -The following documents were provided to Ms. Turner and Ms. Bell to assist with ensuring meal pattern guidelines are met when serving foods to children: CACFP-Infant Meal Patterns, Child and Adult Care Food Program Breakfast, Child and Adult Care Food Program Lunch and Supper, and Child and Adult Care FOOD Program Snack. It was explained that 1% milk was required for children two years and older. The appropriate milk must be served with each required meal except for PM snack, even if the child does not like milk. Sample menu formats for children and infants were printed from the DCDEE provider documents tab and provided. The sample menu format has the required portions of foods listed to assist the provider to ensure meeting child care requirements. -There were two red plastic dirty toy buckets monitored outside of space #2 and #6 (one- and two-year-old classrooms). It was explained to the caregivers, Ms. Bell and Ms. Turner, that dirty toy bins should be maintained in each applicable classroom to help staff maximize their ability to supervise children. It was explained to the caregivers and administration that if they are reaching in the hallway to place dirty toys down in a bin on the floor that their backs are facing the children remaining inside of the classroom and that would be considered a lack of supervision. -Administration stated they were down one staff person and were in process of hiring a new staff member. It was stated to Ms. Turner that if there is not adequate staff to maintain staff child ratio that the classroom should not operate until ratio can be maintained. Concerns were expressed regarding today’s observed children’s arrival and breakfast time. Children waited for long periods of time to be served all required components. -At the back of the child care hallway-off of the kitchen and bathrooms was used to serve only breakfast. The space was not measured to determine the maximum number of children permitted. The space (#7) was measured for not more than fifteen (15) children. A staff to child ratio worksheet will need to be completed and posted. It was also recommended to review the updated information and requirements with existing staff members. -Plastic bags shall not be accessible to children under the age of three. Today, plastic bags were observed in hallway cubbies. It was recommended to purchase storage containers that can fit in the top spaces of the cubicles to store the items currently in zip lock bags or other types of plastic bags. -We also discussed removal and storage of materials that were not developmentally appropriate for children under the age of three. There was glitter glue and glue sticks with small parts. It was recommended to conduct a full audit of materials maintained and stored in classrooms serving children under the age of three to ensure developmentally appropriate items are maintained in the appropriate classrooms. -Issued licenses are required to be posted in a prominent place for parents and the public to observe. The facility has been cited for not posting the issued license during their annual compliance completed on December 9, 2025. Today, no license was posted. Ms. Bell stated she was in process of re-doing the board for spring. It was recommended to maintain a list of required posted items to aid staff in ensuring all required posted documents are maintained posted. -SECTION .1800 - STAFF/CHILD INTERACTIONS AND BEHAVIOR MANAGEMENT 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. History Note: Authority G.S. 110-85; 110-91(7); 143B-168.3; Eff. October 1, 2017. -It was recommended to review child care rule .1801 with all staff during the next staff meeting. Today, four children were observed in space #3 without an adult. The caregiver in space #5 was also observed leaving the classroom with five infant/toddlers present. We recommend contacting CCRI’s Behavior Health Specialist, Stephanie Dryer. A flyer with training topics was printed and provided to Ms. Bell and Ms. Turner. Since several children with identified behavior challenges and some children with diagnoses were identified the staff would benefit from additional training and support. -Ms. Turner must work with the strip mall ownership to resolve the on-going garbage disposal issues at the back of the facility. There were three dumpsters with garbage observed on the ground surrounding the dumpsters. Violations have been cited in the past regarding the garbage on the ground and in the path of travel for children. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Lead Child Care Consultant, at amy.italiano@dhhs.nc.gov or 704-936-6065. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Babies and Beyond Academy Facility ID: 60004381 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0426-082L Visit Date: 4/15/2026 Number Present: 35 Completed Date: 4/15/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 08:05 AM Time Out: 02:00 PM Time In: 05:00 PM Time Out: 06:10 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements during a complaint visit. The concerns were related to discipline, nutrition, and supervision. Ms. Mara Brinton, Child Care Consultant, accompanied me today. Upon arrival, we were allowed entrance by a parent who was exiting the building. We observed children sitting in the open area outside of the kitchen and bathrooms. One (1) child was observed sitting in a booster like highchair placed on the floor without any food in front of the child or any materials presented to the child. Ms. Brinton introduced herself to Ms. K. Bell, Director. There were four (4) children observed unsupervised in Space 1 sitting on the carpet. There were two (2) teachers supervising children in the open area while Ms. Bell was plating and serving breakfast and also answering the front door. Breakfast consisted of one (1) sausage link and three (3) silver dollar sized pancakes. As children finished eating, they were taken to their classrooms. Ms. Geena Turner, owner, arrived at approximately 9:00 am and we met in her office with Ms. Bell. We discussed the following concerns: Concern #1 – It was reported that “difficult” children were placed in highchairs to control movement. The children placed in highchairs were reported as preschool aged children. It was reported that the children were not provided with an activity or food while sitting in the highchair. It was reported that children were placed in highchairs up to 1 ½ hours at a time. It was reported that one (1) child was tied to the highchair with a blanket. Concern #2 – It was reported that meal portions did not meet nutritional requirements. For example, one (1) chicken nugget, three (3) pieces of broccoli, and three (3) pieces of diced fruit was served. Concern #3 – It was reported that children were left in the hallway unsupervised sitting in chairs or highchairs. Concern #4 – It was reported that unqualified individuals supervised children when staff went to lunch or for restroom breaks. Unqualified individuals were reported as being teenagers between the ages of 12 and 14 years old. Concern #5 – It was reported that staff instruct children to hit children back when they are hit by another child. It was reported that a staff member did not think the child hit the child back hard enough and placed her hand over the child’s hand and assisted the child hit the other child again. Eleven (11) individuals were interviewed, and a walkthrough of the facility was conducted. Based on interviews and observations the following was determined for each concern: Concern #1 – During the walkthrough I observed a highchair in Space 1 for children aged four and five years. The teacher stated that one (1) four-year-old child was placed in the highchair during transition periods and meal times. It was also stated the highchairs were used to prevent children from running in the classroom and leaving the classroom. We discussed that it was not developmentally appropriate for a four-year-old child to sit in a highchair unless there was documentation from a medical professional stating a purpose for the additional support and/or special modifications. When we arrived one (1) child was observed sitting in a booster like highchair placed on the floor without any food in front of the child or any materials presented to the child. Eight (8) individuals interviewed confirmed that three (3) 3 and 4 year old children were placed in highchairs for extended periods during the day and were not provided materials while in the highchair and highchairs were not used for meals. We were unable to confirm a child was restrained in a high chair with a blanket. Concern #1 regarding discipline was confirmed. Concern #2 – We observed breakfast and lunch served. When we arrived, there was no 1% milk stored in the refrigerator. There was a gallon of whole milk in the refrigerator. Staff stated most children did not drink milk so they did not serve milk. Lunch consisted of fish sticks, carrots, and applesauce. Because milk was not previously being served the concern regarding nutrition was confirmed. Concern #3 – We observed four (4) children unsupervised in Space 1 when we arrived. The infant teacher was observed exiting Space 5 to retrieve a diaper bag stored on shelves in the hallway. Five (5) children were present in the classroom and left unsupervised. Concern #3 was confirmed. Concern #4 – During interviews it was explained that Ms. Turner’s two (2) teenage children come inside the building to pick up Ms. Turner’s youngest child. Individuals stated the teenagers did not supervise children in the classroom. They were in the building to pick up their sibling. Concern #4 was unconfirmed. Concern #5 – We did not observe staff instruct children to hit another child back during the visit. Concern #5 was unconfirmed. During the visit we observed the license was not posted on the parent board. Ms. Bell stated she was changing the board for spring. The license was located in a basket underneath files on the Ms. Bell’s desk. Ms. Bell posted the license. This violation was cited during the annual compliance visit conducted on 12/9/25. I reiterated the license was required to be posted at all times. Glitter and glitter glue was observed in Space 6 and Space 2 for children two years and younger. The storage room was observed unlocked and I observed paint sitting on a counter accessible to children. The open space where children were eating breakfast was not measured for routine care. We measured the space today and a maximum of fifteen (15) children is allowed. The calculation worksheet was provided and the space was identified as Space 7 on the floor plan. We observed children going outside for play. Children had to cross a driveway at the back of a strip mall to get to the playground. It was recommended to purchase a walking rope for toddlers to go back and forth from the playground. Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The One Star permit was not posted. The license was observed in a basket on the director's desk. G.S. 110-99(a1) 303 Children were not adequately supervised at all times. Four (4) children were unsupervised in Space 1 today. The infant teacher was observed exiting Space 5 to retrieve a diaper bag stored on shelves in the hallway. Five (5) children were present in the classroom and left unsupervised. .1801(a)(1-5) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Milk was not being provided to children during meal times. 10A NCAC 09 .0901(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Dumpsters located next the playground were overflowing with garbage. 15A NCAC 18A .2832(a) 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. The storage room was observed unlocked and a quart of paint was observed on the counter accessible to children. Glitter and glitter glue was observed in Space 6 and Space 2 for children two years and younger. .2820(b) 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 grocery bags and opened plastic diaper bags were store on child cubbies in the hallway accessible to children. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. It was reported by eight (8) individuals during interviews that three (3) three and four year old children were placed in highchairs for extended periods during the day. Children were not provided materials while in the highchairs and highchairs were not used for meals. G.S. 110-91(10) 1043 All staff records, except financial records, were not made available for review. ABA therapists responsible for the direct care of children who were also enrolled for child care at the center did not have a completed staff file. ABA therapists supervised children alone and provided care daily for individual clients onsite in licensed space. G.S. 110-91( 9) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, April 29, 2026, 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. Email the information to jennifer.stansfield@dhhs.nc.gov. The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments/Technical Assistance: - We explained the administrative action process to Ms. Turner and Ms. Bell. An administrative action may be issued based on the outcome of today’s visit. We explained that milk should be offered at breakfast and lunch to every child unless there was a diagnosed allergy. -The following documents were provided to Ms. Turner and Ms. Bell to assist with ensuring meal pattern guidelines are met when serving foods to children: CACFP-Infant Meal Patterns, Child and Adult Care Food Program Breakfast, Child and Adult Care Food Program Lunch and Supper, and Child and Adult Care FOOD Program Snack. It was explained that 1% milk was required for children two years and older. The appropriate milk must be served with each required meal except for PM snack, even if the child does not like milk. Sample menu formats for children and infants were printed from the DCDEE provider documents tab and provided. The sample menu format has the required portions of foods listed to assist the provider to ensure meeting child care requirements. -There were two red plastic dirty toy buckets monitored outside of space #2 and #6 (one- and two-year-old classrooms). It was explained to the caregivers, Ms. Bell and Ms. Turner, that dirty toy bins should be maintained in each applicable classroom to help staff maximize their ability to supervise children. It was explained to the caregivers and administration that if they are reaching in the hallway to place dirty toys down in a bin on the floor that their backs are facing the children remaining inside of the classroom and that would be considered a lack of supervision. -Administration stated they were down one staff person and were in process of hiring a new staff member. It was stated to Ms. Turner that if there is not adequate staff to maintain staff child ratio that the classroom should not operate until ratio can be maintained. Concerns were expressed regarding today’s observed children’s arrival and breakfast time. Children waited for long periods of time to be served all required components. -At the back of the child care hallway-off of the kitchen and bathrooms was used to serve only breakfast. The space was not measured to determine the maximum number of children permitted. The space (#7) was measured for not more than fifteen (15) children. A staff to child ratio worksheet will need to be completed and posted. It was also recommended to review the updated information and requirements with existing staff members. -Plastic bags shall not be accessible to children under the age of three. Today, plastic bags were observed in hallway cubbies. It was recommended to purchase storage containers that can fit in the top spaces of the cubicles to store the items currently in zip lock bags or other types of plastic bags. -We also discussed removal and storage of materials that were not developmentally appropriate for children under the age of three. There was glitter glue and glue sticks with small parts. It was recommended to conduct a full audit of materials maintained and stored in classrooms serving children under the age of three to ensure developmentally appropriate items are maintained in the appropriate classrooms. -Issued licenses are required to be posted in a prominent place for parents and the public to observe. The facility has been cited for not posting the issued license during their annual compliance completed on December 9, 2025. Today, no license was posted. Ms. Bell stated she was in process of re-doing the board for spring. It was recommended to maintain a list of required posted items to aid staff in ensuring all required posted documents are maintained posted. -SECTION .1800 - STAFF/CHILD INTERACTIONS AND BEHAVIOR MANAGEMENT 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. History Note: Authority G.S. 110-85; 110-91(7); 143B-168.3; Eff. October 1, 2017. -It was recommended to review child care rule .1801 with all staff during the next staff meeting. Today, four children were observed in space #3 without an adult. The caregiver in space #5 was also observed leaving the classroom with five infant/toddlers present. We recommend contacting CCRI’s Behavior Health Specialist, Stephanie Dryer. A flyer with training topics was printed and provided to Ms. Bell and Ms. Turner. Since several children with identified behavior challenges and some children with diagnoses were identified the staff would benefit from additional training and support. -Ms. Turner must work with the strip mall ownership to resolve the on-going garbage disposal issues at the back of the facility. There were three dumpsters with garbage observed on the ground surrounding the dumpsters. Violations have been cited in the past regarding the garbage on the ground and in the path of travel for children. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Lead Child Care Consultant, at amy.italiano@dhhs.nc.gov or 704-936-6065. 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. 110-99 · Violation

Name of Operation: Babies and Beyond Academy Facility ID: 60004381 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0426-082L Visit Date: 4/15/2026 Number Present: 35 Completed Date: 4/15/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 08:05 AM Time Out: 02:00 PM Time In: 05:00 PM Time Out: 06:10 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements during a complaint visit. The concerns were related to discipline, nutrition, and supervision. Ms. Mara Brinton, Child Care Consultant, accompanied me today. Upon arrival, we were allowed entrance by a parent who was exiting the building. We observed children sitting in the open area outside of the kitchen and bathrooms. One (1) child was observed sitting in a booster like highchair placed on the floor without any food in front of the child or any materials presented to the child. Ms. Brinton introduced herself to Ms. K. Bell, Director. There were four (4) children observed unsupervised in Space 1 sitting on the carpet. There were two (2) teachers supervising children in the open area while Ms. Bell was plating and serving breakfast and also answering the front door. Breakfast consisted of one (1) sausage link and three (3) silver dollar sized pancakes. As children finished eating, they were taken to their classrooms. Ms. Geena Turner, owner, arrived at approximately 9:00 am and we met in her office with Ms. Bell. We discussed the following concerns: Concern #1 – It was reported that “difficult” children were placed in highchairs to control movement. The children placed in highchairs were reported as preschool aged children. It was reported that the children were not provided with an activity or food while sitting in the highchair. It was reported that children were placed in highchairs up to 1 ½ hours at a time. It was reported that one (1) child was tied to the highchair with a blanket. Concern #2 – It was reported that meal portions did not meet nutritional requirements. For example, one (1) chicken nugget, three (3) pieces of broccoli, and three (3) pieces of diced fruit was served. Concern #3 – It was reported that children were left in the hallway unsupervised sitting in chairs or highchairs. Concern #4 – It was reported that unqualified individuals supervised children when staff went to lunch or for restroom breaks. Unqualified individuals were reported as being teenagers between the ages of 12 and 14 years old. Concern #5 – It was reported that staff instruct children to hit children back when they are hit by another child. It was reported that a staff member did not think the child hit the child back hard enough and placed her hand over the child’s hand and assisted the child hit the other child again. Eleven (11) individuals were interviewed, and a walkthrough of the facility was conducted. Based on interviews and observations the following was determined for each concern: Concern #1 – During the walkthrough I observed a highchair in Space 1 for children aged four and five years. The teacher stated that one (1) four-year-old child was placed in the highchair during transition periods and meal times. It was also stated the highchairs were used to prevent children from running in the classroom and leaving the classroom. We discussed that it was not developmentally appropriate for a four-year-old child to sit in a highchair unless there was documentation from a medical professional stating a purpose for the additional support and/or special modifications. When we arrived one (1) child was observed sitting in a booster like highchair placed on the floor without any food in front of the child or any materials presented to the child. Eight (8) individuals interviewed confirmed that three (3) 3 and 4 year old children were placed in highchairs for extended periods during the day and were not provided materials while in the highchair and highchairs were not used for meals. We were unable to confirm a child was restrained in a high chair with a blanket. Concern #1 regarding discipline was confirmed. Concern #2 – We observed breakfast and lunch served. When we arrived, there was no 1% milk stored in the refrigerator. There was a gallon of whole milk in the refrigerator. Staff stated most children did not drink milk so they did not serve milk. Lunch consisted of fish sticks, carrots, and applesauce. Because milk was not previously being served the concern regarding nutrition was confirmed. Concern #3 – We observed four (4) children unsupervised in Space 1 when we arrived. The infant teacher was observed exiting Space 5 to retrieve a diaper bag stored on shelves in the hallway. Five (5) children were present in the classroom and left unsupervised. Concern #3 was confirmed. Concern #4 – During interviews it was explained that Ms. Turner’s two (2) teenage children come inside the building to pick up Ms. Turner’s youngest child. Individuals stated the teenagers did not supervise children in the classroom. They were in the building to pick up their sibling. Concern #4 was unconfirmed. Concern #5 – We did not observe staff instruct children to hit another child back during the visit. Concern #5 was unconfirmed. During the visit we observed the license was not posted on the parent board. Ms. Bell stated she was changing the board for spring. The license was located in a basket underneath files on the Ms. Bell’s desk. Ms. Bell posted the license. This violation was cited during the annual compliance visit conducted on 12/9/25. I reiterated the license was required to be posted at all times. Glitter and glitter glue was observed in Space 6 and Space 2 for children two years and younger. The storage room was observed unlocked and I observed paint sitting on a counter accessible to children. The open space where children were eating breakfast was not measured for routine care. We measured the space today and a maximum of fifteen (15) children is allowed. The calculation worksheet was provided and the space was identified as Space 7 on the floor plan. We observed children going outside for play. Children had to cross a driveway at the back of a strip mall to get to the playground. It was recommended to purchase a walking rope for toddlers to go back and forth from the playground. Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The One Star permit was not posted. The license was observed in a basket on the director's desk. G.S. 110-99(a1) 303 Children were not adequately supervised at all times. Four (4) children were unsupervised in Space 1 today. The infant teacher was observed exiting Space 5 to retrieve a diaper bag stored on shelves in the hallway. Five (5) children were present in the classroom and left unsupervised. .1801(a)(1-5) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Milk was not being provided to children during meal times. 10A NCAC 09 .0901(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Dumpsters located next the playground were overflowing with garbage. 15A NCAC 18A .2832(a) 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. The storage room was observed unlocked and a quart of paint was observed on the counter accessible to children. Glitter and glitter glue was observed in Space 6 and Space 2 for children two years and younger. .2820(b) 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 grocery bags and opened plastic diaper bags were store on child cubbies in the hallway accessible to children. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. It was reported by eight (8) individuals during interviews that three (3) three and four year old children were placed in highchairs for extended periods during the day. Children were not provided materials while in the highchairs and highchairs were not used for meals. G.S. 110-91(10) 1043 All staff records, except financial records, were not made available for review. ABA therapists responsible for the direct care of children who were also enrolled for child care at the center did not have a completed staff file. ABA therapists supervised children alone and provided care daily for individual clients onsite in licensed space. G.S. 110-91( 9) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, April 29, 2026, 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. Email the information to jennifer.stansfield@dhhs.nc.gov. The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments/Technical Assistance: - We explained the administrative action process to Ms. Turner and Ms. Bell. An administrative action may be issued based on the outcome of today’s visit. We explained that milk should be offered at breakfast and lunch to every child unless there was a diagnosed allergy. -The following documents were provided to Ms. Turner and Ms. Bell to assist with ensuring meal pattern guidelines are met when serving foods to children: CACFP-Infant Meal Patterns, Child and Adult Care Food Program Breakfast, Child and Adult Care Food Program Lunch and Supper, and Child and Adult Care FOOD Program Snack. It was explained that 1% milk was required for children two years and older. The appropriate milk must be served with each required meal except for PM snack, even if the child does not like milk. Sample menu formats for children and infants were printed from the DCDEE provider documents tab and provided. The sample menu format has the required portions of foods listed to assist the provider to ensure meeting child care requirements. -There were two red plastic dirty toy buckets monitored outside of space #2 and #6 (one- and two-year-old classrooms). It was explained to the caregivers, Ms. Bell and Ms. Turner, that dirty toy bins should be maintained in each applicable classroom to help staff maximize their ability to supervise children. It was explained to the caregivers and administration that if they are reaching in the hallway to place dirty toys down in a bin on the floor that their backs are facing the children remaining inside of the classroom and that would be considered a lack of supervision. -Administration stated they were down one staff person and were in process of hiring a new staff member. It was stated to Ms. Turner that if there is not adequate staff to maintain staff child ratio that the classroom should not operate until ratio can be maintained. Concerns were expressed regarding today’s observed children’s arrival and breakfast time. Children waited for long periods of time to be served all required components. -At the back of the child care hallway-off of the kitchen and bathrooms was used to serve only breakfast. The space was not measured to determine the maximum number of children permitted. The space (#7) was measured for not more than fifteen (15) children. A staff to child ratio worksheet will need to be completed and posted. It was also recommended to review the updated information and requirements with existing staff members. -Plastic bags shall not be accessible to children under the age of three. Today, plastic bags were observed in hallway cubbies. It was recommended to purchase storage containers that can fit in the top spaces of the cubicles to store the items currently in zip lock bags or other types of plastic bags. -We also discussed removal and storage of materials that were not developmentally appropriate for children under the age of three. There was glitter glue and glue sticks with small parts. It was recommended to conduct a full audit of materials maintained and stored in classrooms serving children under the age of three to ensure developmentally appropriate items are maintained in the appropriate classrooms. -Issued licenses are required to be posted in a prominent place for parents and the public to observe. The facility has been cited for not posting the issued license during their annual compliance completed on December 9, 2025. Today, no license was posted. Ms. Bell stated she was in process of re-doing the board for spring. It was recommended to maintain a list of required posted items to aid staff in ensuring all required posted documents are maintained posted. -SECTION .1800 - STAFF/CHILD INTERACTIONS AND BEHAVIOR MANAGEMENT 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. History Note: Authority G.S. 110-85; 110-91(7); 143B-168.3; Eff. October 1, 2017. -It was recommended to review child care rule .1801 with all staff during the next staff meeting. Today, four children were observed in space #3 without an adult. The caregiver in space #5 was also observed leaving the classroom with five infant/toddlers present. We recommend contacting CCRI’s Behavior Health Specialist, Stephanie Dryer. A flyer with training topics was printed and provided to Ms. Bell and Ms. Turner. Since several children with identified behavior challenges and some children with diagnoses were identified the staff would benefit from additional training and support. -Ms. Turner must work with the strip mall ownership to resolve the on-going garbage disposal issues at the back of the facility. There were three dumpsters with garbage observed on the ground surrounding the dumpsters. Violations have been cited in the past regarding the garbage on the ground and in the path of travel for children. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Lead Child Care Consultant, at amy.italiano@dhhs.nc.gov or 704-936-6065. 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: Babies and Beyond Academy Facility ID: 60004381 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0426-082L Visit Date: 4/15/2026 Number Present: 35 Completed Date: 4/15/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 08:05 AM Time Out: 02:00 PM Time In: 05:00 PM Time Out: 06:10 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements during a complaint visit. The concerns were related to discipline, nutrition, and supervision. Ms. Mara Brinton, Child Care Consultant, accompanied me today. Upon arrival, we were allowed entrance by a parent who was exiting the building. We observed children sitting in the open area outside of the kitchen and bathrooms. One (1) child was observed sitting in a booster like highchair placed on the floor without any food in front of the child or any materials presented to the child. Ms. Brinton introduced herself to Ms. K. Bell, Director. There were four (4) children observed unsupervised in Space 1 sitting on the carpet. There were two (2) teachers supervising children in the open area while Ms. Bell was plating and serving breakfast and also answering the front door. Breakfast consisted of one (1) sausage link and three (3) silver dollar sized pancakes. As children finished eating, they were taken to their classrooms. Ms. Geena Turner, owner, arrived at approximately 9:00 am and we met in her office with Ms. Bell. We discussed the following concerns: Concern #1 – It was reported that “difficult” children were placed in highchairs to control movement. The children placed in highchairs were reported as preschool aged children. It was reported that the children were not provided with an activity or food while sitting in the highchair. It was reported that children were placed in highchairs up to 1 ½ hours at a time. It was reported that one (1) child was tied to the highchair with a blanket. Concern #2 – It was reported that meal portions did not meet nutritional requirements. For example, one (1) chicken nugget, three (3) pieces of broccoli, and three (3) pieces of diced fruit was served. Concern #3 – It was reported that children were left in the hallway unsupervised sitting in chairs or highchairs. Concern #4 – It was reported that unqualified individuals supervised children when staff went to lunch or for restroom breaks. Unqualified individuals were reported as being teenagers between the ages of 12 and 14 years old. Concern #5 – It was reported that staff instruct children to hit children back when they are hit by another child. It was reported that a staff member did not think the child hit the child back hard enough and placed her hand over the child’s hand and assisted the child hit the other child again. Eleven (11) individuals were interviewed, and a walkthrough of the facility was conducted. Based on interviews and observations the following was determined for each concern: Concern #1 – During the walkthrough I observed a highchair in Space 1 for children aged four and five years. The teacher stated that one (1) four-year-old child was placed in the highchair during transition periods and meal times. It was also stated the highchairs were used to prevent children from running in the classroom and leaving the classroom. We discussed that it was not developmentally appropriate for a four-year-old child to sit in a highchair unless there was documentation from a medical professional stating a purpose for the additional support and/or special modifications. When we arrived one (1) child was observed sitting in a booster like highchair placed on the floor without any food in front of the child or any materials presented to the child. Eight (8) individuals interviewed confirmed that three (3) 3 and 4 year old children were placed in highchairs for extended periods during the day and were not provided materials while in the highchair and highchairs were not used for meals. We were unable to confirm a child was restrained in a high chair with a blanket. Concern #1 regarding discipline was confirmed. Concern #2 – We observed breakfast and lunch served. When we arrived, there was no 1% milk stored in the refrigerator. There was a gallon of whole milk in the refrigerator. Staff stated most children did not drink milk so they did not serve milk. Lunch consisted of fish sticks, carrots, and applesauce. Because milk was not previously being served the concern regarding nutrition was confirmed. Concern #3 – We observed four (4) children unsupervised in Space 1 when we arrived. The infant teacher was observed exiting Space 5 to retrieve a diaper bag stored on shelves in the hallway. Five (5) children were present in the classroom and left unsupervised. Concern #3 was confirmed. Concern #4 – During interviews it was explained that Ms. Turner’s two (2) teenage children come inside the building to pick up Ms. Turner’s youngest child. Individuals stated the teenagers did not supervise children in the classroom. They were in the building to pick up their sibling. Concern #4 was unconfirmed. Concern #5 – We did not observe staff instruct children to hit another child back during the visit. Concern #5 was unconfirmed. During the visit we observed the license was not posted on the parent board. Ms. Bell stated she was changing the board for spring. The license was located in a basket underneath files on the Ms. Bell’s desk. Ms. Bell posted the license. This violation was cited during the annual compliance visit conducted on 12/9/25. I reiterated the license was required to be posted at all times. Glitter and glitter glue was observed in Space 6 and Space 2 for children two years and younger. The storage room was observed unlocked and I observed paint sitting on a counter accessible to children. The open space where children were eating breakfast was not measured for routine care. We measured the space today and a maximum of fifteen (15) children is allowed. The calculation worksheet was provided and the space was identified as Space 7 on the floor plan. We observed children going outside for play. Children had to cross a driveway at the back of a strip mall to get to the playground. It was recommended to purchase a walking rope for toddlers to go back and forth from the playground. Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The One Star permit was not posted. The license was observed in a basket on the director's desk. G.S. 110-99(a1) 303 Children were not adequately supervised at all times. Four (4) children were unsupervised in Space 1 today. The infant teacher was observed exiting Space 5 to retrieve a diaper bag stored on shelves in the hallway. Five (5) children were present in the classroom and left unsupervised. .1801(a)(1-5) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Milk was not being provided to children during meal times. 10A NCAC 09 .0901(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Dumpsters located next the playground were overflowing with garbage. 15A NCAC 18A .2832(a) 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. The storage room was observed unlocked and a quart of paint was observed on the counter accessible to children. Glitter and glitter glue was observed in Space 6 and Space 2 for children two years and younger. .2820(b) 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 grocery bags and opened plastic diaper bags were store on child cubbies in the hallway accessible to children. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. It was reported by eight (8) individuals during interviews that three (3) three and four year old children were placed in highchairs for extended periods during the day. Children were not provided materials while in the highchairs and highchairs were not used for meals. G.S. 110-91(10) 1043 All staff records, except financial records, were not made available for review. ABA therapists responsible for the direct care of children who were also enrolled for child care at the center did not have a completed staff file. ABA therapists supervised children alone and provided care daily for individual clients onsite in licensed space. G.S. 110-91( 9) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, April 29, 2026, 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. Email the information to jennifer.stansfield@dhhs.nc.gov. The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments/Technical Assistance: - We explained the administrative action process to Ms. Turner and Ms. Bell. An administrative action may be issued based on the outcome of today’s visit. We explained that milk should be offered at breakfast and lunch to every child unless there was a diagnosed allergy. -The following documents were provided to Ms. Turner and Ms. Bell to assist with ensuring meal pattern guidelines are met when serving foods to children: CACFP-Infant Meal Patterns, Child and Adult Care Food Program Breakfast, Child and Adult Care Food Program Lunch and Supper, and Child and Adult Care FOOD Program Snack. It was explained that 1% milk was required for children two years and older. The appropriate milk must be served with each required meal except for PM snack, even if the child does not like milk. Sample menu formats for children and infants were printed from the DCDEE provider documents tab and provided. The sample menu format has the required portions of foods listed to assist the provider to ensure meeting child care requirements. -There were two red plastic dirty toy buckets monitored outside of space #2 and #6 (one- and two-year-old classrooms). It was explained to the caregivers, Ms. Bell and Ms. Turner, that dirty toy bins should be maintained in each applicable classroom to help staff maximize their ability to supervise children. It was explained to the caregivers and administration that if they are reaching in the hallway to place dirty toys down in a bin on the floor that their backs are facing the children remaining inside of the classroom and that would be considered a lack of supervision. -Administration stated they were down one staff person and were in process of hiring a new staff member. It was stated to Ms. Turner that if there is not adequate staff to maintain staff child ratio that the classroom should not operate until ratio can be maintained. Concerns were expressed regarding today’s observed children’s arrival and breakfast time. Children waited for long periods of time to be served all required components. -At the back of the child care hallway-off of the kitchen and bathrooms was used to serve only breakfast. The space was not measured to determine the maximum number of children permitted. The space (#7) was measured for not more than fifteen (15) children. A staff to child ratio worksheet will need to be completed and posted. It was also recommended to review the updated information and requirements with existing staff members. -Plastic bags shall not be accessible to children under the age of three. Today, plastic bags were observed in hallway cubbies. It was recommended to purchase storage containers that can fit in the top spaces of the cubicles to store the items currently in zip lock bags or other types of plastic bags. -We also discussed removal and storage of materials that were not developmentally appropriate for children under the age of three. There was glitter glue and glue sticks with small parts. It was recommended to conduct a full audit of materials maintained and stored in classrooms serving children under the age of three to ensure developmentally appropriate items are maintained in the appropriate classrooms. -Issued licenses are required to be posted in a prominent place for parents and the public to observe. The facility has been cited for not posting the issued license during their annual compliance completed on December 9, 2025. Today, no license was posted. Ms. Bell stated she was in process of re-doing the board for spring. It was recommended to maintain a list of required posted items to aid staff in ensuring all required posted documents are maintained posted. -SECTION .1800 - STAFF/CHILD INTERACTIONS AND BEHAVIOR MANAGEMENT 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. History Note: Authority G.S. 110-85; 110-91(7); 143B-168.3; Eff. October 1, 2017. -It was recommended to review child care rule .1801 with all staff during the next staff meeting. Today, four children were observed in space #3 without an adult. The caregiver in space #5 was also observed leaving the classroom with five infant/toddlers present. We recommend contacting CCRI’s Behavior Health Specialist, Stephanie Dryer. A flyer with training topics was printed and provided to Ms. Bell and Ms. Turner. Since several children with identified behavior challenges and some children with diagnoses were identified the staff would benefit from additional training and support. -Ms. Turner must work with the strip mall ownership to resolve the on-going garbage disposal issues at the back of the facility. There were three dumpsters with garbage observed on the ground surrounding the dumpsters. Violations have been cited in the past regarding the garbage on the ground and in the path of travel for children. Thank you for your time today. Please contact me with any questions at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. You may also contact Amy Italiano, Lead Child Care Consultant, at amy.italiano@dhhs.nc.gov or 704-936-6065. 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: Babies and Beyond Academy Facility ID: 60004381 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 36 Completed Date: 12/9/2025 Age: From 0 To 4 Total Minutes: 385 Time In: 10:00 AM Time Out: 04:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with a One Star License issued on June 20, 2025. The facility had an eighteen (18) month compliance history score of 94% prior to today’s visit. The April 2025 Center Item Number Listing and the March 2024 Annual Compliance Checklist were used to monitor today. Upon arrival I was greeted by Ms. K. Bell, Director. I introduced myself and explained the purpose of the visit. Ms. G. Turner, owner, arrived during the walk through. Ms. Bell stated she had a tour and I explained that I would begin monitoring until she was able to join me. Six (6) spaces were monitored. Five (5) spaces were being used as classrooms and one (1), Space 4, was being used as a space for therapists to work with children. Adequate supervision was observed and staff/child ratio was maintained. Arrival and departure times were documented by parents as children arrived and departed each day on a form in the foyer. Materials were observed in good repair. Safe sleep checks were documented and maintained as required. Assistance was provided to staff regarding documenting information for infants who turned on their side or rolled over immediately after placing in the crib. Feeding plans were signed and posted. Each infant had an individual crib and each child had a cot for rest time. Bottles were stored in the kitchen refrigerator. The posted menu was changed to reflect what was prepared to serve. Lunch met nutrition requirements. Children were observed participating in free choice play, large group story time, eating lunch, and resting during the visit. The outdoor learning environment was monitored. It was reported no emergency medications were required. The facility did not provide transportation. A sampling of children’s files was reviewed. Six (6) new staff files were reviewed and one (1) veteran file was reviewed. The sanitation inspection was completed 7/28/25 and received a “Superior” classification. The fire inspection was due 12/1/25. Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The license was observed on the director's desk while reviewing the visit summary with Ms. Bell. G.S. 110-99(a1) 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 was completed 8/25/25 and it was noted the daycare/group home renewal date of 12/1/25. An additional inspection was not completed and the DCDEE fire inspection form was not completed. 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One (1) infant's set of bottles was not dated. Sippy cups in Spaces 1 and 6 were not labeled and dated. 15A NCAC 18A .2804(d) 611 All beds,cots, or mats with individual linen were not provided for each child. Children in Space 5 did not have linens covering their cot. 15A NCAC 18A .2821(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Paint cans, spray paint, and power tools were observed in an unlocked cabinet in Space 4. Weed killer and bug spray was observed stored on top of a cabinet in Space 4. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 4 adult cough and cold medicine, child cold and cough medication, and adult Advil were stored in an unlocked cabinet. Medications were not labeled. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Topical diaper cream was observed in a child's cubby in the hallway. There was no permission available for review for the diaper cream. 10A NCAC 09 .0803(4)(6-9) 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. Opened plastic bags that stored extra diapers and plastic grocery bags were observed stored below the changing table in Space 3 for infant care. One of the cabinet doors was missing from the cabinet and plastic bags were accessible to children. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) new employee hired 6/2/25 had medical information dated 9/5/23. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) new employee hired 6/2/25 had a TB test result dated 9/5/23. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) employees did not renew the health questionnaire. One (1) expired 8/20/25 and the other expired 11/24/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. wo (2) employees did not renew their emergency information. One (1) expired 8/20/25 and the other expired 11/24/25. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Five (5) employees had BLS CPR/AED training on file that did not include First Aid Training on the training cards. .1102(c) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One (1) child's emergency medical care information expired 11/6/24. .0802(c) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday December 30, 2025. 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 considered 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 may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments The following was discussed during today’s visit: - When documenting safe sleep checks staff should indicate they placed the child on their back even if the child immediately transitions to their side or stomach. At the next check staff should indicate the sleeping position. - Incident reports should be emailed or mailed to the consultant within 7 calendar days if medical treatment is received. If a parent reports the child received medical treatment days after the incident occurred the facility should note the information on the original signed incident report and send to the consultant within 7 calendar days of receiving the updated information. - Fire inspections should be completed on the DCDEE form and sent to the consultant within 7 calendar days. A copy of the DCDEE form was emailed to Ms. Turner today. - Administration should check the parent sign in and out form throughout the day to confirm arrival and departure times are documented for all children who are present. - Medications (OTC) should be stored behind lock and key. Magnet locks are acceptable as long as they are secured and the cabinet cannot be pulled open without unlocking the cabinet first. - Medications should be labeled with teacher and/or child’s name. Permission forms should be completed for all child medication if it is onsite. - Hazardous products should be stored behind lock and key. Hazardous products include but are not limited to paint, spray paint, power tools, weed killer, bug spray, etc… - Every child should have a sheet or some sort of linen that covers the bottom of the cot. - Staff should model appropriate eating behaviors in the classroom. Staff food should be stored out of sight of children if it does not meet nutrition requirements. Chip and soda should be consumed outside of the classroom with no children present. - Plastic bags for diaper storage and plastic grocery bags should be stored behind lock and key or out of reach of children under three years of age. - Staff medical forms and TB test results should be less than 12 months old when hired. - Emergency care information should be updated annually for children. I recommend setting a time on the calendar each year for all families to renew their information even if the renewal is prior to the 12 month period so all families are on the same renewal period. - BLS CPR and AED training do not include First Aid training. For training to count for both CPR and First Aid training, both must be indicated on the training card. - CPR and First Aid cannot be taken online. The skills portion must be taken in person for the training to be valid for child care. - I recommend removing the statement on the child application that states parents give the program permission to administer paracetamol. Ms. Bell stated she instructs parents to check no because they do not provide the OTC medication. - I recommend creating a transition sheet for classrooms to indicate where all children are at the center. Especially children who attend therapy sessions in rooms away from their classroom. - I recommend not propping the back door open to ensure the building is secured at all times and no child exits the building unsupervised. - Anything given to a child as medical treatment should have written permission and should be provided by the parent. An incident report indicated a teacher washed a child’s lip and put Vaseline on the lip. Ms. Bell stated when the parent was called she asked them to put Vaseline on the lip. She stated the Vaseline was a new tub and had not been previously used. - I recommend providing teachers with painters tape or masking tape for labeling bottles and sippy cups. - I recommend adding a vegetable or flower garden to the playground to add to outdoor experience for children. - I recommend covering the drain pipe on the playground next to the trees to prevent tripping. - 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. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: Babies and Beyond Academy Facility ID: 60004381 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 36 Completed Date: 12/9/2025 Age: From 0 To 4 Total Minutes: 385 Time In: 10:00 AM Time Out: 04:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with a One Star License issued on June 20, 2025. The facility had an eighteen (18) month compliance history score of 94% prior to today’s visit. The April 2025 Center Item Number Listing and the March 2024 Annual Compliance Checklist were used to monitor today. Upon arrival I was greeted by Ms. K. Bell, Director. I introduced myself and explained the purpose of the visit. Ms. G. Turner, owner, arrived during the walk through. Ms. Bell stated she had a tour and I explained that I would begin monitoring until she was able to join me. Six (6) spaces were monitored. Five (5) spaces were being used as classrooms and one (1), Space 4, was being used as a space for therapists to work with children. Adequate supervision was observed and staff/child ratio was maintained. Arrival and departure times were documented by parents as children arrived and departed each day on a form in the foyer. Materials were observed in good repair. Safe sleep checks were documented and maintained as required. Assistance was provided to staff regarding documenting information for infants who turned on their side or rolled over immediately after placing in the crib. Feeding plans were signed and posted. Each infant had an individual crib and each child had a cot for rest time. Bottles were stored in the kitchen refrigerator. The posted menu was changed to reflect what was prepared to serve. Lunch met nutrition requirements. Children were observed participating in free choice play, large group story time, eating lunch, and resting during the visit. The outdoor learning environment was monitored. It was reported no emergency medications were required. The facility did not provide transportation. A sampling of children’s files was reviewed. Six (6) new staff files were reviewed and one (1) veteran file was reviewed. The sanitation inspection was completed 7/28/25 and received a “Superior” classification. The fire inspection was due 12/1/25. Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The license was observed on the director's desk while reviewing the visit summary with Ms. Bell. G.S. 110-99(a1) 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 was completed 8/25/25 and it was noted the daycare/group home renewal date of 12/1/25. An additional inspection was not completed and the DCDEE fire inspection form was not completed. 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One (1) infant's set of bottles was not dated. Sippy cups in Spaces 1 and 6 were not labeled and dated. 15A NCAC 18A .2804(d) 611 All beds,cots, or mats with individual linen were not provided for each child. Children in Space 5 did not have linens covering their cot. 15A NCAC 18A .2821(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Paint cans, spray paint, and power tools were observed in an unlocked cabinet in Space 4. Weed killer and bug spray was observed stored on top of a cabinet in Space 4. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 4 adult cough and cold medicine, child cold and cough medication, and adult Advil were stored in an unlocked cabinet. Medications were not labeled. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Topical diaper cream was observed in a child's cubby in the hallway. There was no permission available for review for the diaper cream. 10A NCAC 09 .0803(4)(6-9) 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. Opened plastic bags that stored extra diapers and plastic grocery bags were observed stored below the changing table in Space 3 for infant care. One of the cabinet doors was missing from the cabinet and plastic bags were accessible to children. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) new employee hired 6/2/25 had medical information dated 9/5/23. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) new employee hired 6/2/25 had a TB test result dated 9/5/23. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) employees did not renew the health questionnaire. One (1) expired 8/20/25 and the other expired 11/24/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. wo (2) employees did not renew their emergency information. One (1) expired 8/20/25 and the other expired 11/24/25. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Five (5) employees had BLS CPR/AED training on file that did not include First Aid Training on the training cards. .1102(c) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One (1) child's emergency medical care information expired 11/6/24. .0802(c) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday December 30, 2025. 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 considered 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 may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments The following was discussed during today’s visit: - When documenting safe sleep checks staff should indicate they placed the child on their back even if the child immediately transitions to their side or stomach. At the next check staff should indicate the sleeping position. - Incident reports should be emailed or mailed to the consultant within 7 calendar days if medical treatment is received. If a parent reports the child received medical treatment days after the incident occurred the facility should note the information on the original signed incident report and send to the consultant within 7 calendar days of receiving the updated information. - Fire inspections should be completed on the DCDEE form and sent to the consultant within 7 calendar days. A copy of the DCDEE form was emailed to Ms. Turner today. - Administration should check the parent sign in and out form throughout the day to confirm arrival and departure times are documented for all children who are present. - Medications (OTC) should be stored behind lock and key. Magnet locks are acceptable as long as they are secured and the cabinet cannot be pulled open without unlocking the cabinet first. - Medications should be labeled with teacher and/or child’s name. Permission forms should be completed for all child medication if it is onsite. - Hazardous products should be stored behind lock and key. Hazardous products include but are not limited to paint, spray paint, power tools, weed killer, bug spray, etc… - Every child should have a sheet or some sort of linen that covers the bottom of the cot. - Staff should model appropriate eating behaviors in the classroom. Staff food should be stored out of sight of children if it does not meet nutrition requirements. Chip and soda should be consumed outside of the classroom with no children present. - Plastic bags for diaper storage and plastic grocery bags should be stored behind lock and key or out of reach of children under three years of age. - Staff medical forms and TB test results should be less than 12 months old when hired. - Emergency care information should be updated annually for children. I recommend setting a time on the calendar each year for all families to renew their information even if the renewal is prior to the 12 month period so all families are on the same renewal period. - BLS CPR and AED training do not include First Aid training. For training to count for both CPR and First Aid training, both must be indicated on the training card. - CPR and First Aid cannot be taken online. The skills portion must be taken in person for the training to be valid for child care. - I recommend removing the statement on the child application that states parents give the program permission to administer paracetamol. Ms. Bell stated she instructs parents to check no because they do not provide the OTC medication. - I recommend creating a transition sheet for classrooms to indicate where all children are at the center. Especially children who attend therapy sessions in rooms away from their classroom. - I recommend not propping the back door open to ensure the building is secured at all times and no child exits the building unsupervised. - Anything given to a child as medical treatment should have written permission and should be provided by the parent. An incident report indicated a teacher washed a child’s lip and put Vaseline on the lip. Ms. Bell stated when the parent was called she asked them to put Vaseline on the lip. She stated the Vaseline was a new tub and had not been previously used. - I recommend providing teachers with painters tape or masking tape for labeling bottles and sippy cups. - I recommend adding a vegetable or flower garden to the playground to add to outdoor experience for children. - I recommend covering the drain pipe on the playground next to the trees to prevent tripping. - 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. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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: Babies and Beyond Academy Facility ID: 60004381 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 36 Completed Date: 12/9/2025 Age: From 0 To 4 Total Minutes: 385 Time In: 10:00 AM Time Out: 04:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with a One Star License issued on June 20, 2025. The facility had an eighteen (18) month compliance history score of 94% prior to today’s visit. The April 2025 Center Item Number Listing and the March 2024 Annual Compliance Checklist were used to monitor today. Upon arrival I was greeted by Ms. K. Bell, Director. I introduced myself and explained the purpose of the visit. Ms. G. Turner, owner, arrived during the walk through. Ms. Bell stated she had a tour and I explained that I would begin monitoring until she was able to join me. Six (6) spaces were monitored. Five (5) spaces were being used as classrooms and one (1), Space 4, was being used as a space for therapists to work with children. Adequate supervision was observed and staff/child ratio was maintained. Arrival and departure times were documented by parents as children arrived and departed each day on a form in the foyer. Materials were observed in good repair. Safe sleep checks were documented and maintained as required. Assistance was provided to staff regarding documenting information for infants who turned on their side or rolled over immediately after placing in the crib. Feeding plans were signed and posted. Each infant had an individual crib and each child had a cot for rest time. Bottles were stored in the kitchen refrigerator. The posted menu was changed to reflect what was prepared to serve. Lunch met nutrition requirements. Children were observed participating in free choice play, large group story time, eating lunch, and resting during the visit. The outdoor learning environment was monitored. It was reported no emergency medications were required. The facility did not provide transportation. A sampling of children’s files was reviewed. Six (6) new staff files were reviewed and one (1) veteran file was reviewed. The sanitation inspection was completed 7/28/25 and received a “Superior” classification. The fire inspection was due 12/1/25. Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The license was observed on the director's desk while reviewing the visit summary with Ms. Bell. G.S. 110-99(a1) 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 was completed 8/25/25 and it was noted the daycare/group home renewal date of 12/1/25. An additional inspection was not completed and the DCDEE fire inspection form was not completed. 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One (1) infant's set of bottles was not dated. Sippy cups in Spaces 1 and 6 were not labeled and dated. 15A NCAC 18A .2804(d) 611 All beds,cots, or mats with individual linen were not provided for each child. Children in Space 5 did not have linens covering their cot. 15A NCAC 18A .2821(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Paint cans, spray paint, and power tools were observed in an unlocked cabinet in Space 4. Weed killer and bug spray was observed stored on top of a cabinet in Space 4. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 4 adult cough and cold medicine, child cold and cough medication, and adult Advil were stored in an unlocked cabinet. Medications were not labeled. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Topical diaper cream was observed in a child's cubby in the hallway. There was no permission available for review for the diaper cream. 10A NCAC 09 .0803(4)(6-9) 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. Opened plastic bags that stored extra diapers and plastic grocery bags were observed stored below the changing table in Space 3 for infant care. One of the cabinet doors was missing from the cabinet and plastic bags were accessible to children. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) new employee hired 6/2/25 had medical information dated 9/5/23. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) new employee hired 6/2/25 had a TB test result dated 9/5/23. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) employees did not renew the health questionnaire. One (1) expired 8/20/25 and the other expired 11/24/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. wo (2) employees did not renew their emergency information. One (1) expired 8/20/25 and the other expired 11/24/25. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Five (5) employees had BLS CPR/AED training on file that did not include First Aid Training on the training cards. .1102(c) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One (1) child's emergency medical care information expired 11/6/24. .0802(c) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday December 30, 2025. 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 considered 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 may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments The following was discussed during today’s visit: - When documenting safe sleep checks staff should indicate they placed the child on their back even if the child immediately transitions to their side or stomach. At the next check staff should indicate the sleeping position. - Incident reports should be emailed or mailed to the consultant within 7 calendar days if medical treatment is received. If a parent reports the child received medical treatment days after the incident occurred the facility should note the information on the original signed incident report and send to the consultant within 7 calendar days of receiving the updated information. - Fire inspections should be completed on the DCDEE form and sent to the consultant within 7 calendar days. A copy of the DCDEE form was emailed to Ms. Turner today. - Administration should check the parent sign in and out form throughout the day to confirm arrival and departure times are documented for all children who are present. - Medications (OTC) should be stored behind lock and key. Magnet locks are acceptable as long as they are secured and the cabinet cannot be pulled open without unlocking the cabinet first. - Medications should be labeled with teacher and/or child’s name. Permission forms should be completed for all child medication if it is onsite. - Hazardous products should be stored behind lock and key. Hazardous products include but are not limited to paint, spray paint, power tools, weed killer, bug spray, etc… - Every child should have a sheet or some sort of linen that covers the bottom of the cot. - Staff should model appropriate eating behaviors in the classroom. Staff food should be stored out of sight of children if it does not meet nutrition requirements. Chip and soda should be consumed outside of the classroom with no children present. - Plastic bags for diaper storage and plastic grocery bags should be stored behind lock and key or out of reach of children under three years of age. - Staff medical forms and TB test results should be less than 12 months old when hired. - Emergency care information should be updated annually for children. I recommend setting a time on the calendar each year for all families to renew their information even if the renewal is prior to the 12 month period so all families are on the same renewal period. - BLS CPR and AED training do not include First Aid training. For training to count for both CPR and First Aid training, both must be indicated on the training card. - CPR and First Aid cannot be taken online. The skills portion must be taken in person for the training to be valid for child care. - I recommend removing the statement on the child application that states parents give the program permission to administer paracetamol. Ms. Bell stated she instructs parents to check no because they do not provide the OTC medication. - I recommend creating a transition sheet for classrooms to indicate where all children are at the center. Especially children who attend therapy sessions in rooms away from their classroom. - I recommend not propping the back door open to ensure the building is secured at all times and no child exits the building unsupervised. - Anything given to a child as medical treatment should have written permission and should be provided by the parent. An incident report indicated a teacher washed a child’s lip and put Vaseline on the lip. Ms. Bell stated when the parent was called she asked them to put Vaseline on the lip. She stated the Vaseline was a new tub and had not been previously used. - I recommend providing teachers with painters tape or masking tape for labeling bottles and sippy cups. - I recommend adding a vegetable or flower garden to the playground to add to outdoor experience for children. - I recommend covering the drain pipe on the playground next to the trees to prevent tripping. - 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. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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. 110-99 · Violation

Name of Operation: Babies and Beyond Academy Facility ID: 60004381 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 36 Completed Date: 12/9/2025 Age: From 0 To 4 Total Minutes: 385 Time In: 10:00 AM Time Out: 04:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with a One Star License issued on June 20, 2025. The facility had an eighteen (18) month compliance history score of 94% prior to today’s visit. The April 2025 Center Item Number Listing and the March 2024 Annual Compliance Checklist were used to monitor today. Upon arrival I was greeted by Ms. K. Bell, Director. I introduced myself and explained the purpose of the visit. Ms. G. Turner, owner, arrived during the walk through. Ms. Bell stated she had a tour and I explained that I would begin monitoring until she was able to join me. Six (6) spaces were monitored. Five (5) spaces were being used as classrooms and one (1), Space 4, was being used as a space for therapists to work with children. Adequate supervision was observed and staff/child ratio was maintained. Arrival and departure times were documented by parents as children arrived and departed each day on a form in the foyer. Materials were observed in good repair. Safe sleep checks were documented and maintained as required. Assistance was provided to staff regarding documenting information for infants who turned on their side or rolled over immediately after placing in the crib. Feeding plans were signed and posted. Each infant had an individual crib and each child had a cot for rest time. Bottles were stored in the kitchen refrigerator. The posted menu was changed to reflect what was prepared to serve. Lunch met nutrition requirements. Children were observed participating in free choice play, large group story time, eating lunch, and resting during the visit. The outdoor learning environment was monitored. It was reported no emergency medications were required. The facility did not provide transportation. A sampling of children’s files was reviewed. Six (6) new staff files were reviewed and one (1) veteran file was reviewed. The sanitation inspection was completed 7/28/25 and received a “Superior” classification. The fire inspection was due 12/1/25. Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The license was observed on the director's desk while reviewing the visit summary with Ms. Bell. G.S. 110-99(a1) 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 was completed 8/25/25 and it was noted the daycare/group home renewal date of 12/1/25. An additional inspection was not completed and the DCDEE fire inspection form was not completed. 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One (1) infant's set of bottles was not dated. Sippy cups in Spaces 1 and 6 were not labeled and dated. 15A NCAC 18A .2804(d) 611 All beds,cots, or mats with individual linen were not provided for each child. Children in Space 5 did not have linens covering their cot. 15A NCAC 18A .2821(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Paint cans, spray paint, and power tools were observed in an unlocked cabinet in Space 4. Weed killer and bug spray was observed stored on top of a cabinet in Space 4. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 4 adult cough and cold medicine, child cold and cough medication, and adult Advil were stored in an unlocked cabinet. Medications were not labeled. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Topical diaper cream was observed in a child's cubby in the hallway. There was no permission available for review for the diaper cream. 10A NCAC 09 .0803(4)(6-9) 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. Opened plastic bags that stored extra diapers and plastic grocery bags were observed stored below the changing table in Space 3 for infant care. One of the cabinet doors was missing from the cabinet and plastic bags were accessible to children. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) new employee hired 6/2/25 had medical information dated 9/5/23. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) new employee hired 6/2/25 had a TB test result dated 9/5/23. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) employees did not renew the health questionnaire. One (1) expired 8/20/25 and the other expired 11/24/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. wo (2) employees did not renew their emergency information. One (1) expired 8/20/25 and the other expired 11/24/25. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Five (5) employees had BLS CPR/AED training on file that did not include First Aid Training on the training cards. .1102(c) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One (1) child's emergency medical care information expired 11/6/24. .0802(c) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday December 30, 2025. 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 considered 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 may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments The following was discussed during today’s visit: - When documenting safe sleep checks staff should indicate they placed the child on their back even if the child immediately transitions to their side or stomach. At the next check staff should indicate the sleeping position. - Incident reports should be emailed or mailed to the consultant within 7 calendar days if medical treatment is received. If a parent reports the child received medical treatment days after the incident occurred the facility should note the information on the original signed incident report and send to the consultant within 7 calendar days of receiving the updated information. - Fire inspections should be completed on the DCDEE form and sent to the consultant within 7 calendar days. A copy of the DCDEE form was emailed to Ms. Turner today. - Administration should check the parent sign in and out form throughout the day to confirm arrival and departure times are documented for all children who are present. - Medications (OTC) should be stored behind lock and key. Magnet locks are acceptable as long as they are secured and the cabinet cannot be pulled open without unlocking the cabinet first. - Medications should be labeled with teacher and/or child’s name. Permission forms should be completed for all child medication if it is onsite. - Hazardous products should be stored behind lock and key. Hazardous products include but are not limited to paint, spray paint, power tools, weed killer, bug spray, etc… - Every child should have a sheet or some sort of linen that covers the bottom of the cot. - Staff should model appropriate eating behaviors in the classroom. Staff food should be stored out of sight of children if it does not meet nutrition requirements. Chip and soda should be consumed outside of the classroom with no children present. - Plastic bags for diaper storage and plastic grocery bags should be stored behind lock and key or out of reach of children under three years of age. - Staff medical forms and TB test results should be less than 12 months old when hired. - Emergency care information should be updated annually for children. I recommend setting a time on the calendar each year for all families to renew their information even if the renewal is prior to the 12 month period so all families are on the same renewal period. - BLS CPR and AED training do not include First Aid training. For training to count for both CPR and First Aid training, both must be indicated on the training card. - CPR and First Aid cannot be taken online. The skills portion must be taken in person for the training to be valid for child care. - I recommend removing the statement on the child application that states parents give the program permission to administer paracetamol. Ms. Bell stated she instructs parents to check no because they do not provide the OTC medication. - I recommend creating a transition sheet for classrooms to indicate where all children are at the center. Especially children who attend therapy sessions in rooms away from their classroom. - I recommend not propping the back door open to ensure the building is secured at all times and no child exits the building unsupervised. - Anything given to a child as medical treatment should have written permission and should be provided by the parent. An incident report indicated a teacher washed a child’s lip and put Vaseline on the lip. Ms. Bell stated when the parent was called she asked them to put Vaseline on the lip. She stated the Vaseline was a new tub and had not been previously used. - I recommend providing teachers with painters tape or masking tape for labeling bottles and sippy cups. - I recommend adding a vegetable or flower garden to the playground to add to outdoor experience for children. - I recommend covering the drain pipe on the playground next to the trees to prevent tripping. - 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. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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: Babies and Beyond Academy Facility ID: 60004381 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 36 Completed Date: 12/9/2025 Age: From 0 To 4 Total Minutes: 385 Time In: 10:00 AM Time Out: 04:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with a One Star License issued on June 20, 2025. The facility had an eighteen (18) month compliance history score of 94% prior to today’s visit. The April 2025 Center Item Number Listing and the March 2024 Annual Compliance Checklist were used to monitor today. Upon arrival I was greeted by Ms. K. Bell, Director. I introduced myself and explained the purpose of the visit. Ms. G. Turner, owner, arrived during the walk through. Ms. Bell stated she had a tour and I explained that I would begin monitoring until she was able to join me. Six (6) spaces were monitored. Five (5) spaces were being used as classrooms and one (1), Space 4, was being used as a space for therapists to work with children. Adequate supervision was observed and staff/child ratio was maintained. Arrival and departure times were documented by parents as children arrived and departed each day on a form in the foyer. Materials were observed in good repair. Safe sleep checks were documented and maintained as required. Assistance was provided to staff regarding documenting information for infants who turned on their side or rolled over immediately after placing in the crib. Feeding plans were signed and posted. Each infant had an individual crib and each child had a cot for rest time. Bottles were stored in the kitchen refrigerator. The posted menu was changed to reflect what was prepared to serve. Lunch met nutrition requirements. Children were observed participating in free choice play, large group story time, eating lunch, and resting during the visit. The outdoor learning environment was monitored. It was reported no emergency medications were required. The facility did not provide transportation. A sampling of children’s files was reviewed. Six (6) new staff files were reviewed and one (1) veteran file was reviewed. The sanitation inspection was completed 7/28/25 and received a “Superior” classification. The fire inspection was due 12/1/25. Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The license was observed on the director's desk while reviewing the visit summary with Ms. Bell. G.S. 110-99(a1) 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 was completed 8/25/25 and it was noted the daycare/group home renewal date of 12/1/25. An additional inspection was not completed and the DCDEE fire inspection form was not completed. 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One (1) infant's set of bottles was not dated. Sippy cups in Spaces 1 and 6 were not labeled and dated. 15A NCAC 18A .2804(d) 611 All beds,cots, or mats with individual linen were not provided for each child. Children in Space 5 did not have linens covering their cot. 15A NCAC 18A .2821(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Paint cans, spray paint, and power tools were observed in an unlocked cabinet in Space 4. Weed killer and bug spray was observed stored on top of a cabinet in Space 4. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 4 adult cough and cold medicine, child cold and cough medication, and adult Advil were stored in an unlocked cabinet. Medications were not labeled. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Topical diaper cream was observed in a child's cubby in the hallway. There was no permission available for review for the diaper cream. 10A NCAC 09 .0803(4)(6-9) 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. Opened plastic bags that stored extra diapers and plastic grocery bags were observed stored below the changing table in Space 3 for infant care. One of the cabinet doors was missing from the cabinet and plastic bags were accessible to children. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) new employee hired 6/2/25 had medical information dated 9/5/23. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) new employee hired 6/2/25 had a TB test result dated 9/5/23. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) employees did not renew the health questionnaire. One (1) expired 8/20/25 and the other expired 11/24/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. wo (2) employees did not renew their emergency information. One (1) expired 8/20/25 and the other expired 11/24/25. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Five (5) employees had BLS CPR/AED training on file that did not include First Aid Training on the training cards. .1102(c) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One (1) child's emergency medical care information expired 11/6/24. .0802(c) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday December 30, 2025. 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 considered 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 may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments The following was discussed during today’s visit: - When documenting safe sleep checks staff should indicate they placed the child on their back even if the child immediately transitions to their side or stomach. At the next check staff should indicate the sleeping position. - Incident reports should be emailed or mailed to the consultant within 7 calendar days if medical treatment is received. If a parent reports the child received medical treatment days after the incident occurred the facility should note the information on the original signed incident report and send to the consultant within 7 calendar days of receiving the updated information. - Fire inspections should be completed on the DCDEE form and sent to the consultant within 7 calendar days. A copy of the DCDEE form was emailed to Ms. Turner today. - Administration should check the parent sign in and out form throughout the day to confirm arrival and departure times are documented for all children who are present. - Medications (OTC) should be stored behind lock and key. Magnet locks are acceptable as long as they are secured and the cabinet cannot be pulled open without unlocking the cabinet first. - Medications should be labeled with teacher and/or child’s name. Permission forms should be completed for all child medication if it is onsite. - Hazardous products should be stored behind lock and key. Hazardous products include but are not limited to paint, spray paint, power tools, weed killer, bug spray, etc… - Every child should have a sheet or some sort of linen that covers the bottom of the cot. - Staff should model appropriate eating behaviors in the classroom. Staff food should be stored out of sight of children if it does not meet nutrition requirements. Chip and soda should be consumed outside of the classroom with no children present. - Plastic bags for diaper storage and plastic grocery bags should be stored behind lock and key or out of reach of children under three years of age. - Staff medical forms and TB test results should be less than 12 months old when hired. - Emergency care information should be updated annually for children. I recommend setting a time on the calendar each year for all families to renew their information even if the renewal is prior to the 12 month period so all families are on the same renewal period. - BLS CPR and AED training do not include First Aid training. For training to count for both CPR and First Aid training, both must be indicated on the training card. - CPR and First Aid cannot be taken online. The skills portion must be taken in person for the training to be valid for child care. - I recommend removing the statement on the child application that states parents give the program permission to administer paracetamol. Ms. Bell stated she instructs parents to check no because they do not provide the OTC medication. - I recommend creating a transition sheet for classrooms to indicate where all children are at the center. Especially children who attend therapy sessions in rooms away from their classroom. - I recommend not propping the back door open to ensure the building is secured at all times and no child exits the building unsupervised. - Anything given to a child as medical treatment should have written permission and should be provided by the parent. An incident report indicated a teacher washed a child’s lip and put Vaseline on the lip. Ms. Bell stated when the parent was called she asked them to put Vaseline on the lip. She stated the Vaseline was a new tub and had not been previously used. - I recommend providing teachers with painters tape or masking tape for labeling bottles and sippy cups. - I recommend adding a vegetable or flower garden to the playground to add to outdoor experience for children. - I recommend covering the drain pipe on the playground next to the trees to prevent tripping. - 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. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: Babies and Beyond Academy Facility ID: 60004381 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 26 Completed Date: 4/3/2025 Age: From 0 To 4 Total Minutes: 195 Time In: 09:35 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. This facility was issued a temporary license on December 19, 2024, with a restriction of daytime care only. The facilities compliance history prior to today’s visit is 91%. Geena Turner, Owner and Karmaria Bell, Director, were present during the visit. I completed a walk-though of all classrooms and the outdoor learning environment. I observed preschool children in free center and snack time. The children were observed eating snack. The children were served Cheetos as a snack. The classrooms were set up with activity centers with age-appropriate materials. In the infant/toddler room, the teacher was observed on the floor engaging with and singing to the infants and toddlers. Safe Sleep Charts and feeding schedules were monitored. The classrooms had the Staff/child ratio form posted, however they were not fill out. Groups were within staff/child ratio and adequately supervised. The outdoor space was monitored during the visit. There were two bottles of liquid vape and an opened pocket knife on the ground outside of the fenced area where the children walk to enter the playground. Program records were reviewed and found in compliance. No menu was posted at the facility. One (1) new staff member’s file was reviewed today. Three (3) children’s files were reviewed. Three (3) violations were observed during the file review. The sanitation inspection was completed on January 6, 2025, and you received a superior rating and 18 demerits. The last fire inspection was completed on November 15, 2024. Nine (9) violations were observed, and discussed with Ms. Turner during today’s visit. Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. Ms. Turner will submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before April 17, 2025. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. The classrooms had the Staff/child ratio form posted, however they were not fill out. .0713(a)(10), (c) & (f)(3); .2818(e) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The children were served Cheetos as a snack. 10A NCAC 09 .0901(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menu was posted at the facility. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. There were two bottles of liquid vape and an opened pocket knife on the ground outside of the fenced area where the children walk to enter the playground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One outlet was not covered in the hallway. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A aerosol can of lysol was in the staff restroom that was not locked. .2820(b) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have a copy of their immunization on file. 10A NCAC 09 .0302(d)(2) 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. A staff member who started employment April 1, 2025 did not have a signed acknowledgement that she reviewed the policy prior to caring for children. .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. A staff member should have completed the required training by March 19, 2025. .1102(g) Rated License Process: We discussed the rated license process. Ms. Turner stated she does not have children enrolled who receive subsidized care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to provide child care for sponsored children. Ms. Turner stated that they are not going to have the scales completed at this time. The facility is going to work on hiring staff and then they will decide about the Pathway to the Stars. Discussion and Technical Assistance: We discussed to that no staff can care for children until they have read and have signed and acknowledged they received the Shaken Bably policy. Ms. Turner was reminded that the staff/child ratio forms must be current and reflect the age of the youngest child enrolled in that classroom. The correct box needs to be check so that staff understand the ratio and group size that needs to be followed. Ms. Turner and I discussed that she can follow minimum requirement so that her classroom capacity is based on 25 square feet. If she decides at a later time to follow enhanced requirements then the capacity for each room is based on 30 square feet pre child. Today we discussed that all meals and snacks served to children shall comply with the Meal Patterns for Children in Child Care Programs. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. Ms. Turner and I discussed that the facility is having some issues with the pathway to the play area at night, they had to lock the playground at night to keep people off the play area. We discussed a fence on both sides of the pathway to ensure there are no items that might be unsafe for the children that were left overnight. The staff are currently checking the play area daily, but we discussed looking around the pathway to the play area as well. Children are required to have an immunization and medical assessment on file within 30 days of enrollment. Reminder that Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@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: Babies and Beyond Academy Facility ID: 60004381 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 26 Completed Date: 4/3/2025 Age: From 0 To 4 Total Minutes: 195 Time In: 09:35 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. This facility was issued a temporary license on December 19, 2024, with a restriction of daytime care only. The facilities compliance history prior to today’s visit is 91%. Geena Turner, Owner and Karmaria Bell, Director, were present during the visit. I completed a walk-though of all classrooms and the outdoor learning environment. I observed preschool children in free center and snack time. The children were observed eating snack. The children were served Cheetos as a snack. The classrooms were set up with activity centers with age-appropriate materials. In the infant/toddler room, the teacher was observed on the floor engaging with and singing to the infants and toddlers. Safe Sleep Charts and feeding schedules were monitored. The classrooms had the Staff/child ratio form posted, however they were not fill out. Groups were within staff/child ratio and adequately supervised. The outdoor space was monitored during the visit. There were two bottles of liquid vape and an opened pocket knife on the ground outside of the fenced area where the children walk to enter the playground. Program records were reviewed and found in compliance. No menu was posted at the facility. One (1) new staff member’s file was reviewed today. Three (3) children’s files were reviewed. Three (3) violations were observed during the file review. The sanitation inspection was completed on January 6, 2025, and you received a superior rating and 18 demerits. The last fire inspection was completed on November 15, 2024. Nine (9) violations were observed, and discussed with Ms. Turner during today’s visit. Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. Ms. Turner will submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before April 17, 2025. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. The classrooms had the Staff/child ratio form posted, however they were not fill out. .0713(a)(10), (c) & (f)(3); .2818(e) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The children were served Cheetos as a snack. 10A NCAC 09 .0901(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menu was posted at the facility. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. There were two bottles of liquid vape and an opened pocket knife on the ground outside of the fenced area where the children walk to enter the playground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One outlet was not covered in the hallway. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A aerosol can of lysol was in the staff restroom that was not locked. .2820(b) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have a copy of their immunization on file. 10A NCAC 09 .0302(d)(2) 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. A staff member who started employment April 1, 2025 did not have a signed acknowledgement that she reviewed the policy prior to caring for children. .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. A staff member should have completed the required training by March 19, 2025. .1102(g) Rated License Process: We discussed the rated license process. Ms. Turner stated she does not have children enrolled who receive subsidized care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to provide child care for sponsored children. Ms. Turner stated that they are not going to have the scales completed at this time. The facility is going to work on hiring staff and then they will decide about the Pathway to the Stars. Discussion and Technical Assistance: We discussed to that no staff can care for children until they have read and have signed and acknowledged they received the Shaken Bably policy. Ms. Turner was reminded that the staff/child ratio forms must be current and reflect the age of the youngest child enrolled in that classroom. The correct box needs to be check so that staff understand the ratio and group size that needs to be followed. Ms. Turner and I discussed that she can follow minimum requirement so that her classroom capacity is based on 25 square feet. If she decides at a later time to follow enhanced requirements then the capacity for each room is based on 30 square feet pre child. Today we discussed that all meals and snacks served to children shall comply with the Meal Patterns for Children in Child Care Programs. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. Ms. Turner and I discussed that the facility is having some issues with the pathway to the play area at night, they had to lock the playground at night to keep people off the play area. We discussed a fence on both sides of the pathway to ensure there are no items that might be unsafe for the children that were left overnight. The staff are currently checking the play area daily, but we discussed looking around the pathway to the play area as well. Children are required to have an immunization and medical assessment on file within 30 days of enrollment. Reminder that Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@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: Babies and Beyond Academy Facility ID: 60004381 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 26 Completed Date: 4/3/2025 Age: From 0 To 4 Total Minutes: 195 Time In: 09:35 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. This facility was issued a temporary license on December 19, 2024, with a restriction of daytime care only. The facilities compliance history prior to today’s visit is 91%. Geena Turner, Owner and Karmaria Bell, Director, were present during the visit. I completed a walk-though of all classrooms and the outdoor learning environment. I observed preschool children in free center and snack time. The children were observed eating snack. The children were served Cheetos as a snack. The classrooms were set up with activity centers with age-appropriate materials. In the infant/toddler room, the teacher was observed on the floor engaging with and singing to the infants and toddlers. Safe Sleep Charts and feeding schedules were monitored. The classrooms had the Staff/child ratio form posted, however they were not fill out. Groups were within staff/child ratio and adequately supervised. The outdoor space was monitored during the visit. There were two bottles of liquid vape and an opened pocket knife on the ground outside of the fenced area where the children walk to enter the playground. Program records were reviewed and found in compliance. No menu was posted at the facility. One (1) new staff member’s file was reviewed today. Three (3) children’s files were reviewed. Three (3) violations were observed during the file review. The sanitation inspection was completed on January 6, 2025, and you received a superior rating and 18 demerits. The last fire inspection was completed on November 15, 2024. Nine (9) violations were observed, and discussed with Ms. Turner during today’s visit. Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. Ms. Turner will submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before April 17, 2025. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. The classrooms had the Staff/child ratio form posted, however they were not fill out. .0713(a)(10), (c) & (f)(3); .2818(e) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The children were served Cheetos as a snack. 10A NCAC 09 .0901(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menu was posted at the facility. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. There were two bottles of liquid vape and an opened pocket knife on the ground outside of the fenced area where the children walk to enter the playground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One outlet was not covered in the hallway. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A aerosol can of lysol was in the staff restroom that was not locked. .2820(b) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have a copy of their immunization on file. 10A NCAC 09 .0302(d)(2) 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. A staff member who started employment April 1, 2025 did not have a signed acknowledgement that she reviewed the policy prior to caring for children. .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. A staff member should have completed the required training by March 19, 2025. .1102(g) Rated License Process: We discussed the rated license process. Ms. Turner stated she does not have children enrolled who receive subsidized care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to provide child care for sponsored children. Ms. Turner stated that they are not going to have the scales completed at this time. The facility is going to work on hiring staff and then they will decide about the Pathway to the Stars. Discussion and Technical Assistance: We discussed to that no staff can care for children until they have read and have signed and acknowledged they received the Shaken Bably policy. Ms. Turner was reminded that the staff/child ratio forms must be current and reflect the age of the youngest child enrolled in that classroom. The correct box needs to be check so that staff understand the ratio and group size that needs to be followed. Ms. Turner and I discussed that she can follow minimum requirement so that her classroom capacity is based on 25 square feet. If she decides at a later time to follow enhanced requirements then the capacity for each room is based on 30 square feet pre child. Today we discussed that all meals and snacks served to children shall comply with the Meal Patterns for Children in Child Care Programs. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. Ms. Turner and I discussed that the facility is having some issues with the pathway to the play area at night, they had to lock the playground at night to keep people off the play area. We discussed a fence on both sides of the pathway to ensure there are no items that might be unsafe for the children that were left overnight. The staff are currently checking the play area daily, but we discussed looking around the pathway to the play area as well. Children are required to have an immunization and medical assessment on file within 30 days of enrollment. Reminder that Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@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: Babies and Beyond Academy Facility ID: 60004381 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 26 Completed Date: 4/3/2025 Age: From 0 To 4 Total Minutes: 195 Time In: 09:35 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. This facility was issued a temporary license on December 19, 2024, with a restriction of daytime care only. The facilities compliance history prior to today’s visit is 91%. Geena Turner, Owner and Karmaria Bell, Director, were present during the visit. I completed a walk-though of all classrooms and the outdoor learning environment. I observed preschool children in free center and snack time. The children were observed eating snack. The children were served Cheetos as a snack. The classrooms were set up with activity centers with age-appropriate materials. In the infant/toddler room, the teacher was observed on the floor engaging with and singing to the infants and toddlers. Safe Sleep Charts and feeding schedules were monitored. The classrooms had the Staff/child ratio form posted, however they were not fill out. Groups were within staff/child ratio and adequately supervised. The outdoor space was monitored during the visit. There were two bottles of liquid vape and an opened pocket knife on the ground outside of the fenced area where the children walk to enter the playground. Program records were reviewed and found in compliance. No menu was posted at the facility. One (1) new staff member’s file was reviewed today. Three (3) children’s files were reviewed. Three (3) violations were observed during the file review. The sanitation inspection was completed on January 6, 2025, and you received a superior rating and 18 demerits. The last fire inspection was completed on November 15, 2024. Nine (9) violations were observed, and discussed with Ms. Turner during today’s visit. Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. Ms. Turner will submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before April 17, 2025. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. The classrooms had the Staff/child ratio form posted, however they were not fill out. .0713(a)(10), (c) & (f)(3); .2818(e) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The children were served Cheetos as a snack. 10A NCAC 09 .0901(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menu was posted at the facility. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. There were two bottles of liquid vape and an opened pocket knife on the ground outside of the fenced area where the children walk to enter the playground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One outlet was not covered in the hallway. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A aerosol can of lysol was in the staff restroom that was not locked. .2820(b) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have a copy of their immunization on file. 10A NCAC 09 .0302(d)(2) 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. A staff member who started employment April 1, 2025 did not have a signed acknowledgement that she reviewed the policy prior to caring for children. .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. A staff member should have completed the required training by March 19, 2025. .1102(g) Rated License Process: We discussed the rated license process. Ms. Turner stated she does not have children enrolled who receive subsidized care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to provide child care for sponsored children. Ms. Turner stated that they are not going to have the scales completed at this time. The facility is going to work on hiring staff and then they will decide about the Pathway to the Stars. Discussion and Technical Assistance: We discussed to that no staff can care for children until they have read and have signed and acknowledged they received the Shaken Bably policy. Ms. Turner was reminded that the staff/child ratio forms must be current and reflect the age of the youngest child enrolled in that classroom. The correct box needs to be check so that staff understand the ratio and group size that needs to be followed. Ms. Turner and I discussed that she can follow minimum requirement so that her classroom capacity is based on 25 square feet. If she decides at a later time to follow enhanced requirements then the capacity for each room is based on 30 square feet pre child. Today we discussed that all meals and snacks served to children shall comply with the Meal Patterns for Children in Child Care Programs. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. Ms. Turner and I discussed that the facility is having some issues with the pathway to the play area at night, they had to lock the playground at night to keep people off the play area. We discussed a fence on both sides of the pathway to ensure there are no items that might be unsafe for the children that were left overnight. The staff are currently checking the play area daily, but we discussed looking around the pathway to the play area as well. Children are required to have an immunization and medical assessment on file within 30 days of enrollment. Reminder that Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@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: Babies and Beyond Academy Facility ID: 60004381 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 26 Completed Date: 4/3/2025 Age: From 0 To 4 Total Minutes: 195 Time In: 09:35 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. This facility was issued a temporary license on December 19, 2024, with a restriction of daytime care only. The facilities compliance history prior to today’s visit is 91%. Geena Turner, Owner and Karmaria Bell, Director, were present during the visit. I completed a walk-though of all classrooms and the outdoor learning environment. I observed preschool children in free center and snack time. The children were observed eating snack. The children were served Cheetos as a snack. The classrooms were set up with activity centers with age-appropriate materials. In the infant/toddler room, the teacher was observed on the floor engaging with and singing to the infants and toddlers. Safe Sleep Charts and feeding schedules were monitored. The classrooms had the Staff/child ratio form posted, however they were not fill out. Groups were within staff/child ratio and adequately supervised. The outdoor space was monitored during the visit. There were two bottles of liquid vape and an opened pocket knife on the ground outside of the fenced area where the children walk to enter the playground. Program records were reviewed and found in compliance. No menu was posted at the facility. One (1) new staff member’s file was reviewed today. Three (3) children’s files were reviewed. Three (3) violations were observed during the file review. The sanitation inspection was completed on January 6, 2025, and you received a superior rating and 18 demerits. The last fire inspection was completed on November 15, 2024. Nine (9) violations were observed, and discussed with Ms. Turner during today’s visit. Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. Ms. Turner will submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before April 17, 2025. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. The classrooms had the Staff/child ratio form posted, however they were not fill out. .0713(a)(10), (c) & (f)(3); .2818(e) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The children were served Cheetos as a snack. 10A NCAC 09 .0901(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menu was posted at the facility. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. There were two bottles of liquid vape and an opened pocket knife on the ground outside of the fenced area where the children walk to enter the playground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One outlet was not covered in the hallway. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A aerosol can of lysol was in the staff restroom that was not locked. .2820(b) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have a copy of their immunization on file. 10A NCAC 09 .0302(d)(2) 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. A staff member who started employment April 1, 2025 did not have a signed acknowledgement that she reviewed the policy prior to caring for children. .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. A staff member should have completed the required training by March 19, 2025. .1102(g) Rated License Process: We discussed the rated license process. Ms. Turner stated she does not have children enrolled who receive subsidized care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to provide child care for sponsored children. Ms. Turner stated that they are not going to have the scales completed at this time. The facility is going to work on hiring staff and then they will decide about the Pathway to the Stars. Discussion and Technical Assistance: We discussed to that no staff can care for children until they have read and have signed and acknowledged they received the Shaken Bably policy. Ms. Turner was reminded that the staff/child ratio forms must be current and reflect the age of the youngest child enrolled in that classroom. The correct box needs to be check so that staff understand the ratio and group size that needs to be followed. Ms. Turner and I discussed that she can follow minimum requirement so that her classroom capacity is based on 25 square feet. If she decides at a later time to follow enhanced requirements then the capacity for each room is based on 30 square feet pre child. Today we discussed that all meals and snacks served to children shall comply with the Meal Patterns for Children in Child Care Programs. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. Ms. Turner and I discussed that the facility is having some issues with the pathway to the play area at night, they had to lock the playground at night to keep people off the play area. We discussed a fence on both sides of the pathway to ensure there are no items that might be unsafe for the children that were left overnight. The staff are currently checking the play area daily, but we discussed looking around the pathway to the play area as well. Children are required to have an immunization and medical assessment on file within 30 days of enrollment. Reminder that Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: Babies and Beyond Academy Facility ID: 60004381 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 18 Completed Date: 2/11/2025 Age: From 0 To 4 Total Minutes: 175 Time In: 09:50 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit. Geena Turner, Owner and Director Kamaria Bell, assisted me with the visit. This facility was issued a temporary license on December 19, 2024, with a restriction of daytime care only. The walk-through of classrooms and the outdoor learning environment were monitored. I observed children in free play center, snack, lunch and nap time. In space#2 nine (9) children were present and attendance had not been completed. In space #1 six (6) children were present, only five (5) were marked on the attendance sheet. There was no required lesson plan available in the preschool classrooms. In space #5 infants and toddlers were observed playing on the floor with the teacher. Safe Sleep checks were completed as required. No feeding schedules were posted in the infant room. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. You were reminded today that you have to complete your EPR plan. Once you or your administrator completes the EPR training you have 4 months to create your plan in the NC Risk Management Portal. A sampling of staff and child files, and other required program records were monitored. No playground inspection was documented for January 2025. The sanitation inspection was completed on January 6, 2025, and you received a superior rating and 18 demerits. The last fire inspection was completed on November 15, 2024. Four (4) violations were observed and discussed with Ms. Turner during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. There was no required lesson plan available in the preschool classrooms. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) No written feeding plans were posted in the infant room. 10A NCAC 09 .0902(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspection was completed for January 2025. .0605(q) 1301 Center did not maintain a record of daily attendance. In space#2 nine (9) children were present and attendance had not been completed. In space #1 six (6) children were present, only five (5) were marked on the attendance sheet. GS 110-91(9) Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. Ms. Turner needs to submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before February 27, 2025, to Amy.italiano@dhhs.nc.gov Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Discussion and Technical Assistance: Lesson plan examples, and a current Staff Training Worksheet were emailed and explained to Ms. Bell during the visit. It was discussed during the visit that attendance should be marked as each child arrives to the classroom. I suggested that they add the fire drill and playground reminder to a calendar to ensure the requirements would be completed each month. Today we reviewed the facility’s policy, Ms. Turner needs to submit her administrative Policies and her Personnel policies to me as soon as she finishes them. Today we discussed the rated license process. Ms. Turner stated she currently does not have children enrolled who receive subsidized children care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to continue providing child care for sponsored children. Teresa Pender was present at the facility when I arrived. Ms. Pender is working with the facility to prepare for the assessment scales. It was discussed that we will need to request that scale by March 19, 2025 Program Standards - the points earned will be determined by your score earned on the environmental rating scales as well as enhanced ratios and space. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. I explained the process to register and submit information in the DCDEE WORKS System for all staff. Only the information reflected in WORKS will be used to determine the number of points earned in the education component. Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options list provided to you today. You were given the Application for Assessment for a Two Component Star Rated License today. You stated that you would like the environmental rating scale to be completed. The environmental rating scale will need to be requested on March 19, 2025. I recommended you and your staff review the applicable assessment tools, visit www.ncrlap.org and review training modules available and the additional resources provided. I explained the Quality Every Day (QED) Grant offered through Child Care Resources, Inc (CCRI). This grant provides technical and financial assistance to prepare the center and staff for the ERS assessments. You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six-month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. New staff must have a current criminal background check, medical exam, and TB test or TB screening completed prior to employment. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. You confirmed receipt of that email at the end of today’s visit. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@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: Babies and Beyond Academy Facility ID: 60004381 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 18 Completed Date: 2/11/2025 Age: From 0 To 4 Total Minutes: 175 Time In: 09:50 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit. Geena Turner, Owner and Director Kamaria Bell, assisted me with the visit. This facility was issued a temporary license on December 19, 2024, with a restriction of daytime care only. The walk-through of classrooms and the outdoor learning environment were monitored. I observed children in free play center, snack, lunch and nap time. In space#2 nine (9) children were present and attendance had not been completed. In space #1 six (6) children were present, only five (5) were marked on the attendance sheet. There was no required lesson plan available in the preschool classrooms. In space #5 infants and toddlers were observed playing on the floor with the teacher. Safe Sleep checks were completed as required. No feeding schedules were posted in the infant room. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. You were reminded today that you have to complete your EPR plan. Once you or your administrator completes the EPR training you have 4 months to create your plan in the NC Risk Management Portal. A sampling of staff and child files, and other required program records were monitored. No playground inspection was documented for January 2025. The sanitation inspection was completed on January 6, 2025, and you received a superior rating and 18 demerits. The last fire inspection was completed on November 15, 2024. Four (4) violations were observed and discussed with Ms. Turner during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. There was no required lesson plan available in the preschool classrooms. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) No written feeding plans were posted in the infant room. 10A NCAC 09 .0902(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspection was completed for January 2025. .0605(q) 1301 Center did not maintain a record of daily attendance. In space#2 nine (9) children were present and attendance had not been completed. In space #1 six (6) children were present, only five (5) were marked on the attendance sheet. GS 110-91(9) Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. Ms. Turner needs to submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before February 27, 2025, to Amy.italiano@dhhs.nc.gov Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Discussion and Technical Assistance: Lesson plan examples, and a current Staff Training Worksheet were emailed and explained to Ms. Bell during the visit. It was discussed during the visit that attendance should be marked as each child arrives to the classroom. I suggested that they add the fire drill and playground reminder to a calendar to ensure the requirements would be completed each month. Today we reviewed the facility’s policy, Ms. Turner needs to submit her administrative Policies and her Personnel policies to me as soon as she finishes them. Today we discussed the rated license process. Ms. Turner stated she currently does not have children enrolled who receive subsidized children care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to continue providing child care for sponsored children. Teresa Pender was present at the facility when I arrived. Ms. Pender is working with the facility to prepare for the assessment scales. It was discussed that we will need to request that scale by March 19, 2025 Program Standards - the points earned will be determined by your score earned on the environmental rating scales as well as enhanced ratios and space. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. I explained the process to register and submit information in the DCDEE WORKS System for all staff. Only the information reflected in WORKS will be used to determine the number of points earned in the education component. Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options list provided to you today. You were given the Application for Assessment for a Two Component Star Rated License today. You stated that you would like the environmental rating scale to be completed. The environmental rating scale will need to be requested on March 19, 2025. I recommended you and your staff review the applicable assessment tools, visit www.ncrlap.org and review training modules available and the additional resources provided. I explained the Quality Every Day (QED) Grant offered through Child Care Resources, Inc (CCRI). This grant provides technical and financial assistance to prepare the center and staff for the ERS assessments. You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six-month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. New staff must have a current criminal background check, medical exam, and TB test or TB screening completed prior to employment. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. You confirmed receipt of that email at the end of today’s visit. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@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