Cadence Academy Preschool, Mallard

10A NCAC 09 .0302 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/2/2026 Number Present: 51 Completed Date: 7/2/2026 Age: From 0 To 11 Total Minutes: 205 Time In: 12:10 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Assistant Director, Ms. Shayla Henderson, and I explained the purpose of the visit. The Director, Ms. Asia Rushing arrived during the visit. Lead Child Care Consultant, Jennifer Stansfield, accompanied me during the visit. Your program currently operates with a five-star license, issued January 17, 2020 earning seven (7) points in the education component, six (6) points in the program standards component (meeting enhanced ratios; meets enhanced space) and one (1) quality point. The program uses an approved curriculum, Cadence Ascend, that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted July 15, 2025. The sanitation inspection was completed April 15, 2026, with a “Superior” classification and fifteen (15) demerits. The last fire inspection was conducted October 9, 2025, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) met compliance. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent prior to today's visit. The NC Secretary of State website was reviewed on July 2, 2026, and Cadence Education LLC, was listed as current-active. An indoor/outdoor walkthrough was completed with Ms. Henderson. I observed the children in space 1 children under twelve (12) months old and toddler children from space 4 receiving care according to individual needs. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule; a violation was cited for an Infant Feeding Plan. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. Space 2 space, space 3, and space 4 were observed closed; toddlers from space 4 children were combined with children in space 1. Space 5 was observed closed. Children from space 5 were combined with children in space 6. I observed children in space 6, a classroom for two (2) and three (3) year-old children, were observed napping. Children in space 7, a classroom for three (3) and four (4) year-old children were observed napping. I observed space 8 and space 9 (Meck Pre-K classrooms) observed closed. The children (school-age children) in space 10 were observed napping. There were two (2) Registered Behavioral Technicians for Applied Behavior Analysis Therapy (ABA), S. Bost with Bluebell ABA and S. Genus with Maximum Health Care Services. The therapist did not work independently with children. Space 11 was observed closed. A violation was cited for no soap and no paper towels in space 5; no soap in space 6. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy will be emailed after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan. A fire drill was not conducted and a violation was cited. Shelter-in-place lockdown drills were not conducted and a violation was cited. A violation was cited for playground inspections that were not completed. Emergency medications and diapering creams were reviewed; a violation was cited for a Permission to Administer over-the-counter medication; a violation was cited for an emergency medication; a violation was cited for information in a Medical Action Plan. There were no hazardous materials observed. Ten (10) percent of children's files were reviewed and compliance was met. The outdoor area and the outdoor play equipment were clean and in good repair. A violation was cited for mulch (inadequate surfacing). Eight (8) violations were cited. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. An infant plan did not have the parent's signature or date. 10 NCAC 09 .0902(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space 5 there was no soap or paper towels in the girls bathroom; no soap in space 7 in the boys bathroom. 15A NCAC 18A .2818(b) & (d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for June 2026. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspections have not been conducted since November 2025. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted March 16, 2026; drill not conducted in June 2026. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Two (2) medication were not on site for a medical emergency that was noted in a Medical Action Plan. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Three (3) inches of mulch was the surfacing depth under the monkey bars in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to Administer Medication for chronic conditions expired May 2026. A Permission to Administer over-the-counter medication form expired January 15, 2026. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) -Staff files were not monitored during the visit, and the files were be monitored within five (5) days. -New assigned Child Care Consultant, Deanna Matthews. 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 July 16, 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 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The written feeding plans must be modified as the child's needs change. Infant feeding plans must contain the the parent's signature or date. Child Care Rule 10A NCAC 09 .0902(a)). -Running water, soap and individual sanitary towels, or other approved hand-drying devices must be supplied at each lavatory (15A NCAC 18 .2818 (b) & (d)). -Do not store items under the sink. Items were stored under the sink in space 5 (Sanitation 15A NCAC 18A .2820). -Do not store items in cribs that are not in use (Sanitation 15A NCAC 18A .2820) -Continue to rake the mulch often in the outdoor play area. Make sure that adequate surfacing is in fall zones (Child Care Rule 10A NCAC 09 .0605(k)(1-4). -Permission to Administer Medication for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i). -Permission to administer over-the-counter medication authorization must be valid (Child Care Rule 10A NCAC 09 .0803(7)(a-g)). -Medications noted in Medical Action Plans must be available to administer in an emergency. A Medical Action Plan indicated a severe condition that requires a medical professional to administer medications in the event of an emergency for a child in space 1. All staff should be trained on emergencies listed on Medical Action Plans. The Medical Action Plan must be updated on an annual basis or when changes to the plan were made by the child's parent or health care professional (Child Care Rule 10A NCAC 09 .0801(b)). -Child care centers must conduct one (1) fire drill each month at unexpected times and under varying conditions. Records of monthly fire drills must include all the information listed based on requirements in Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t). -Playground Inspection checklist must be completed monthly by a staff person who has received the training in playground safety required in Child Care Rule 10A NCAC 09 .1102(e); .0302 (d)(6) .0605. -Child care centers must conduct a shelter-in-place or lockdown drill, as defined in 10A NCAC 09.0102, at least every three (3) months, Child Care Rule 10A NCAC 09 .0302(d)(8). You must keep a record that includes the date of each drill, time of day, the length of time to reach the designated location and the signature of the person conducting the drill, Child Care Rule 10A NCAC 09 .0604(u). -The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Licensing Supervisor, Amy Italiano (704-936-6065), Amy.Italiano@dhhs.nc.gov, if you have questions. 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/2/2026 Number Present: 51 Completed Date: 7/2/2026 Age: From 0 To 11 Total Minutes: 205 Time In: 12:10 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Assistant Director, Ms. Shayla Henderson, and I explained the purpose of the visit. The Director, Ms. Asia Rushing arrived during the visit. Lead Child Care Consultant, Jennifer Stansfield, accompanied me during the visit. Your program currently operates with a five-star license, issued January 17, 2020 earning seven (7) points in the education component, six (6) points in the program standards component (meeting enhanced ratios; meets enhanced space) and one (1) quality point. The program uses an approved curriculum, Cadence Ascend, that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted July 15, 2025. The sanitation inspection was completed April 15, 2026, with a “Superior” classification and fifteen (15) demerits. The last fire inspection was conducted October 9, 2025, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) met compliance. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent prior to today's visit. The NC Secretary of State website was reviewed on July 2, 2026, and Cadence Education LLC, was listed as current-active. An indoor/outdoor walkthrough was completed with Ms. Henderson. I observed the children in space 1 children under twelve (12) months old and toddler children from space 4 receiving care according to individual needs. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule; a violation was cited for an Infant Feeding Plan. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. Space 2 space, space 3, and space 4 were observed closed; toddlers from space 4 children were combined with children in space 1. Space 5 was observed closed. Children from space 5 were combined with children in space 6. I observed children in space 6, a classroom for two (2) and three (3) year-old children, were observed napping. Children in space 7, a classroom for three (3) and four (4) year-old children were observed napping. I observed space 8 and space 9 (Meck Pre-K classrooms) observed closed. The children (school-age children) in space 10 were observed napping. There were two (2) Registered Behavioral Technicians for Applied Behavior Analysis Therapy (ABA), S. Bost with Bluebell ABA and S. Genus with Maximum Health Care Services. The therapist did not work independently with children. Space 11 was observed closed. A violation was cited for no soap and no paper towels in space 5; no soap in space 6. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy will be emailed after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan. A fire drill was not conducted and a violation was cited. Shelter-in-place lockdown drills were not conducted and a violation was cited. A violation was cited for playground inspections that were not completed. Emergency medications and diapering creams were reviewed; a violation was cited for a Permission to Administer over-the-counter medication; a violation was cited for an emergency medication; a violation was cited for information in a Medical Action Plan. There were no hazardous materials observed. Ten (10) percent of children's files were reviewed and compliance was met. The outdoor area and the outdoor play equipment were clean and in good repair. A violation was cited for mulch (inadequate surfacing). Eight (8) violations were cited. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. An infant plan did not have the parent's signature or date. 10 NCAC 09 .0902(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space 5 there was no soap or paper towels in the girls bathroom; no soap in space 7 in the boys bathroom. 15A NCAC 18A .2818(b) & (d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for June 2026. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspections have not been conducted since November 2025. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted March 16, 2026; drill not conducted in June 2026. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Two (2) medication were not on site for a medical emergency that was noted in a Medical Action Plan. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Three (3) inches of mulch was the surfacing depth under the monkey bars in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to Administer Medication for chronic conditions expired May 2026. A Permission to Administer over-the-counter medication form expired January 15, 2026. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) -Staff files were not monitored during the visit, and the files were be monitored within five (5) days. -New assigned Child Care Consultant, Deanna Matthews. 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 July 16, 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 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The written feeding plans must be modified as the child's needs change. Infant feeding plans must contain the the parent's signature or date. Child Care Rule 10A NCAC 09 .0902(a)). -Running water, soap and individual sanitary towels, or other approved hand-drying devices must be supplied at each lavatory (15A NCAC 18 .2818 (b) & (d)). -Do not store items under the sink. Items were stored under the sink in space 5 (Sanitation 15A NCAC 18A .2820). -Do not store items in cribs that are not in use (Sanitation 15A NCAC 18A .2820) -Continue to rake the mulch often in the outdoor play area. Make sure that adequate surfacing is in fall zones (Child Care Rule 10A NCAC 09 .0605(k)(1-4). -Permission to Administer Medication for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i). -Permission to administer over-the-counter medication authorization must be valid (Child Care Rule 10A NCAC 09 .0803(7)(a-g)). -Medications noted in Medical Action Plans must be available to administer in an emergency. A Medical Action Plan indicated a severe condition that requires a medical professional to administer medications in the event of an emergency for a child in space 1. All staff should be trained on emergencies listed on Medical Action Plans. The Medical Action Plan must be updated on an annual basis or when changes to the plan were made by the child's parent or health care professional (Child Care Rule 10A NCAC 09 .0801(b)). -Child care centers must conduct one (1) fire drill each month at unexpected times and under varying conditions. Records of monthly fire drills must include all the information listed based on requirements in Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t). -Playground Inspection checklist must be completed monthly by a staff person who has received the training in playground safety required in Child Care Rule 10A NCAC 09 .1102(e); .0302 (d)(6) .0605. -Child care centers must conduct a shelter-in-place or lockdown drill, as defined in 10A NCAC 09.0102, at least every three (3) months, Child Care Rule 10A NCAC 09 .0302(d)(8). You must keep a record that includes the date of each drill, time of day, the length of time to reach the designated location and the signature of the person conducting the drill, Child Care Rule 10A NCAC 09 .0604(u). -The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Licensing Supervisor, Amy Italiano (704-936-6065), Amy.Italiano@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/2/2026 Number Present: 51 Completed Date: 7/2/2026 Age: From 0 To 11 Total Minutes: 205 Time In: 12:10 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Assistant Director, Ms. Shayla Henderson, and I explained the purpose of the visit. The Director, Ms. Asia Rushing arrived during the visit. Lead Child Care Consultant, Jennifer Stansfield, accompanied me during the visit. Your program currently operates with a five-star license, issued January 17, 2020 earning seven (7) points in the education component, six (6) points in the program standards component (meeting enhanced ratios; meets enhanced space) and one (1) quality point. The program uses an approved curriculum, Cadence Ascend, that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted July 15, 2025. The sanitation inspection was completed April 15, 2026, with a “Superior” classification and fifteen (15) demerits. The last fire inspection was conducted October 9, 2025, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) met compliance. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent prior to today's visit. The NC Secretary of State website was reviewed on July 2, 2026, and Cadence Education LLC, was listed as current-active. An indoor/outdoor walkthrough was completed with Ms. Henderson. I observed the children in space 1 children under twelve (12) months old and toddler children from space 4 receiving care according to individual needs. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule; a violation was cited for an Infant Feeding Plan. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. Space 2 space, space 3, and space 4 were observed closed; toddlers from space 4 children were combined with children in space 1. Space 5 was observed closed. Children from space 5 were combined with children in space 6. I observed children in space 6, a classroom for two (2) and three (3) year-old children, were observed napping. Children in space 7, a classroom for three (3) and four (4) year-old children were observed napping. I observed space 8 and space 9 (Meck Pre-K classrooms) observed closed. The children (school-age children) in space 10 were observed napping. There were two (2) Registered Behavioral Technicians for Applied Behavior Analysis Therapy (ABA), S. Bost with Bluebell ABA and S. Genus with Maximum Health Care Services. The therapist did not work independently with children. Space 11 was observed closed. A violation was cited for no soap and no paper towels in space 5; no soap in space 6. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy will be emailed after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan. A fire drill was not conducted and a violation was cited. Shelter-in-place lockdown drills were not conducted and a violation was cited. A violation was cited for playground inspections that were not completed. Emergency medications and diapering creams were reviewed; a violation was cited for a Permission to Administer over-the-counter medication; a violation was cited for an emergency medication; a violation was cited for information in a Medical Action Plan. There were no hazardous materials observed. Ten (10) percent of children's files were reviewed and compliance was met. The outdoor area and the outdoor play equipment were clean and in good repair. A violation was cited for mulch (inadequate surfacing). Eight (8) violations were cited. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. An infant plan did not have the parent's signature or date. 10 NCAC 09 .0902(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space 5 there was no soap or paper towels in the girls bathroom; no soap in space 7 in the boys bathroom. 15A NCAC 18A .2818(b) & (d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for June 2026. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspections have not been conducted since November 2025. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted March 16, 2026; drill not conducted in June 2026. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Two (2) medication were not on site for a medical emergency that was noted in a Medical Action Plan. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Three (3) inches of mulch was the surfacing depth under the monkey bars in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to Administer Medication for chronic conditions expired May 2026. A Permission to Administer over-the-counter medication form expired January 15, 2026. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) -Staff files were not monitored during the visit, and the files were be monitored within five (5) days. -New assigned Child Care Consultant, Deanna Matthews. 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 July 16, 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 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The written feeding plans must be modified as the child's needs change. Infant feeding plans must contain the the parent's signature or date. Child Care Rule 10A NCAC 09 .0902(a)). -Running water, soap and individual sanitary towels, or other approved hand-drying devices must be supplied at each lavatory (15A NCAC 18 .2818 (b) & (d)). -Do not store items under the sink. Items were stored under the sink in space 5 (Sanitation 15A NCAC 18A .2820). -Do not store items in cribs that are not in use (Sanitation 15A NCAC 18A .2820) -Continue to rake the mulch often in the outdoor play area. Make sure that adequate surfacing is in fall zones (Child Care Rule 10A NCAC 09 .0605(k)(1-4). -Permission to Administer Medication for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i). -Permission to administer over-the-counter medication authorization must be valid (Child Care Rule 10A NCAC 09 .0803(7)(a-g)). -Medications noted in Medical Action Plans must be available to administer in an emergency. A Medical Action Plan indicated a severe condition that requires a medical professional to administer medications in the event of an emergency for a child in space 1. All staff should be trained on emergencies listed on Medical Action Plans. The Medical Action Plan must be updated on an annual basis or when changes to the plan were made by the child's parent or health care professional (Child Care Rule 10A NCAC 09 .0801(b)). -Child care centers must conduct one (1) fire drill each month at unexpected times and under varying conditions. Records of monthly fire drills must include all the information listed based on requirements in Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t). -Playground Inspection checklist must be completed monthly by a staff person who has received the training in playground safety required in Child Care Rule 10A NCAC 09 .1102(e); .0302 (d)(6) .0605. -Child care centers must conduct a shelter-in-place or lockdown drill, as defined in 10A NCAC 09.0102, at least every three (3) months, Child Care Rule 10A NCAC 09 .0302(d)(8). You must keep a record that includes the date of each drill, time of day, the length of time to reach the designated location and the signature of the person conducting the drill, Child Care Rule 10A NCAC 09 .0604(u). -The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Licensing Supervisor, Amy Italiano (704-936-6065), Amy.Italiano@dhhs.nc.gov, if you have questions. 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 .0801 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/2/2026 Number Present: 51 Completed Date: 7/2/2026 Age: From 0 To 11 Total Minutes: 205 Time In: 12:10 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Assistant Director, Ms. Shayla Henderson, and I explained the purpose of the visit. The Director, Ms. Asia Rushing arrived during the visit. Lead Child Care Consultant, Jennifer Stansfield, accompanied me during the visit. Your program currently operates with a five-star license, issued January 17, 2020 earning seven (7) points in the education component, six (6) points in the program standards component (meeting enhanced ratios; meets enhanced space) and one (1) quality point. The program uses an approved curriculum, Cadence Ascend, that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted July 15, 2025. The sanitation inspection was completed April 15, 2026, with a “Superior” classification and fifteen (15) demerits. The last fire inspection was conducted October 9, 2025, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) met compliance. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent prior to today's visit. The NC Secretary of State website was reviewed on July 2, 2026, and Cadence Education LLC, was listed as current-active. An indoor/outdoor walkthrough was completed with Ms. Henderson. I observed the children in space 1 children under twelve (12) months old and toddler children from space 4 receiving care according to individual needs. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule; a violation was cited for an Infant Feeding Plan. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. Space 2 space, space 3, and space 4 were observed closed; toddlers from space 4 children were combined with children in space 1. Space 5 was observed closed. Children from space 5 were combined with children in space 6. I observed children in space 6, a classroom for two (2) and three (3) year-old children, were observed napping. Children in space 7, a classroom for three (3) and four (4) year-old children were observed napping. I observed space 8 and space 9 (Meck Pre-K classrooms) observed closed. The children (school-age children) in space 10 were observed napping. There were two (2) Registered Behavioral Technicians for Applied Behavior Analysis Therapy (ABA), S. Bost with Bluebell ABA and S. Genus with Maximum Health Care Services. The therapist did not work independently with children. Space 11 was observed closed. A violation was cited for no soap and no paper towels in space 5; no soap in space 6. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy will be emailed after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan. A fire drill was not conducted and a violation was cited. Shelter-in-place lockdown drills were not conducted and a violation was cited. A violation was cited for playground inspections that were not completed. Emergency medications and diapering creams were reviewed; a violation was cited for a Permission to Administer over-the-counter medication; a violation was cited for an emergency medication; a violation was cited for information in a Medical Action Plan. There were no hazardous materials observed. Ten (10) percent of children's files were reviewed and compliance was met. The outdoor area and the outdoor play equipment were clean and in good repair. A violation was cited for mulch (inadequate surfacing). Eight (8) violations were cited. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. An infant plan did not have the parent's signature or date. 10 NCAC 09 .0902(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space 5 there was no soap or paper towels in the girls bathroom; no soap in space 7 in the boys bathroom. 15A NCAC 18A .2818(b) & (d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for June 2026. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspections have not been conducted since November 2025. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted March 16, 2026; drill not conducted in June 2026. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Two (2) medication were not on site for a medical emergency that was noted in a Medical Action Plan. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Three (3) inches of mulch was the surfacing depth under the monkey bars in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to Administer Medication for chronic conditions expired May 2026. A Permission to Administer over-the-counter medication form expired January 15, 2026. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) -Staff files were not monitored during the visit, and the files were be monitored within five (5) days. -New assigned Child Care Consultant, Deanna Matthews. 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 July 16, 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 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The written feeding plans must be modified as the child's needs change. Infant feeding plans must contain the the parent's signature or date. Child Care Rule 10A NCAC 09 .0902(a)). -Running water, soap and individual sanitary towels, or other approved hand-drying devices must be supplied at each lavatory (15A NCAC 18 .2818 (b) & (d)). -Do not store items under the sink. Items were stored under the sink in space 5 (Sanitation 15A NCAC 18A .2820). -Do not store items in cribs that are not in use (Sanitation 15A NCAC 18A .2820) -Continue to rake the mulch often in the outdoor play area. Make sure that adequate surfacing is in fall zones (Child Care Rule 10A NCAC 09 .0605(k)(1-4). -Permission to Administer Medication for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i). -Permission to administer over-the-counter medication authorization must be valid (Child Care Rule 10A NCAC 09 .0803(7)(a-g)). -Medications noted in Medical Action Plans must be available to administer in an emergency. A Medical Action Plan indicated a severe condition that requires a medical professional to administer medications in the event of an emergency for a child in space 1. All staff should be trained on emergencies listed on Medical Action Plans. The Medical Action Plan must be updated on an annual basis or when changes to the plan were made by the child's parent or health care professional (Child Care Rule 10A NCAC 09 .0801(b)). -Child care centers must conduct one (1) fire drill each month at unexpected times and under varying conditions. Records of monthly fire drills must include all the information listed based on requirements in Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t). -Playground Inspection checklist must be completed monthly by a staff person who has received the training in playground safety required in Child Care Rule 10A NCAC 09 .1102(e); .0302 (d)(6) .0605. -Child care centers must conduct a shelter-in-place or lockdown drill, as defined in 10A NCAC 09.0102, at least every three (3) months, Child Care Rule 10A NCAC 09 .0302(d)(8). You must keep a record that includes the date of each drill, time of day, the length of time to reach the designated location and the signature of the person conducting the drill, Child Care Rule 10A NCAC 09 .0604(u). -The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Licensing Supervisor, Amy Italiano (704-936-6065), Amy.Italiano@dhhs.nc.gov, if you have questions. 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/2/2026 Number Present: 51 Completed Date: 7/2/2026 Age: From 0 To 11 Total Minutes: 205 Time In: 12:10 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Assistant Director, Ms. Shayla Henderson, and I explained the purpose of the visit. The Director, Ms. Asia Rushing arrived during the visit. Lead Child Care Consultant, Jennifer Stansfield, accompanied me during the visit. Your program currently operates with a five-star license, issued January 17, 2020 earning seven (7) points in the education component, six (6) points in the program standards component (meeting enhanced ratios; meets enhanced space) and one (1) quality point. The program uses an approved curriculum, Cadence Ascend, that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted July 15, 2025. The sanitation inspection was completed April 15, 2026, with a “Superior” classification and fifteen (15) demerits. The last fire inspection was conducted October 9, 2025, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) met compliance. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent prior to today's visit. The NC Secretary of State website was reviewed on July 2, 2026, and Cadence Education LLC, was listed as current-active. An indoor/outdoor walkthrough was completed with Ms. Henderson. I observed the children in space 1 children under twelve (12) months old and toddler children from space 4 receiving care according to individual needs. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule; a violation was cited for an Infant Feeding Plan. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. Space 2 space, space 3, and space 4 were observed closed; toddlers from space 4 children were combined with children in space 1. Space 5 was observed closed. Children from space 5 were combined with children in space 6. I observed children in space 6, a classroom for two (2) and three (3) year-old children, were observed napping. Children in space 7, a classroom for three (3) and four (4) year-old children were observed napping. I observed space 8 and space 9 (Meck Pre-K classrooms) observed closed. The children (school-age children) in space 10 were observed napping. There were two (2) Registered Behavioral Technicians for Applied Behavior Analysis Therapy (ABA), S. Bost with Bluebell ABA and S. Genus with Maximum Health Care Services. The therapist did not work independently with children. Space 11 was observed closed. A violation was cited for no soap and no paper towels in space 5; no soap in space 6. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy will be emailed after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan. A fire drill was not conducted and a violation was cited. Shelter-in-place lockdown drills were not conducted and a violation was cited. A violation was cited for playground inspections that were not completed. Emergency medications and diapering creams were reviewed; a violation was cited for a Permission to Administer over-the-counter medication; a violation was cited for an emergency medication; a violation was cited for information in a Medical Action Plan. There were no hazardous materials observed. Ten (10) percent of children's files were reviewed and compliance was met. The outdoor area and the outdoor play equipment were clean and in good repair. A violation was cited for mulch (inadequate surfacing). Eight (8) violations were cited. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. An infant plan did not have the parent's signature or date. 10 NCAC 09 .0902(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space 5 there was no soap or paper towels in the girls bathroom; no soap in space 7 in the boys bathroom. 15A NCAC 18A .2818(b) & (d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for June 2026. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspections have not been conducted since November 2025. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted March 16, 2026; drill not conducted in June 2026. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Two (2) medication were not on site for a medical emergency that was noted in a Medical Action Plan. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Three (3) inches of mulch was the surfacing depth under the monkey bars in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to Administer Medication for chronic conditions expired May 2026. A Permission to Administer over-the-counter medication form expired January 15, 2026. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) -Staff files were not monitored during the visit, and the files were be monitored within five (5) days. -New assigned Child Care Consultant, Deanna Matthews. 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 July 16, 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 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The written feeding plans must be modified as the child's needs change. Infant feeding plans must contain the the parent's signature or date. Child Care Rule 10A NCAC 09 .0902(a)). -Running water, soap and individual sanitary towels, or other approved hand-drying devices must be supplied at each lavatory (15A NCAC 18 .2818 (b) & (d)). -Do not store items under the sink. Items were stored under the sink in space 5 (Sanitation 15A NCAC 18A .2820). -Do not store items in cribs that are not in use (Sanitation 15A NCAC 18A .2820) -Continue to rake the mulch often in the outdoor play area. Make sure that adequate surfacing is in fall zones (Child Care Rule 10A NCAC 09 .0605(k)(1-4). -Permission to Administer Medication for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i). -Permission to administer over-the-counter medication authorization must be valid (Child Care Rule 10A NCAC 09 .0803(7)(a-g)). -Medications noted in Medical Action Plans must be available to administer in an emergency. A Medical Action Plan indicated a severe condition that requires a medical professional to administer medications in the event of an emergency for a child in space 1. All staff should be trained on emergencies listed on Medical Action Plans. The Medical Action Plan must be updated on an annual basis or when changes to the plan were made by the child's parent or health care professional (Child Care Rule 10A NCAC 09 .0801(b)). -Child care centers must conduct one (1) fire drill each month at unexpected times and under varying conditions. Records of monthly fire drills must include all the information listed based on requirements in Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t). -Playground Inspection checklist must be completed monthly by a staff person who has received the training in playground safety required in Child Care Rule 10A NCAC 09 .1102(e); .0302 (d)(6) .0605. -Child care centers must conduct a shelter-in-place or lockdown drill, as defined in 10A NCAC 09.0102, at least every three (3) months, Child Care Rule 10A NCAC 09 .0302(d)(8). You must keep a record that includes the date of each drill, time of day, the length of time to reach the designated location and the signature of the person conducting the drill, Child Care Rule 10A NCAC 09 .0604(u). -The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Licensing Supervisor, Amy Italiano (704-936-6065), Amy.Italiano@dhhs.nc.gov, if you have questions. 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/2/2026 Number Present: 51 Completed Date: 7/2/2026 Age: From 0 To 11 Total Minutes: 205 Time In: 12:10 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Assistant Director, Ms. Shayla Henderson, and I explained the purpose of the visit. The Director, Ms. Asia Rushing arrived during the visit. Lead Child Care Consultant, Jennifer Stansfield, accompanied me during the visit. Your program currently operates with a five-star license, issued January 17, 2020 earning seven (7) points in the education component, six (6) points in the program standards component (meeting enhanced ratios; meets enhanced space) and one (1) quality point. The program uses an approved curriculum, Cadence Ascend, that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted July 15, 2025. The sanitation inspection was completed April 15, 2026, with a “Superior” classification and fifteen (15) demerits. The last fire inspection was conducted October 9, 2025, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) met compliance. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent prior to today's visit. The NC Secretary of State website was reviewed on July 2, 2026, and Cadence Education LLC, was listed as current-active. An indoor/outdoor walkthrough was completed with Ms. Henderson. I observed the children in space 1 children under twelve (12) months old and toddler children from space 4 receiving care according to individual needs. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule; a violation was cited for an Infant Feeding Plan. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. Space 2 space, space 3, and space 4 were observed closed; toddlers from space 4 children were combined with children in space 1. Space 5 was observed closed. Children from space 5 were combined with children in space 6. I observed children in space 6, a classroom for two (2) and three (3) year-old children, were observed napping. Children in space 7, a classroom for three (3) and four (4) year-old children were observed napping. I observed space 8 and space 9 (Meck Pre-K classrooms) observed closed. The children (school-age children) in space 10 were observed napping. There were two (2) Registered Behavioral Technicians for Applied Behavior Analysis Therapy (ABA), S. Bost with Bluebell ABA and S. Genus with Maximum Health Care Services. The therapist did not work independently with children. Space 11 was observed closed. A violation was cited for no soap and no paper towels in space 5; no soap in space 6. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy will be emailed after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan. A fire drill was not conducted and a violation was cited. Shelter-in-place lockdown drills were not conducted and a violation was cited. A violation was cited for playground inspections that were not completed. Emergency medications and diapering creams were reviewed; a violation was cited for a Permission to Administer over-the-counter medication; a violation was cited for an emergency medication; a violation was cited for information in a Medical Action Plan. There were no hazardous materials observed. Ten (10) percent of children's files were reviewed and compliance was met. The outdoor area and the outdoor play equipment were clean and in good repair. A violation was cited for mulch (inadequate surfacing). Eight (8) violations were cited. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. An infant plan did not have the parent's signature or date. 10 NCAC 09 .0902(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space 5 there was no soap or paper towels in the girls bathroom; no soap in space 7 in the boys bathroom. 15A NCAC 18A .2818(b) & (d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for June 2026. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspections have not been conducted since November 2025. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted March 16, 2026; drill not conducted in June 2026. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Two (2) medication were not on site for a medical emergency that was noted in a Medical Action Plan. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Three (3) inches of mulch was the surfacing depth under the monkey bars in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to Administer Medication for chronic conditions expired May 2026. A Permission to Administer over-the-counter medication form expired January 15, 2026. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) -Staff files were not monitored during the visit, and the files were be monitored within five (5) days. -New assigned Child Care Consultant, Deanna Matthews. 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 July 16, 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 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The written feeding plans must be modified as the child's needs change. Infant feeding plans must contain the the parent's signature or date. Child Care Rule 10A NCAC 09 .0902(a)). -Running water, soap and individual sanitary towels, or other approved hand-drying devices must be supplied at each lavatory (15A NCAC 18 .2818 (b) & (d)). -Do not store items under the sink. Items were stored under the sink in space 5 (Sanitation 15A NCAC 18A .2820). -Do not store items in cribs that are not in use (Sanitation 15A NCAC 18A .2820) -Continue to rake the mulch often in the outdoor play area. Make sure that adequate surfacing is in fall zones (Child Care Rule 10A NCAC 09 .0605(k)(1-4). -Permission to Administer Medication for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i). -Permission to administer over-the-counter medication authorization must be valid (Child Care Rule 10A NCAC 09 .0803(7)(a-g)). -Medications noted in Medical Action Plans must be available to administer in an emergency. A Medical Action Plan indicated a severe condition that requires a medical professional to administer medications in the event of an emergency for a child in space 1. All staff should be trained on emergencies listed on Medical Action Plans. The Medical Action Plan must be updated on an annual basis or when changes to the plan were made by the child's parent or health care professional (Child Care Rule 10A NCAC 09 .0801(b)). -Child care centers must conduct one (1) fire drill each month at unexpected times and under varying conditions. Records of monthly fire drills must include all the information listed based on requirements in Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t). -Playground Inspection checklist must be completed monthly by a staff person who has received the training in playground safety required in Child Care Rule 10A NCAC 09 .1102(e); .0302 (d)(6) .0605. -Child care centers must conduct a shelter-in-place or lockdown drill, as defined in 10A NCAC 09.0102, at least every three (3) months, Child Care Rule 10A NCAC 09 .0302(d)(8). You must keep a record that includes the date of each drill, time of day, the length of time to reach the designated location and the signature of the person conducting the drill, Child Care Rule 10A NCAC 09 .0604(u). -The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Licensing Supervisor, Amy Italiano (704-936-6065), Amy.Italiano@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/2/2026 Number Present: 51 Completed Date: 7/2/2026 Age: From 0 To 11 Total Minutes: 205 Time In: 12:10 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Assistant Director, Ms. Shayla Henderson, and I explained the purpose of the visit. The Director, Ms. Asia Rushing arrived during the visit. Lead Child Care Consultant, Jennifer Stansfield, accompanied me during the visit. Your program currently operates with a five-star license, issued January 17, 2020 earning seven (7) points in the education component, six (6) points in the program standards component (meeting enhanced ratios; meets enhanced space) and one (1) quality point. The program uses an approved curriculum, Cadence Ascend, that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted July 15, 2025. The sanitation inspection was completed April 15, 2026, with a “Superior” classification and fifteen (15) demerits. The last fire inspection was conducted October 9, 2025, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) met compliance. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent prior to today's visit. The NC Secretary of State website was reviewed on July 2, 2026, and Cadence Education LLC, was listed as current-active. An indoor/outdoor walkthrough was completed with Ms. Henderson. I observed the children in space 1 children under twelve (12) months old and toddler children from space 4 receiving care according to individual needs. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule; a violation was cited for an Infant Feeding Plan. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. Space 2 space, space 3, and space 4 were observed closed; toddlers from space 4 children were combined with children in space 1. Space 5 was observed closed. Children from space 5 were combined with children in space 6. I observed children in space 6, a classroom for two (2) and three (3) year-old children, were observed napping. Children in space 7, a classroom for three (3) and four (4) year-old children were observed napping. I observed space 8 and space 9 (Meck Pre-K classrooms) observed closed. The children (school-age children) in space 10 were observed napping. There were two (2) Registered Behavioral Technicians for Applied Behavior Analysis Therapy (ABA), S. Bost with Bluebell ABA and S. Genus with Maximum Health Care Services. The therapist did not work independently with children. Space 11 was observed closed. A violation was cited for no soap and no paper towels in space 5; no soap in space 6. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy will be emailed after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan. A fire drill was not conducted and a violation was cited. Shelter-in-place lockdown drills were not conducted and a violation was cited. A violation was cited for playground inspections that were not completed. Emergency medications and diapering creams were reviewed; a violation was cited for a Permission to Administer over-the-counter medication; a violation was cited for an emergency medication; a violation was cited for information in a Medical Action Plan. There were no hazardous materials observed. Ten (10) percent of children's files were reviewed and compliance was met. The outdoor area and the outdoor play equipment were clean and in good repair. A violation was cited for mulch (inadequate surfacing). Eight (8) violations were cited. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. An infant plan did not have the parent's signature or date. 10 NCAC 09 .0902(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space 5 there was no soap or paper towels in the girls bathroom; no soap in space 7 in the boys bathroom. 15A NCAC 18A .2818(b) & (d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for June 2026. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspections have not been conducted since November 2025. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted March 16, 2026; drill not conducted in June 2026. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Two (2) medication were not on site for a medical emergency that was noted in a Medical Action Plan. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Three (3) inches of mulch was the surfacing depth under the monkey bars in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to Administer Medication for chronic conditions expired May 2026. A Permission to Administer over-the-counter medication form expired January 15, 2026. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) -Staff files were not monitored during the visit, and the files were be monitored within five (5) days. -New assigned Child Care Consultant, Deanna Matthews. 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 July 16, 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 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The written feeding plans must be modified as the child's needs change. Infant feeding plans must contain the the parent's signature or date. Child Care Rule 10A NCAC 09 .0902(a)). -Running water, soap and individual sanitary towels, or other approved hand-drying devices must be supplied at each lavatory (15A NCAC 18 .2818 (b) & (d)). -Do not store items under the sink. Items were stored under the sink in space 5 (Sanitation 15A NCAC 18A .2820). -Do not store items in cribs that are not in use (Sanitation 15A NCAC 18A .2820) -Continue to rake the mulch often in the outdoor play area. Make sure that adequate surfacing is in fall zones (Child Care Rule 10A NCAC 09 .0605(k)(1-4). -Permission to Administer Medication for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i). -Permission to administer over-the-counter medication authorization must be valid (Child Care Rule 10A NCAC 09 .0803(7)(a-g)). -Medications noted in Medical Action Plans must be available to administer in an emergency. A Medical Action Plan indicated a severe condition that requires a medical professional to administer medications in the event of an emergency for a child in space 1. All staff should be trained on emergencies listed on Medical Action Plans. The Medical Action Plan must be updated on an annual basis or when changes to the plan were made by the child's parent or health care professional (Child Care Rule 10A NCAC 09 .0801(b)). -Child care centers must conduct one (1) fire drill each month at unexpected times and under varying conditions. Records of monthly fire drills must include all the information listed based on requirements in Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t). -Playground Inspection checklist must be completed monthly by a staff person who has received the training in playground safety required in Child Care Rule 10A NCAC 09 .1102(e); .0302 (d)(6) .0605. -Child care centers must conduct a shelter-in-place or lockdown drill, as defined in 10A NCAC 09.0102, at least every three (3) months, Child Care Rule 10A NCAC 09 .0302(d)(8). You must keep a record that includes the date of each drill, time of day, the length of time to reach the designated location and the signature of the person conducting the drill, Child Care Rule 10A NCAC 09 .0604(u). -The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Licensing Supervisor, Amy Italiano (704-936-6065), Amy.Italiano@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0102 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/2/2026 Number Present: 51 Completed Date: 7/2/2026 Age: From 0 To 11 Total Minutes: 205 Time In: 12:10 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Assistant Director, Ms. Shayla Henderson, and I explained the purpose of the visit. The Director, Ms. Asia Rushing arrived during the visit. Lead Child Care Consultant, Jennifer Stansfield, accompanied me during the visit. Your program currently operates with a five-star license, issued January 17, 2020 earning seven (7) points in the education component, six (6) points in the program standards component (meeting enhanced ratios; meets enhanced space) and one (1) quality point. The program uses an approved curriculum, Cadence Ascend, that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted July 15, 2025. The sanitation inspection was completed April 15, 2026, with a “Superior” classification and fifteen (15) demerits. The last fire inspection was conducted October 9, 2025, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) met compliance. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent prior to today's visit. The NC Secretary of State website was reviewed on July 2, 2026, and Cadence Education LLC, was listed as current-active. An indoor/outdoor walkthrough was completed with Ms. Henderson. I observed the children in space 1 children under twelve (12) months old and toddler children from space 4 receiving care according to individual needs. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule; a violation was cited for an Infant Feeding Plan. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. Space 2 space, space 3, and space 4 were observed closed; toddlers from space 4 children were combined with children in space 1. Space 5 was observed closed. Children from space 5 were combined with children in space 6. I observed children in space 6, a classroom for two (2) and three (3) year-old children, were observed napping. Children in space 7, a classroom for three (3) and four (4) year-old children were observed napping. I observed space 8 and space 9 (Meck Pre-K classrooms) observed closed. The children (school-age children) in space 10 were observed napping. There were two (2) Registered Behavioral Technicians for Applied Behavior Analysis Therapy (ABA), S. Bost with Bluebell ABA and S. Genus with Maximum Health Care Services. The therapist did not work independently with children. Space 11 was observed closed. A violation was cited for no soap and no paper towels in space 5; no soap in space 6. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy will be emailed after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan. A fire drill was not conducted and a violation was cited. Shelter-in-place lockdown drills were not conducted and a violation was cited. A violation was cited for playground inspections that were not completed. Emergency medications and diapering creams were reviewed; a violation was cited for a Permission to Administer over-the-counter medication; a violation was cited for an emergency medication; a violation was cited for information in a Medical Action Plan. There were no hazardous materials observed. Ten (10) percent of children's files were reviewed and compliance was met. The outdoor area and the outdoor play equipment were clean and in good repair. A violation was cited for mulch (inadequate surfacing). Eight (8) violations were cited. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. An infant plan did not have the parent's signature or date. 10 NCAC 09 .0902(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space 5 there was no soap or paper towels in the girls bathroom; no soap in space 7 in the boys bathroom. 15A NCAC 18A .2818(b) & (d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for June 2026. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspections have not been conducted since November 2025. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted March 16, 2026; drill not conducted in June 2026. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Two (2) medication were not on site for a medical emergency that was noted in a Medical Action Plan. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Three (3) inches of mulch was the surfacing depth under the monkey bars in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to Administer Medication for chronic conditions expired May 2026. A Permission to Administer over-the-counter medication form expired January 15, 2026. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) -Staff files were not monitored during the visit, and the files were be monitored within five (5) days. -New assigned Child Care Consultant, Deanna Matthews. 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 July 16, 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 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The written feeding plans must be modified as the child's needs change. Infant feeding plans must contain the the parent's signature or date. Child Care Rule 10A NCAC 09 .0902(a)). -Running water, soap and individual sanitary towels, or other approved hand-drying devices must be supplied at each lavatory (15A NCAC 18 .2818 (b) & (d)). -Do not store items under the sink. Items were stored under the sink in space 5 (Sanitation 15A NCAC 18A .2820). -Do not store items in cribs that are not in use (Sanitation 15A NCAC 18A .2820) -Continue to rake the mulch often in the outdoor play area. Make sure that adequate surfacing is in fall zones (Child Care Rule 10A NCAC 09 .0605(k)(1-4). -Permission to Administer Medication for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i). -Permission to administer over-the-counter medication authorization must be valid (Child Care Rule 10A NCAC 09 .0803(7)(a-g)). -Medications noted in Medical Action Plans must be available to administer in an emergency. A Medical Action Plan indicated a severe condition that requires a medical professional to administer medications in the event of an emergency for a child in space 1. All staff should be trained on emergencies listed on Medical Action Plans. The Medical Action Plan must be updated on an annual basis or when changes to the plan were made by the child's parent or health care professional (Child Care Rule 10A NCAC 09 .0801(b)). -Child care centers must conduct one (1) fire drill each month at unexpected times and under varying conditions. Records of monthly fire drills must include all the information listed based on requirements in Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t). -Playground Inspection checklist must be completed monthly by a staff person who has received the training in playground safety required in Child Care Rule 10A NCAC 09 .1102(e); .0302 (d)(6) .0605. -Child care centers must conduct a shelter-in-place or lockdown drill, as defined in 10A NCAC 09.0102, at least every three (3) months, Child Care Rule 10A NCAC 09 .0302(d)(8). You must keep a record that includes the date of each drill, time of day, the length of time to reach the designated location and the signature of the person conducting the drill, Child Care Rule 10A NCAC 09 .0604(u). -The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Licensing Supervisor, Amy Italiano (704-936-6065), Amy.Italiano@dhhs.nc.gov, if you have questions. 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/2/2026 Number Present: 51 Completed Date: 7/2/2026 Age: From 0 To 11 Total Minutes: 205 Time In: 12:10 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Assistant Director, Ms. Shayla Henderson, and I explained the purpose of the visit. The Director, Ms. Asia Rushing arrived during the visit. Lead Child Care Consultant, Jennifer Stansfield, accompanied me during the visit. Your program currently operates with a five-star license, issued January 17, 2020 earning seven (7) points in the education component, six (6) points in the program standards component (meeting enhanced ratios; meets enhanced space) and one (1) quality point. The program uses an approved curriculum, Cadence Ascend, that addresses the five (5) domains of development. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted July 15, 2025. The sanitation inspection was completed April 15, 2026, with a “Superior” classification and fifteen (15) demerits. The last fire inspection was conducted October 9, 2025, and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) met compliance. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent prior to today's visit. The NC Secretary of State website was reviewed on July 2, 2026, and Cadence Education LLC, was listed as current-active. An indoor/outdoor walkthrough was completed with Ms. Henderson. I observed the children in space 1 children under twelve (12) months old and toddler children from space 4 receiving care according to individual needs. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule; a violation was cited for an Infant Feeding Plan. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. Space 2 space, space 3, and space 4 were observed closed; toddlers from space 4 children were combined with children in space 1. Space 5 was observed closed. Children from space 5 were combined with children in space 6. I observed children in space 6, a classroom for two (2) and three (3) year-old children, were observed napping. Children in space 7, a classroom for three (3) and four (4) year-old children were observed napping. I observed space 8 and space 9 (Meck Pre-K classrooms) observed closed. The children (school-age children) in space 10 were observed napping. There were two (2) Registered Behavioral Technicians for Applied Behavior Analysis Therapy (ABA), S. Bost with Bluebell ABA and S. Genus with Maximum Health Care Services. The therapist did not work independently with children. Space 11 was observed closed. A violation was cited for no soap and no paper towels in space 5; no soap in space 6. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy will be emailed after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Menu, Daily Schedules and Activity Plans, North Carolina Summary of the Law, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, and the Emergency Medical Care Plan. A fire drill was not conducted and a violation was cited. Shelter-in-place lockdown drills were not conducted and a violation was cited. A violation was cited for playground inspections that were not completed. Emergency medications and diapering creams were reviewed; a violation was cited for a Permission to Administer over-the-counter medication; a violation was cited for an emergency medication; a violation was cited for information in a Medical Action Plan. There were no hazardous materials observed. Ten (10) percent of children's files were reviewed and compliance was met. The outdoor area and the outdoor play equipment were clean and in good repair. A violation was cited for mulch (inadequate surfacing). Eight (8) violations were cited. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. An infant plan did not have the parent's signature or date. 10 NCAC 09 .0902(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space 5 there was no soap or paper towels in the girls bathroom; no soap in space 7 in the boys bathroom. 15A NCAC 18A .2818(b) & (d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for June 2026. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspections have not been conducted since November 2025. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted March 16, 2026; drill not conducted in June 2026. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Two (2) medication were not on site for a medical emergency that was noted in a Medical Action Plan. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Three (3) inches of mulch was the surfacing depth under the monkey bars in the outdoor play area. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to Administer Medication for chronic conditions expired May 2026. A Permission to Administer over-the-counter medication form expired January 15, 2026. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) -Staff files were not monitored during the visit, and the files were be monitored within five (5) days. -New assigned Child Care Consultant, Deanna Matthews. 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 July 16, 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 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The written feeding plans must be modified as the child's needs change. Infant feeding plans must contain the the parent's signature or date. Child Care Rule 10A NCAC 09 .0902(a)). -Running water, soap and individual sanitary towels, or other approved hand-drying devices must be supplied at each lavatory (15A NCAC 18 .2818 (b) & (d)). -Do not store items under the sink. Items were stored under the sink in space 5 (Sanitation 15A NCAC 18A .2820). -Do not store items in cribs that are not in use (Sanitation 15A NCAC 18A .2820) -Continue to rake the mulch often in the outdoor play area. Make sure that adequate surfacing is in fall zones (Child Care Rule 10A NCAC 09 .0605(k)(1-4). -Permission to Administer Medication for chronic conditions must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i). -Permission to administer over-the-counter medication authorization must be valid (Child Care Rule 10A NCAC 09 .0803(7)(a-g)). -Medications noted in Medical Action Plans must be available to administer in an emergency. A Medical Action Plan indicated a severe condition that requires a medical professional to administer medications in the event of an emergency for a child in space 1. All staff should be trained on emergencies listed on Medical Action Plans. The Medical Action Plan must be updated on an annual basis or when changes to the plan were made by the child's parent or health care professional (Child Care Rule 10A NCAC 09 .0801(b)). -Child care centers must conduct one (1) fire drill each month at unexpected times and under varying conditions. Records of monthly fire drills must include all the information listed based on requirements in Child Care Rule 10A NCAC 09 .0302(d)(5) and .0604(t). -Playground Inspection checklist must be completed monthly by a staff person who has received the training in playground safety required in Child Care Rule 10A NCAC 09 .1102(e); .0302 (d)(6) .0605. -Child care centers must conduct a shelter-in-place or lockdown drill, as defined in 10A NCAC 09.0102, at least every three (3) months, Child Care Rule 10A NCAC 09 .0302(d)(8). You must keep a record that includes the date of each drill, time of day, the length of time to reach the designated location and the signature of the person conducting the drill, Child Care Rule 10A NCAC 09 .0604(u). -The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Licensing Supervisor, Amy Italiano (704-936-6065), Amy.Italiano@dhhs.nc.gov, if you have questions. 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/12/2026 Number Present: 74 Completed Date: 2/12/2026 Age: From 0 To 5 Total Minutes: 322 Time In: 10:18 AM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Five Star Rated License issued January 17, 2020a. The facility had an eighteen month compliance history of 87% prior to today’s visit. The following was monitored using the April 2025 Master Center Item Number Listing: supervision, staff/child ratios, CBC qualification, CPR, First Aid, special training, ITS-SIDS, emergency medical care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, posted license, and permit restrictions. The license was posted and the restrictions were in compliance. Upon arrival I was greeted by Ms. A. Rushing, Director. I introduced myself and explained the purpose of the visit. Ms. Rushing began employment on 10/3/25. Ms. Rushing and Ms. J. Woods, Assistant Director, accompanied me on the walk through. In Space 1 for infant care I observed two (1) children sitting in feeding chairs eating lunch. The lunch was table food provided by the center. One (1) child was under 15 months of age. I reviewed his feeding plan and table food was not listed on the plan. The feeding plan was not updated. The second child did not have a feeding plan posted in the room. It was Ms. Rushing stated he was moved from Space 3 today. I recommended posting feeding plans in each classroom where children under 15 months can receive care to ensure the required information is available for teachers if children are moved. Both children had individual cribs. Safe sleep checks were documented. Toddlers were observed sitting at the table eating lunch. Lunch met nutrition requirements and reflected what was posted on the menu. The teacher was observed sitting with children as they ate. Preschool children were observed on the playground as well as eating lunch in their classrooms. Adequate supervision was observed and staff/child ratio requirements were maintained. Teachers were engaged with children and provided a nurturing environment. Playgrounds were monitored. I observed exposed nails on a fence board that was pulled away from the foundation. Adequate amounts of mulch were observed under climbing equipment. Emergency medications were monitored. Arrival and departure times were documented as required. Transitions were noted on the head count sheets. Fire and emergency drills were completed and documented as required. The last sanitation inspection was conducted on 12/2/25 and received a superior rating. The last fire inspection was conducted on 10/9/25 and was due by 8/6/25. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was due 8/6/25. The inspection was completed on 10/9/25. 10A NCAC 09 .0304(a) 542 The written feeding plan was not modified as the child's needs changed. One (1) child under 15 months of age was observed eating table food provided by the center. The posted feeding schedule was not updated to indicate the child could be served table food. 10 NCAC 09 .0902(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in Spaces 2 - 11 were observed with peeling paint and chipped drywall. 15A NCAC 18A .2825(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Exposed nails were observed on a fence board that was pulled away from the foundation on the preschool playground. .0604(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. Caulk, spray paint, and a gallon of paint were observed in Space 3. Space 3 was not currently being used to care for children however the room was unlocked and accessible to children. A gallon of paint was observed on the floor outside of the directors office in the foyer. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child's emergency medication in Space 8 was expired and a replacement medication was not provided. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee hired 12/1/25 had a medical statement dated 5/27/24. 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) employee hired 12/1/25 had a TB test result dated 10/30/24. .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. One (1) employee hired 8/21/25 did not have emergency information on file. .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. An employee hired 9/17/25 did not complete First Aid training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. An employee hired 9/17/25 did not complete CPR training within 90 days of employment. .1102(d) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. There was no documentation of EPR training at orientation for an employee hired 8/21/25. .0607(f) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One (1) child's medication permission expired on 1/14/26. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 Thursday, February 26, 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 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: Pathways to the Stars: - The Pathway to the Stars discussion form was completed today. Ms. Rushing stated the facility planned to participate in Pathway 3 by achieving NAC accreditation. I will follow-up with Ms. Rushing during the annual compliance visit. - Infants should be placed in their crib after falling asleep. Safe sleep checks should still be documented for infants who are asleep in a teacher’s arms if they are sleeping longer than 15 minutes before being placed in the crib. - I recommend writing medication, medication permission, and medical action plan expiration dates on the outside of the Ziploc bag where items are stored. Teachers can see at a glance when medication should be sent home and when new forms should be collected. - The facility email was reviewed and changed in Regulatory today. - I offered an administrator technical assistance visit if Ms. Rushing would like help with staff and/or child files and program record keeping. - All new hires must have medical and TB information less than 12 months old from hire date. - New hire health and safety trainings must be less than 12 months old from hire date as well. 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 or you may contact Michele Sullivan, Licensing Supervisor, at michele.sullivan@dhhs.nc.gov or 704-594-0147. 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/12/2026 Number Present: 74 Completed Date: 2/12/2026 Age: From 0 To 5 Total Minutes: 322 Time In: 10:18 AM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Five Star Rated License issued January 17, 2020a. The facility had an eighteen month compliance history of 87% prior to today’s visit. The following was monitored using the April 2025 Master Center Item Number Listing: supervision, staff/child ratios, CBC qualification, CPR, First Aid, special training, ITS-SIDS, emergency medical care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, posted license, and permit restrictions. The license was posted and the restrictions were in compliance. Upon arrival I was greeted by Ms. A. Rushing, Director. I introduced myself and explained the purpose of the visit. Ms. Rushing began employment on 10/3/25. Ms. Rushing and Ms. J. Woods, Assistant Director, accompanied me on the walk through. In Space 1 for infant care I observed two (1) children sitting in feeding chairs eating lunch. The lunch was table food provided by the center. One (1) child was under 15 months of age. I reviewed his feeding plan and table food was not listed on the plan. The feeding plan was not updated. The second child did not have a feeding plan posted in the room. It was Ms. Rushing stated he was moved from Space 3 today. I recommended posting feeding plans in each classroom where children under 15 months can receive care to ensure the required information is available for teachers if children are moved. Both children had individual cribs. Safe sleep checks were documented. Toddlers were observed sitting at the table eating lunch. Lunch met nutrition requirements and reflected what was posted on the menu. The teacher was observed sitting with children as they ate. Preschool children were observed on the playground as well as eating lunch in their classrooms. Adequate supervision was observed and staff/child ratio requirements were maintained. Teachers were engaged with children and provided a nurturing environment. Playgrounds were monitored. I observed exposed nails on a fence board that was pulled away from the foundation. Adequate amounts of mulch were observed under climbing equipment. Emergency medications were monitored. Arrival and departure times were documented as required. Transitions were noted on the head count sheets. Fire and emergency drills were completed and documented as required. The last sanitation inspection was conducted on 12/2/25 and received a superior rating. The last fire inspection was conducted on 10/9/25 and was due by 8/6/25. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was due 8/6/25. The inspection was completed on 10/9/25. 10A NCAC 09 .0304(a) 542 The written feeding plan was not modified as the child's needs changed. One (1) child under 15 months of age was observed eating table food provided by the center. The posted feeding schedule was not updated to indicate the child could be served table food. 10 NCAC 09 .0902(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in Spaces 2 - 11 were observed with peeling paint and chipped drywall. 15A NCAC 18A .2825(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Exposed nails were observed on a fence board that was pulled away from the foundation on the preschool playground. .0604(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. Caulk, spray paint, and a gallon of paint were observed in Space 3. Space 3 was not currently being used to care for children however the room was unlocked and accessible to children. A gallon of paint was observed on the floor outside of the directors office in the foyer. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child's emergency medication in Space 8 was expired and a replacement medication was not provided. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee hired 12/1/25 had a medical statement dated 5/27/24. 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) employee hired 12/1/25 had a TB test result dated 10/30/24. .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. One (1) employee hired 8/21/25 did not have emergency information on file. .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. An employee hired 9/17/25 did not complete First Aid training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. An employee hired 9/17/25 did not complete CPR training within 90 days of employment. .1102(d) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. There was no documentation of EPR training at orientation for an employee hired 8/21/25. .0607(f) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One (1) child's medication permission expired on 1/14/26. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 Thursday, February 26, 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 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: Pathways to the Stars: - The Pathway to the Stars discussion form was completed today. Ms. Rushing stated the facility planned to participate in Pathway 3 by achieving NAC accreditation. I will follow-up with Ms. Rushing during the annual compliance visit. - Infants should be placed in their crib after falling asleep. Safe sleep checks should still be documented for infants who are asleep in a teacher’s arms if they are sleeping longer than 15 minutes before being placed in the crib. - I recommend writing medication, medication permission, and medical action plan expiration dates on the outside of the Ziploc bag where items are stored. Teachers can see at a glance when medication should be sent home and when new forms should be collected. - The facility email was reviewed and changed in Regulatory today. - I offered an administrator technical assistance visit if Ms. Rushing would like help with staff and/or child files and program record keeping. - All new hires must have medical and TB information less than 12 months old from hire date. - New hire health and safety trainings must be less than 12 months old from hire date as well. 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 or you may contact Michele Sullivan, Licensing Supervisor, at michele.sullivan@dhhs.nc.gov or 704-594-0147. 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/12/2026 Number Present: 74 Completed Date: 2/12/2026 Age: From 0 To 5 Total Minutes: 322 Time In: 10:18 AM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Five Star Rated License issued January 17, 2020a. The facility had an eighteen month compliance history of 87% prior to today’s visit. The following was monitored using the April 2025 Master Center Item Number Listing: supervision, staff/child ratios, CBC qualification, CPR, First Aid, special training, ITS-SIDS, emergency medical care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, posted license, and permit restrictions. The license was posted and the restrictions were in compliance. Upon arrival I was greeted by Ms. A. Rushing, Director. I introduced myself and explained the purpose of the visit. Ms. Rushing began employment on 10/3/25. Ms. Rushing and Ms. J. Woods, Assistant Director, accompanied me on the walk through. In Space 1 for infant care I observed two (1) children sitting in feeding chairs eating lunch. The lunch was table food provided by the center. One (1) child was under 15 months of age. I reviewed his feeding plan and table food was not listed on the plan. The feeding plan was not updated. The second child did not have a feeding plan posted in the room. It was Ms. Rushing stated he was moved from Space 3 today. I recommended posting feeding plans in each classroom where children under 15 months can receive care to ensure the required information is available for teachers if children are moved. Both children had individual cribs. Safe sleep checks were documented. Toddlers were observed sitting at the table eating lunch. Lunch met nutrition requirements and reflected what was posted on the menu. The teacher was observed sitting with children as they ate. Preschool children were observed on the playground as well as eating lunch in their classrooms. Adequate supervision was observed and staff/child ratio requirements were maintained. Teachers were engaged with children and provided a nurturing environment. Playgrounds were monitored. I observed exposed nails on a fence board that was pulled away from the foundation. Adequate amounts of mulch were observed under climbing equipment. Emergency medications were monitored. Arrival and departure times were documented as required. Transitions were noted on the head count sheets. Fire and emergency drills were completed and documented as required. The last sanitation inspection was conducted on 12/2/25 and received a superior rating. The last fire inspection was conducted on 10/9/25 and was due by 8/6/25. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was due 8/6/25. The inspection was completed on 10/9/25. 10A NCAC 09 .0304(a) 542 The written feeding plan was not modified as the child's needs changed. One (1) child under 15 months of age was observed eating table food provided by the center. The posted feeding schedule was not updated to indicate the child could be served table food. 10 NCAC 09 .0902(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in Spaces 2 - 11 were observed with peeling paint and chipped drywall. 15A NCAC 18A .2825(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Exposed nails were observed on a fence board that was pulled away from the foundation on the preschool playground. .0604(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. Caulk, spray paint, and a gallon of paint were observed in Space 3. Space 3 was not currently being used to care for children however the room was unlocked and accessible to children. A gallon of paint was observed on the floor outside of the directors office in the foyer. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child's emergency medication in Space 8 was expired and a replacement medication was not provided. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee hired 12/1/25 had a medical statement dated 5/27/24. 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) employee hired 12/1/25 had a TB test result dated 10/30/24. .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. One (1) employee hired 8/21/25 did not have emergency information on file. .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. An employee hired 9/17/25 did not complete First Aid training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. An employee hired 9/17/25 did not complete CPR training within 90 days of employment. .1102(d) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. There was no documentation of EPR training at orientation for an employee hired 8/21/25. .0607(f) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One (1) child's medication permission expired on 1/14/26. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 Thursday, February 26, 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 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: Pathways to the Stars: - The Pathway to the Stars discussion form was completed today. Ms. Rushing stated the facility planned to participate in Pathway 3 by achieving NAC accreditation. I will follow-up with Ms. Rushing during the annual compliance visit. - Infants should be placed in their crib after falling asleep. Safe sleep checks should still be documented for infants who are asleep in a teacher’s arms if they are sleeping longer than 15 minutes before being placed in the crib. - I recommend writing medication, medication permission, and medical action plan expiration dates on the outside of the Ziploc bag where items are stored. Teachers can see at a glance when medication should be sent home and when new forms should be collected. - The facility email was reviewed and changed in Regulatory today. - I offered an administrator technical assistance visit if Ms. Rushing would like help with staff and/or child files and program record keeping. - All new hires must have medical and TB information less than 12 months old from hire date. - New hire health and safety trainings must be less than 12 months old from hire date as well. 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 or you may contact Michele Sullivan, Licensing Supervisor, at michele.sullivan@dhhs.nc.gov or 704-594-0147. 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/15/2025 Number Present: 84 Completed Date: 7/15/2025 Age: From 0 To 7 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 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 Five Star Permit issued January 17, 2020. The program earned 7 points in the education component, 6 points in the program standards component, and 1 quality point for offering a staff benefits package and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 82% prior to today’s visit. The April 2025 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Amy Italiano, lead consultant, accompanied me today. Upon arrival we were greeted by Ms. M. Fuente, Director, and Ms. T. Munson, Assistant Director, and I explained the purpose of the visit. Ms. T. Munson began the walkthrough with me and Ms. Fuente joined us in Space 2. In Space 2 for infant care I observed safe sleep checks maintained as required and completed for this week. One (1) child present on 7/8/25 did not have documentation of safe sleep checks. The child’s parent was also the teacher and present that day. I reminded Ms. Fuente and Ms. Munson that all children under 12 months of age were required to have safe sleep checks documented even if they are present with their parent. Feeding schedules were posted and signed. Bottles were dated and labeled. and maintained as required. Bottles were dated and labeled. One (1) child had a sippy cup in the refrigerator filled with 7 oz of apple juice. The teacher stated the child recently turned 1 year of age and the parent had begun sending juice. The juice was not given to the child today. I observed laundry baskets stored in the evacuation crib. I explained that nothing should be stored in cribs and that the evacuation cribs should always be available to use quickly in an emergency. All children had assigned cribs. Toddlers, preschool and school aged children were observed participating in free play activities indoors and on the playground. Teachers were engaged with children as they played. Evidence of the curriculum being implemented was observed. Activity plans were posted and current. Spaces 3, 4 and 5 needed additional materials added to centers. Ms. Fuente stated materials were delivered and being unpacked. I observed boxes of materials in her office. All outdoor learning environments were monitored. The preschool/school aged playground did not have six (6) inches of mulch underneath climbing portions of the equipment. The entire playground was covered with mulch. The facility did not provide transportation. The posted emergency medical care plan (EMC) was current and at least one (1) of the individuals listed on the plan was present. Emergency medications were monitored. One (1) child required medication to be refrigerated. The medication was stored in a Ziploc bag in Ms. Fuente’s office refrigerator. The office was not locked. A tube of hydrocortisone was stored on a shelf above five feet in the restroom in Space 6. The medication was moved to a locked closet. Medication permissions and medical action plans were current. A sampling of children’s files was monitored. A sampling of veteran staff files and ten (10) new staff files were monitored. The staff and training worksheet was completed by Ms. Fuente. The EPR plan was reviewed in the Risk Management portal by the previous director on 8/14/24. Ms. Fuente should remove the previous director’s information and add her information when the plan is reviewed again. The plan should be reviewed and updated on or before 8/14/25. Fire and emergency drills were completed and documented as required. Playground inspections were completed. The last sanitation inspection was completed on 6/2/25 and received a superior rating. The last fire inspection was completed on 8/6/24. The ABCMS facility roster was reviewed today and had not been completed. Information regarding the ABCMS facility roster was provided during the routine unannounced visit conducted 2/26/25. The Secretary of State website was reviewed today and Cadence Education, LLC, owner of the facility, was listed current-active. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in classrooms throughout the building were observed chipped and in poor repair. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. Emergency medication was not taken outdoors with a child in Space 3. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Refrigerated medication was not stored behind lock and key. The medication was stored in the director's unlocked office. A tube of hydrocortisone was stored on a shelf above five feet in the restroom in Space 6. 15A NCAC 18A .2820(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The center employee roster had not been created in the ABCMS portal. G.S. 110-90.2 & .2703(r) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch underneath the climbing structure on the preschool/school-aged playground was less than 6 inches deep. .0605(k)(1-4) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. be received by me on or before Thursday, July 23, 2025 to the email address listed below. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance/General Comments: Star Rated License Reassessment Update: Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Current “Frequently Asked Questions” can be found at the bottom of the information page. – QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. The following was discussed: - New staff should submit all official transcripts to WORKS for evaluation in preparation for the new QRIS assessments expected to roll out this summer. - I recommend reaching out the CCRI for information regarding the Quality Every Day initiative to assist with preparing for assessments. - Medication is required to be stored behind lock and key. A medication box or tool box that can be locked should be used to store the refrigerated medication. I recommend putting the locked medication box in the kitchen refrigerator on the bottom shelf so it is not stored above food. Staff should be trained on where the medication was moved. - I recommend moving mulch from areas on the playground that do not have climbing structures to areas where 6 inches of mulch is required. Playgrounds should be checked daily and mulch added prior to children going outdoors. - I reminded Ms. Fuente to audit books in all classrooms and remove any that were in poor condition. I recommend taking puzzle pieces from puzzles that are missing pieces and add them to the art center for stencils or stamps rather than throw the pieces away. - Children of all ages are allowed 6 oz of 100% juice/day. - Staff should only drink or eat food in the classroom that meets child care nutrition standards. Any food that is not provided by the facility should be consumed in areas where children are not in care. Thank you for your time today. Please contact me with questions and concerns at jennifer.stansfield@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/15/2025 Number Present: 84 Completed Date: 7/15/2025 Age: From 0 To 7 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 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 Five Star Permit issued January 17, 2020. The program earned 7 points in the education component, 6 points in the program standards component, and 1 quality point for offering a staff benefits package and an infrastructure of parent involvement. The facility had an eighteen (18) month compliance history score of 82% prior to today’s visit. The April 2025 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Amy Italiano, lead consultant, accompanied me today. Upon arrival we were greeted by Ms. M. Fuente, Director, and Ms. T. Munson, Assistant Director, and I explained the purpose of the visit. Ms. T. Munson began the walkthrough with me and Ms. Fuente joined us in Space 2. In Space 2 for infant care I observed safe sleep checks maintained as required and completed for this week. One (1) child present on 7/8/25 did not have documentation of safe sleep checks. The child’s parent was also the teacher and present that day. I reminded Ms. Fuente and Ms. Munson that all children under 12 months of age were required to have safe sleep checks documented even if they are present with their parent. Feeding schedules were posted and signed. Bottles were dated and labeled. and maintained as required. Bottles were dated and labeled. One (1) child had a sippy cup in the refrigerator filled with 7 oz of apple juice. The teacher stated the child recently turned 1 year of age and the parent had begun sending juice. The juice was not given to the child today. I observed laundry baskets stored in the evacuation crib. I explained that nothing should be stored in cribs and that the evacuation cribs should always be available to use quickly in an emergency. All children had assigned cribs. Toddlers, preschool and school aged children were observed participating in free play activities indoors and on the playground. Teachers were engaged with children as they played. Evidence of the curriculum being implemented was observed. Activity plans were posted and current. Spaces 3, 4 and 5 needed additional materials added to centers. Ms. Fuente stated materials were delivered and being unpacked. I observed boxes of materials in her office. All outdoor learning environments were monitored. The preschool/school aged playground did not have six (6) inches of mulch underneath climbing portions of the equipment. The entire playground was covered with mulch. The facility did not provide transportation. The posted emergency medical care plan (EMC) was current and at least one (1) of the individuals listed on the plan was present. Emergency medications were monitored. One (1) child required medication to be refrigerated. The medication was stored in a Ziploc bag in Ms. Fuente’s office refrigerator. The office was not locked. A tube of hydrocortisone was stored on a shelf above five feet in the restroom in Space 6. The medication was moved to a locked closet. Medication permissions and medical action plans were current. A sampling of children’s files was monitored. A sampling of veteran staff files and ten (10) new staff files were monitored. The staff and training worksheet was completed by Ms. Fuente. The EPR plan was reviewed in the Risk Management portal by the previous director on 8/14/24. Ms. Fuente should remove the previous director’s information and add her information when the plan is reviewed again. The plan should be reviewed and updated on or before 8/14/25. Fire and emergency drills were completed and documented as required. Playground inspections were completed. The last sanitation inspection was completed on 6/2/25 and received a superior rating. The last fire inspection was completed on 8/6/24. The ABCMS facility roster was reviewed today and had not been completed. Information regarding the ABCMS facility roster was provided during the routine unannounced visit conducted 2/26/25. The Secretary of State website was reviewed today and Cadence Education, LLC, owner of the facility, was listed current-active. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in classrooms throughout the building were observed chipped and in poor repair. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. Emergency medication was not taken outdoors with a child in Space 3. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Refrigerated medication was not stored behind lock and key. The medication was stored in the director's unlocked office. A tube of hydrocortisone was stored on a shelf above five feet in the restroom in Space 6. 15A NCAC 18A .2820(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The center employee roster had not been created in the ABCMS portal. G.S. 110-90.2 & .2703(r) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch underneath the climbing structure on the preschool/school-aged playground was less than 6 inches deep. .0605(k)(1-4) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. be received by me on or before Thursday, July 23, 2025 to the email address listed below. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance/General Comments: Star Rated License Reassessment Update: Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Current “Frequently Asked Questions” can be found at the bottom of the information page. – QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. The following was discussed: - New staff should submit all official transcripts to WORKS for evaluation in preparation for the new QRIS assessments expected to roll out this summer. - I recommend reaching out the CCRI for information regarding the Quality Every Day initiative to assist with preparing for assessments. - Medication is required to be stored behind lock and key. A medication box or tool box that can be locked should be used to store the refrigerated medication. I recommend putting the locked medication box in the kitchen refrigerator on the bottom shelf so it is not stored above food. Staff should be trained on where the medication was moved. - I recommend moving mulch from areas on the playground that do not have climbing structures to areas where 6 inches of mulch is required. Playgrounds should be checked daily and mulch added prior to children going outdoors. - I reminded Ms. Fuente to audit books in all classrooms and remove any that were in poor condition. I recommend taking puzzle pieces from puzzles that are missing pieces and add them to the art center for stencils or stamps rather than throw the pieces away. - Children of all ages are allowed 6 oz of 100% juice/day. - Staff should only drink or eat food in the classroom that meets child care nutrition standards. Any food that is not provided by the facility should be consumed in areas where children are not in care. Thank you for your time today. Please contact me with questions and concerns at jennifer.stansfield@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 109 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 200 Time In: 09:50 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Five Star Rated License issued January 17, 2020 and earned 7 points in the staff education component, 6 points in the program component meeting enhanced ratio requirements, and 1 point in the quality component for having approved enhanced policies, a staff benefits package, and an infrastructure of parent involvement. The facility had an eighteen month compliance history of 87% prior to today’s visit. The following was monitored using the November 2024 Master Center Item Number Listing: supervision, staff/child ratios, CBC qualification, CPR, First Aid, special training, ITS-SIDS, emergency medical care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, posted license, and permit restrictions. The license was posted and the restrictions were in compliance. Upon arrival I was allowed entry by a parent. A sign was posted on the director’s door stating she was in Space 2. I signed in at the front desk and walked unaccompanied to Space 2 where I met Ms. Miranda Henderson, Director, and explained the purpose of the visit. Ms. Henderson stated she would be with me shortly. I observed three (3) therapists working independently with children in the space outside of the kitchen. I verified during the visit each had current CBC qualifying letters on file. I walked back to the foyer and waited for Ms. Henderson. After several minutes waiting I began to walk unaccompanied to each classroom window. I walked back to Space 2 and was unable to find Ms. Henderson. The teacher who was present was a Meck Pre-K teacher who was asked to cover the classroom until a floater was able to come to the space. I verified she had SIDS training as the children present in Space 2 were under 12 months of age. I left Space 2 and walked to the foyer and began the walk through unaccompanied to obtain numbers. Ms. Henderson met me in the large open space after I monitored Spaces 1 and 2 and she explained that the center was short staffed today. She stated seven (7) teachers were not present. Five (5) teachers called out sick and two (2) teachers were already scheduled to absent. She stated she spent the morning figuring out how to maintain ratio with the staff present. She stated Meck Pre-K had an early release day and that she cancelled wrap around care due to being short staffed. Ms. Henderson accompanied me on the walk through of Space 5 – 11. Spaces 5 -10 were observed on the playgrounds. Adequate supervision was observed and staff/child ratio was maintained. Children in Space 11 were observed participating in a large group teacher directed table activity. Playgrounds were observed meeting compliance. I observed three (3) five-gallon paint buckets sitting outside the door of the staff lounge area. The lounge area was open and accessible to children. The door to the outdoors was unlocked. Ms. Henderson stated children did not use the play area. I explained the paint was still accessible to children and should be removed. I spent time in Space 1 for infant care. The teacher was engaged with infants and provided individualized care. Safe sleep checks were completed as required. Feeding schedules were posted and completed as required. Two (2) infants from Space 2 were being cared for in Space 1 today. Both had a crib available. The teacher asked if she could label the cribs with tape and indicate they could roll over on the tape since the children were not assigned to the classroom. I stated that would meet requirements. In Space 3 for toddlers I observed children eating lunch at the table. Lunch reflected what was listed on the menu. A sound machine was playing when I walked into the room. The volume was very loud and I had to repeat questions to the teacher. I asked her to turn down the sound machine and explained the volume should not be at a level that made it difficult to hear a child if they were in distress. One (1) sound machine was present in the space. I monitored bottles and observed two (2) bottles were dated with yesterday’s date. The teacher stated the bottles were brought today and that parents were responsible for labeling and dating bottles. I recommended double checking bottles each morning to ensure correct labeling. In Space 4 for two year olds I observed children finishing lunch, being diapered and preparing for rest. Cots were already placed on the floor. One (1) child fell asleep early and was sleeping in the cozy area. The teacher placed her on her cot. The cot was placed behind the table and chairs where children were still eating. The teacher stated the child typically fell asleep early. I recommended placing her cot at the far end of the room away from tables so she would not be interrupted while sleeping by children finishing lunch. In Space 5 preschool aged children were observed finishing lunch and preparing for nap. Cots were placed on the floor and children were observed playing and jumping on carpet. I recommended placing cots down while children ate lunch so as they finished eating they could take care of personal care needs and go directly to their cots for rest. Two (2) new staff files were reviewed. One (1) began employment on 2/11/25. The first 2 weeks of orientation documentation was not in the file. Ms. Henderson stated she was working on orientation and had discussed several topics with the new staff but had not documented it on the form. I explained going forward the orientation form should be completed as orientation occurred with the dates and length of time she spent on each topic. The last sanitation inspection was conducted on 12/12/24 and received an approved rating. The last fire inspection was conducted on 8/6/24. The Secretary of State website was reviewed today and Cadence Education, LLC was listed current-active. Violation Number Comment Rule 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. Two (2) bottles in Space 3 were incorrectly dated. The bottles were dated 2/25/25. 15A NCAC 18A .2804(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. Three (3) five-gallon paint buckets were stored outside on a small play area accessible to children. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. An employee hired 2/11/25 did not have a completed health questionnaire on file. .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. An employee hired 2/11/25 did not have emergency information on file for review. .0701(a) 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, March 12, 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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: Star Rated License Reassessment Update: SB 425 extended hold harmless until the new Quality Rating Improvement System (QRIS) is revised and implemented. Facilities are not required to proceed with the rated license assessment at this time unless they voluntarily choose to proceed. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Current “Frequently Asked Questions” can be found at the bottom of the information page. – QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Criminal Background Portal/ABCMS: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. 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. 110-90 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0125-143L Visit Date: 1/21/2025 Number Present: 121 Completed Date: 1/21/2025 Age: From 0 To 5 Total Minutes: 234 Time In: 09:56 AM Time Out: 01:50 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. The allegations are as follows: 1. There are concerns that inappropriate discipline is used. 2. Appropriate diaper changing techniques and/or routines are not followed. 3. Appropriate ratios are not maintained. 4. Children are not treated in a nurturing and caring manner. Supervision, adequate and approved space, new staff requirements, posted license and license restrictions were monitored in addition to the concerns outlined in the complaint. Upon arrival I was greeted by Ms. Miranda Henderson, Director, and I explained the purpose of the visit. Ms. Henderson accompanied me on the walk through. I interviewed four (4) employees, head count sheets were reviewed during the walk through and for the week of 1/15/25 – 1/17/25. I requested to view naptime video footage for Space 3 as the concern was related to nurture and care during rest time. I also requested to observe diaper changing procedures in all classrooms where children wore diapers. During the walk through I observed three (3) therapists working independently with children in Space 12 (activity area). One (1) of the therapist’s supervisors accompanied her today as well. Ms. Lawonda Combo, Mecklenburg County Child Care Health Consultant, was onsite today offering technical assistance with handwashing and diaper changing procedures. Ms. Henderson stated she requested the technical assistance visit after the last sanitation inspection on 12/12/24. The following was determined based on interviews and observations: 1. The concern that inappropriate discipline is used was unsubstantiated. During the walk through I did not observe staff disciplining children. Staff were observed engaged with children and redirecting behaviors by modeling and speaking directly to children. Staff stated they did not observe inappropriate discipline being used and were unaware of inappropriate discipline being used by staff. 2. The concern that appropriate diaper changing techniques and/or routines are not followed was unsubstantiated. I observed three (3) diaper changes in three (3) separate classrooms, and each followed the posted procedures. I also checked the sanitizer and disinfectant solutions. Each met requirements. 3. The concern that appropriate ratios are not maintained was unsubstantiated. All classrooms met ratio requirements during the walk through and the reviewed head count sheets from three opening classrooms met requirements today as well. Head count sheets from 1/15/25 – 1/17/25 were observed meeting requirements. 5. The concern that children are not treated in a nurturing and caring manner was unsubstantiated. I observed staff treating children appropriately and meeting individual needs during the walk through. Ms. Henderson stated she had access to video footage from last week but would have to request footage from further back from corporate. Ms. Henderson informed me that her regional director stated footage was not kept longer than seven days. Ms. Henderson tried to pull up footage from 1/15/25 and we were unable to view anything. I was able to view naptime footage from 1/16/25 and 1/17/25. I observed children sleeping on cots and staff sitting on the floor near children and walking around the space periodically checking on children. Staff were observed providing a nurturing environment. During staff interviews I was informed that when children were placed down for rest or when they woke up staff would pat and rub their backs to help them fall back asleep. They stated they sometimes rubbed a child’s head or gently caressed a child’s face to soothe them back to sleep. Staff indicated they did not observe another staff member treat a child in a unnurturing or uncaring manner. I reviewed one (1) new employee file and therapist CBC qualification letters. One (1) therapist and her supervisor did not have a CBC qualification completed. I discussed the requirement with both individuals, T. Harris and R. DeLoache. Ms. Harris stated she knew how to obtain a qualifying letter from the DCDEE and would work towards getting her qualification. I explained to the therapists and administrators that they could not work independently with children until the letter was received. The new staff member began employment on 1/15/25 and had the required paperwork on file. Two (2) violations were cited today regarding Criminal Background requirements. Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. Two (2) therapists, T. Harris and R. DeLoache, did not complete a Criminal Background Check through the DCDEE's ABCMS system. Each was observed working independently with a child. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Two (2) therapists who observed working independently with a child did not have a CBC qualification letter on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 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, February 4, 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 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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. Technical Assistance/General Comments: - I recommended looking at classes/trainings at CCRI for staff who were new to child care. Ms. Henderson stated the facility was participating in SIDS training next week. She stated she would reach out the instructor and request additional training regarding rest time in classrooms with children older than 12 months of age. Thank you for your time today. Please contact me with any questions 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0125-143L Visit Date: 1/21/2025 Number Present: 121 Completed Date: 1/21/2025 Age: From 0 To 5 Total Minutes: 234 Time In: 09:56 AM Time Out: 01:50 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. The allegations are as follows: 1. There are concerns that inappropriate discipline is used. 2. Appropriate diaper changing techniques and/or routines are not followed. 3. Appropriate ratios are not maintained. 4. Children are not treated in a nurturing and caring manner. Supervision, adequate and approved space, new staff requirements, posted license and license restrictions were monitored in addition to the concerns outlined in the complaint. Upon arrival I was greeted by Ms. Miranda Henderson, Director, and I explained the purpose of the visit. Ms. Henderson accompanied me on the walk through. I interviewed four (4) employees, head count sheets were reviewed during the walk through and for the week of 1/15/25 – 1/17/25. I requested to view naptime video footage for Space 3 as the concern was related to nurture and care during rest time. I also requested to observe diaper changing procedures in all classrooms where children wore diapers. During the walk through I observed three (3) therapists working independently with children in Space 12 (activity area). One (1) of the therapist’s supervisors accompanied her today as well. Ms. Lawonda Combo, Mecklenburg County Child Care Health Consultant, was onsite today offering technical assistance with handwashing and diaper changing procedures. Ms. Henderson stated she requested the technical assistance visit after the last sanitation inspection on 12/12/24. The following was determined based on interviews and observations: 1. The concern that inappropriate discipline is used was unsubstantiated. During the walk through I did not observe staff disciplining children. Staff were observed engaged with children and redirecting behaviors by modeling and speaking directly to children. Staff stated they did not observe inappropriate discipline being used and were unaware of inappropriate discipline being used by staff. 2. The concern that appropriate diaper changing techniques and/or routines are not followed was unsubstantiated. I observed three (3) diaper changes in three (3) separate classrooms, and each followed the posted procedures. I also checked the sanitizer and disinfectant solutions. Each met requirements. 3. The concern that appropriate ratios are not maintained was unsubstantiated. All classrooms met ratio requirements during the walk through and the reviewed head count sheets from three opening classrooms met requirements today as well. Head count sheets from 1/15/25 – 1/17/25 were observed meeting requirements. 5. The concern that children are not treated in a nurturing and caring manner was unsubstantiated. I observed staff treating children appropriately and meeting individual needs during the walk through. Ms. Henderson stated she had access to video footage from last week but would have to request footage from further back from corporate. Ms. Henderson informed me that her regional director stated footage was not kept longer than seven days. Ms. Henderson tried to pull up footage from 1/15/25 and we were unable to view anything. I was able to view naptime footage from 1/16/25 and 1/17/25. I observed children sleeping on cots and staff sitting on the floor near children and walking around the space periodically checking on children. Staff were observed providing a nurturing environment. During staff interviews I was informed that when children were placed down for rest or when they woke up staff would pat and rub their backs to help them fall back asleep. They stated they sometimes rubbed a child’s head or gently caressed a child’s face to soothe them back to sleep. Staff indicated they did not observe another staff member treat a child in a unnurturing or uncaring manner. I reviewed one (1) new employee file and therapist CBC qualification letters. One (1) therapist and her supervisor did not have a CBC qualification completed. I discussed the requirement with both individuals, T. Harris and R. DeLoache. Ms. Harris stated she knew how to obtain a qualifying letter from the DCDEE and would work towards getting her qualification. I explained to the therapists and administrators that they could not work independently with children until the letter was received. The new staff member began employment on 1/15/25 and had the required paperwork on file. Two (2) violations were cited today regarding Criminal Background requirements. Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. Two (2) therapists, T. Harris and R. DeLoache, did not complete a Criminal Background Check through the DCDEE's ABCMS system. Each was observed working independently with a child. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Two (2) therapists who observed working independently with a child did not have a CBC qualification letter on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 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, February 4, 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 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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. Technical Assistance/General Comments: - I recommended looking at classes/trainings at CCRI for staff who were new to child care. Ms. Henderson stated the facility was participating in SIDS training next week. She stated she would reach out the instructor and request additional training regarding rest time in classrooms with children older than 12 months of age. Thank you for your time today. Please contact me with any questions 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 1224-020L Visit Date: 12/6/2024 Number Present: 101 Completed Date: 12/6/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 10:05 AM Time Out: 01:15 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. The allegation is as follows: There is a concern that children are not adequately supervised. (injury incidents) Staff/child ratio, supervision, adequate and approved space, new staff requirements, posted license and license restrictions were monitored. Upon arrival I was greeted by Ms. Miranda Henderson, Director, and I explained the purpose of the visit. Ms. Henderson stated she began her role as director in October 2024. I requested the Administrator Preservice form today. I discussed the supervision concerns related to injury incidents with Ms. Henderson specifically related to the toddler classrooms. Ms. Henderson stated that the older toddler classroom did have incidents related to biting and scratching. Ms. Henderson stated parents were called or messaged by staff or administration regarding incidents in the classroom prior to parents picking up for the day. She stated if a child received a head injury the parent was called immediately. I reviewed the incident log and observed incidents logged and incident reports completed and signed for children in Space 4 related to biting incidents, scratches, and falls. I observed two incident reports on the same day for biting and one (1) week in November I observed four (4) incident reports related to biting. I requested to view the family handbook. The handbook contained information regarding support plans, suspensions, and termination of enrollment specific to disruptive behaviors that created safety concerns for others. Ms. Henderson stated administration and staff had discussions with families and provided strategies for biting prevention in Space 4. Ms. Henderson stated all children had current immunizations. She stated that there had not been an incident when a child’s skin was broken due to a bite or scratch. I interviewed three (3) staff today and observed in two (2) toddler classrooms. Ms. Henderson accompanied me to Space 4. I observed two (2) teachers present with ten (10) toddlers. One (1) teacher was observed changing a diaper and the other teacher was observed reading aloud to children. After the story children were observed playing at different centers. Active supervision was observed and teachers promptly intervened when they observed children becoming frustrated with other children. Teachers were following the posted schedule and I observed evidence the posted activity plan was implemented today. Teachers in Space 3 for toddler care were observed engaged with children singing and dancing as well as sitting on the floor participating in play with children. Based on observations and interviews the concern that children are not adequately supervised (injury incidents) was unsubstantiated. The facility was actively working on strategies with children and families regarding appropriate use of hands and biting prevention per the family handbook. The facility completed incident reports and logged incidents accordingly. Additional observations unrelated to the allegation: On 11/26/24 Ms. Henderson emailed information regarding an incident that occurred on the playground that resulted in a child receiving medical attention. The child fell off the slide resulting in an injury. An incident report was not attached to the email. I explained that anytime a child received medical attention from an incident that occurred at the facility, the completed/signed incident report was required to be sent to the consultant within seven (7) calendar days. Ms. Henderson provided the report today. We discussed the injury and Ms. Henderson stated she coached the teachers in Space 8, Meck Pre-K, on transitions to the playground. Ms. Henderson accompanied me to Space 8 where I observed children transitioning to outdoor play. The depth of mulch underneath the slide met requirements. I measured mulch underneath other fall zones and the depth measured less than 6 inches. Ms. Henderson stated a ticket had been placed for more mulch in October but it had not been delivered. I recommended raking mulch from other areas to underneath fall zones. When walking back inside I observed a teachers bookbag sitting on a picnic table. There was an Epi pen stored inside the bag. Ms. Henderson asked the teacher to wear the bookbag when on the playground to keep medicine out of reach of children. I reviewed five (5) new staff files today. Four (4) violations were cited today unrelated to the concern. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A child's Epi pen was stored inside a teacher's bookbag and observed placed on a picnic table accessible to children on the preschool playground. 15A NCAC 18A .2820(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch underneath a climbing structure on the preschool playground measured under 6 inches. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Tow (2) new teachers hired 11/25/24 did not have signed receipt of the center's shaken baby and abusive head trauma policy on file for review. .0608(d)(1-4) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident occured on 11/25/24 that required medical attention. The incident report was not received by the consultant within 7 calendars of the incident. .0802(f) 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 Friday, December 20, 2024, 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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. Technical Assistance/General Comments: I recommend looking at the room arrangement in Space 4 to prevent climbing and running. I recommended looking for infant/toddler trainings at CCRI once the winter training calendar was released to assist toddler teachers with challenging age appropriate behaviors. Thank you for your time today. Please contact me with any questions 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/31/2024 Number Present: 77 Completed Date: 7/31/2024 Age: From 0 To 8 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 Five Star Rated License issued on January 17, 2020, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 80% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Ms. Deanna Matthews, Licensing Consultant, accompanied me today. Upon arrival we were greeted by Ms. Bridgett Clark, Director, and I explained the purpose of the visit. Ms. Clark accompanied me on the walkthrough. It was reported there were seventy-eight (78) children enrolled. Ms. Matthews reviewed ten (10) files and verified each child had a file available for review. Infants were observed in the Bye-Bye Buggy taking a walk when we arrived. Space 1 for infant care was observed organized and materials were in good repair. Each infant had an individual crib and each crib was labeled. A child’s diaper bag was observed sitting on a low shelf. I observed travel sized Scope inside the bag with warnings to “Keep out of Reach of Children.” The bag was moved and stored behind lock and key. Bottles were dated and labeled as required. Feeding schedules were posted. Safe sleep checks were completed and maintained as required. Diaper creams were stored above five (5) feet and each cream had a current permission form. Toddlers were observed coming inside from water play activities. Teachers were observed assisting children change clothes and diapers. Teachers provided a nurturing environment. Space 2 and 3 had infant feeding schedules posted for each child under 15 months of age. Tubes of Aquafor and Vaseline were observed stored on a shelf above five (5) feet. We discussed that all petroleum based products should be stored behind lock and key. A tube of prescription Nystatin was observed stored with diaper creams. I explained prescription medications should be stored behind lock and key. Children in other classrooms were observed participating in free choice and large group activities. Walls in classrooms throughout the building were observed with chipped paint. Ms. Clark stated a ticket had been placed for painting throughout the building. Ceilings in Spaces 8 and 9 were stained and require painting. Books in Spaces 7 & 9 were observed in poor repair and should be replaced. Ms. Clark stated she joined a program that provided free books and she was placing an order this week. Staff were observed providing a nurturing environment. Adequate supervision was observed, and staff/child ratio was maintained. Activity plans were posted and current. Arrival and departure times were documented as required. Playgrounds were monitored. I observed plastic kiddie pools filled with water on the toddler and preschool playground. Children had participated in water play activities prior to monitoring. Ms. Clark stated the pools were not meant for water play but for an indoor activity that occurred the prior week. She removed the pools today. Emergency medications were monitored. All required documents were current and available for review. Each medication was stored properly. The facility did not provide transportation. The posted menu reflected what was served. Fifteen (15) new staff files were reviewed and two (2) veteran files were monitored. The EPR plan was reviewed and updated in the Risk Management portal on 8/10/23. The facility used approved Ascend Curriculum (Creative Curriculum). The sanitation inspection was completed 5/30/24 and received an “Approved” classification. The last fire inspection was completed 8/28/23. The facility is operated by Cadence Education, LLC and was Current-Active with the NC Secretary of State. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in classrooms throughout the building were chipped and require repainting. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Books were in poor repair in space 7 and in space 9. .0601(d) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning units in garden area were enclosed in a fence, and the gate was unlocked; air conditioning units were accessible to children. .0604 (m) 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. Two (2) opened bags of soil containing fertilizer were stored inside the fence where air conditioners were located and the gate was not locked. Wallflower liquid plug-in air freshener was stored in an unlocked cabinet. A child's diaper bag was stored on a low shelf in Space 1. There were travel sized bottles of Scope inside the bag. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of prescription Nystatin was observed stored with diaper creams on an unlocked opened shelf above five (5) feet. 15A NCAC 18A .2820(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in Space 2. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Ten (10) new staff did not have the health questionnaire completed before the first day of employment. .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. There were ten (10) new staff that did not have completed Emergency Information form on file on or before the first day of employment. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation documentation for two (2) new staff did not list dates orientation was received; the forms were incomplete. .1101(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child (W.H.), record did not include medical and immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child (W.H.) did not have a medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child (W.H.) signed discipline policy did not include the enrollment date. .1804(c) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (C.D.), file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. There were accessible wading pools on the toddler playground and on the preschool playground. .1403(b)(1-5) 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, August 14, 2024, 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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. Technical Assistance/General Comments: - Continue to check emails from DCDEE for updates. - Fire inspection reports should be emailed to the consultant within 7 days of the inspection. I recommend reaching out the fire inspector now to schedule the annual inspection. - Staff medical forms should include information regarding staff’s ability to work with children. It is recommended to use the medical form on the DCDEE website as it includes all of the required information. Patient portal reports often do not include this information therefore do not meet requirements. - Staff medical information must be maintained in a separate file. It is good practice to immediately create a medical file as new employees are hired. - Complete puzzles should be accessible to children. Pieces should not be mixed together and stored in a container next to puzzle boards. - I recommend removing glass shelves in the mini classroom refrigerators and clean with soapy water. The following Technical Assistance (TA) was provided: -All walls and ceilings including doors and windows must be kept clean, free of visible fungal growth, and in good repair. Refer to Sanitation Rule 15A NCAC18 .2825(a). -Books and equipment must be in good repair, including books and materials. Refer to Child Care Rule 10A NCAC 09 . 0601(d). -Air conditioning units must be inaccessible to children. Refer to Child Care Rule 10A NCAC 09 .0604(m). -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 must be stored in a locked room or cabinet. Refer to Child Care Rule .2820(b). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work. Refer to Child Care Rule 10A NCAC 09 .0701(a). -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child. Refer to Child Care Rules 10A NCAC 09 .0302(d)(2) and .0304(g); Refer to G.S. 110-91(1). -A child's medical exam or health assessment record must be on file before or within 30 days after admission. Refer to G.S. 110-91(1). -A signed and dated statement by parent that discipline policy received and explained at enrollment must be in child's file; must include the child's name and date of enrollment. Refer to Child Care Rule 10A NCAC 09 .1802(c). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information. Refer to Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Aquatic activities involving the following are prohibited: hot tubs, spas, saunas or steam rooms, portable wading pools, and natural bodies of water and other unfiltered, nondisinfected containments of water. Refer to Child Care Rule 10A NCAC 09 .1403(b)(1-5). -Criminal Qualifying letters must be completed every five (5) years. A teacher (D.B.) must have a current criminal qualifying letter when the staff returns for the school year. Staff (D.B.) is on leave for the summer months. Refer to Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b). -Staff must complete the required number of training hours annually. Staff (K.H.) must complete nine (9) training hours by August 8, 2024. Refer to Child Care Rule 10A NCAC 09 . 1103. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/31/2024 Number Present: 77 Completed Date: 7/31/2024 Age: From 0 To 8 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 Five Star Rated License issued on January 17, 2020, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 80% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Ms. Deanna Matthews, Licensing Consultant, accompanied me today. Upon arrival we were greeted by Ms. Bridgett Clark, Director, and I explained the purpose of the visit. Ms. Clark accompanied me on the walkthrough. It was reported there were seventy-eight (78) children enrolled. Ms. Matthews reviewed ten (10) files and verified each child had a file available for review. Infants were observed in the Bye-Bye Buggy taking a walk when we arrived. Space 1 for infant care was observed organized and materials were in good repair. Each infant had an individual crib and each crib was labeled. A child’s diaper bag was observed sitting on a low shelf. I observed travel sized Scope inside the bag with warnings to “Keep out of Reach of Children.” The bag was moved and stored behind lock and key. Bottles were dated and labeled as required. Feeding schedules were posted. Safe sleep checks were completed and maintained as required. Diaper creams were stored above five (5) feet and each cream had a current permission form. Toddlers were observed coming inside from water play activities. Teachers were observed assisting children change clothes and diapers. Teachers provided a nurturing environment. Space 2 and 3 had infant feeding schedules posted for each child under 15 months of age. Tubes of Aquafor and Vaseline were observed stored on a shelf above five (5) feet. We discussed that all petroleum based products should be stored behind lock and key. A tube of prescription Nystatin was observed stored with diaper creams. I explained prescription medications should be stored behind lock and key. Children in other classrooms were observed participating in free choice and large group activities. Walls in classrooms throughout the building were observed with chipped paint. Ms. Clark stated a ticket had been placed for painting throughout the building. Ceilings in Spaces 8 and 9 were stained and require painting. Books in Spaces 7 & 9 were observed in poor repair and should be replaced. Ms. Clark stated she joined a program that provided free books and she was placing an order this week. Staff were observed providing a nurturing environment. Adequate supervision was observed, and staff/child ratio was maintained. Activity plans were posted and current. Arrival and departure times were documented as required. Playgrounds were monitored. I observed plastic kiddie pools filled with water on the toddler and preschool playground. Children had participated in water play activities prior to monitoring. Ms. Clark stated the pools were not meant for water play but for an indoor activity that occurred the prior week. She removed the pools today. Emergency medications were monitored. All required documents were current and available for review. Each medication was stored properly. The facility did not provide transportation. The posted menu reflected what was served. Fifteen (15) new staff files were reviewed and two (2) veteran files were monitored. The EPR plan was reviewed and updated in the Risk Management portal on 8/10/23. The facility used approved Ascend Curriculum (Creative Curriculum). The sanitation inspection was completed 5/30/24 and received an “Approved” classification. The last fire inspection was completed 8/28/23. The facility is operated by Cadence Education, LLC and was Current-Active with the NC Secretary of State. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in classrooms throughout the building were chipped and require repainting. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Books were in poor repair in space 7 and in space 9. .0601(d) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning units in garden area were enclosed in a fence, and the gate was unlocked; air conditioning units were accessible to children. .0604 (m) 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. Two (2) opened bags of soil containing fertilizer were stored inside the fence where air conditioners were located and the gate was not locked. Wallflower liquid plug-in air freshener was stored in an unlocked cabinet. A child's diaper bag was stored on a low shelf in Space 1. There were travel sized bottles of Scope inside the bag. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of prescription Nystatin was observed stored with diaper creams on an unlocked opened shelf above five (5) feet. 15A NCAC 18A .2820(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in Space 2. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Ten (10) new staff did not have the health questionnaire completed before the first day of employment. .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. There were ten (10) new staff that did not have completed Emergency Information form on file on or before the first day of employment. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation documentation for two (2) new staff did not list dates orientation was received; the forms were incomplete. .1101(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child (W.H.), record did not include medical and immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child (W.H.) did not have a medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child (W.H.) signed discipline policy did not include the enrollment date. .1804(c) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (C.D.), file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. There were accessible wading pools on the toddler playground and on the preschool playground. .1403(b)(1-5) 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, August 14, 2024, 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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. Technical Assistance/General Comments: - Continue to check emails from DCDEE for updates. - Fire inspection reports should be emailed to the consultant within 7 days of the inspection. I recommend reaching out the fire inspector now to schedule the annual inspection. - Staff medical forms should include information regarding staff’s ability to work with children. It is recommended to use the medical form on the DCDEE website as it includes all of the required information. Patient portal reports often do not include this information therefore do not meet requirements. - Staff medical information must be maintained in a separate file. It is good practice to immediately create a medical file as new employees are hired. - Complete puzzles should be accessible to children. Pieces should not be mixed together and stored in a container next to puzzle boards. - I recommend removing glass shelves in the mini classroom refrigerators and clean with soapy water. The following Technical Assistance (TA) was provided: -All walls and ceilings including doors and windows must be kept clean, free of visible fungal growth, and in good repair. Refer to Sanitation Rule 15A NCAC18 .2825(a). -Books and equipment must be in good repair, including books and materials. Refer to Child Care Rule 10A NCAC 09 . 0601(d). -Air conditioning units must be inaccessible to children. Refer to Child Care Rule 10A NCAC 09 .0604(m). -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 must be stored in a locked room or cabinet. Refer to Child Care Rule .2820(b). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work. Refer to Child Care Rule 10A NCAC 09 .0701(a). -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child. Refer to Child Care Rules 10A NCAC 09 .0302(d)(2) and .0304(g); Refer to G.S. 110-91(1). -A child's medical exam or health assessment record must be on file before or within 30 days after admission. Refer to G.S. 110-91(1). -A signed and dated statement by parent that discipline policy received and explained at enrollment must be in child's file; must include the child's name and date of enrollment. Refer to Child Care Rule 10A NCAC 09 .1802(c). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information. Refer to Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Aquatic activities involving the following are prohibited: hot tubs, spas, saunas or steam rooms, portable wading pools, and natural bodies of water and other unfiltered, nondisinfected containments of water. Refer to Child Care Rule 10A NCAC 09 .1403(b)(1-5). -Criminal Qualifying letters must be completed every five (5) years. A teacher (D.B.) must have a current criminal qualifying letter when the staff returns for the school year. Staff (D.B.) is on leave for the summer months. Refer to Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b). -Staff must complete the required number of training hours annually. Staff (K.H.) must complete nine (9) training hours by August 8, 2024. Refer to Child Care Rule 10A NCAC 09 . 1103. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. 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 .1802 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/31/2024 Number Present: 77 Completed Date: 7/31/2024 Age: From 0 To 8 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 Five Star Rated License issued on January 17, 2020, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 80% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Ms. Deanna Matthews, Licensing Consultant, accompanied me today. Upon arrival we were greeted by Ms. Bridgett Clark, Director, and I explained the purpose of the visit. Ms. Clark accompanied me on the walkthrough. It was reported there were seventy-eight (78) children enrolled. Ms. Matthews reviewed ten (10) files and verified each child had a file available for review. Infants were observed in the Bye-Bye Buggy taking a walk when we arrived. Space 1 for infant care was observed organized and materials were in good repair. Each infant had an individual crib and each crib was labeled. A child’s diaper bag was observed sitting on a low shelf. I observed travel sized Scope inside the bag with warnings to “Keep out of Reach of Children.” The bag was moved and stored behind lock and key. Bottles were dated and labeled as required. Feeding schedules were posted. Safe sleep checks were completed and maintained as required. Diaper creams were stored above five (5) feet and each cream had a current permission form. Toddlers were observed coming inside from water play activities. Teachers were observed assisting children change clothes and diapers. Teachers provided a nurturing environment. Space 2 and 3 had infant feeding schedules posted for each child under 15 months of age. Tubes of Aquafor and Vaseline were observed stored on a shelf above five (5) feet. We discussed that all petroleum based products should be stored behind lock and key. A tube of prescription Nystatin was observed stored with diaper creams. I explained prescription medications should be stored behind lock and key. Children in other classrooms were observed participating in free choice and large group activities. Walls in classrooms throughout the building were observed with chipped paint. Ms. Clark stated a ticket had been placed for painting throughout the building. Ceilings in Spaces 8 and 9 were stained and require painting. Books in Spaces 7 & 9 were observed in poor repair and should be replaced. Ms. Clark stated she joined a program that provided free books and she was placing an order this week. Staff were observed providing a nurturing environment. Adequate supervision was observed, and staff/child ratio was maintained. Activity plans were posted and current. Arrival and departure times were documented as required. Playgrounds were monitored. I observed plastic kiddie pools filled with water on the toddler and preschool playground. Children had participated in water play activities prior to monitoring. Ms. Clark stated the pools were not meant for water play but for an indoor activity that occurred the prior week. She removed the pools today. Emergency medications were monitored. All required documents were current and available for review. Each medication was stored properly. The facility did not provide transportation. The posted menu reflected what was served. Fifteen (15) new staff files were reviewed and two (2) veteran files were monitored. The EPR plan was reviewed and updated in the Risk Management portal on 8/10/23. The facility used approved Ascend Curriculum (Creative Curriculum). The sanitation inspection was completed 5/30/24 and received an “Approved” classification. The last fire inspection was completed 8/28/23. The facility is operated by Cadence Education, LLC and was Current-Active with the NC Secretary of State. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in classrooms throughout the building were chipped and require repainting. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Books were in poor repair in space 7 and in space 9. .0601(d) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning units in garden area were enclosed in a fence, and the gate was unlocked; air conditioning units were accessible to children. .0604 (m) 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. Two (2) opened bags of soil containing fertilizer were stored inside the fence where air conditioners were located and the gate was not locked. Wallflower liquid plug-in air freshener was stored in an unlocked cabinet. A child's diaper bag was stored on a low shelf in Space 1. There were travel sized bottles of Scope inside the bag. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of prescription Nystatin was observed stored with diaper creams on an unlocked opened shelf above five (5) feet. 15A NCAC 18A .2820(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in Space 2. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Ten (10) new staff did not have the health questionnaire completed before the first day of employment. .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. There were ten (10) new staff that did not have completed Emergency Information form on file on or before the first day of employment. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation documentation for two (2) new staff did not list dates orientation was received; the forms were incomplete. .1101(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child (W.H.), record did not include medical and immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child (W.H.) did not have a medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child (W.H.) signed discipline policy did not include the enrollment date. .1804(c) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (C.D.), file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. There were accessible wading pools on the toddler playground and on the preschool playground. .1403(b)(1-5) 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, August 14, 2024, 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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. Technical Assistance/General Comments: - Continue to check emails from DCDEE for updates. - Fire inspection reports should be emailed to the consultant within 7 days of the inspection. I recommend reaching out the fire inspector now to schedule the annual inspection. - Staff medical forms should include information regarding staff’s ability to work with children. It is recommended to use the medical form on the DCDEE website as it includes all of the required information. Patient portal reports often do not include this information therefore do not meet requirements. - Staff medical information must be maintained in a separate file. It is good practice to immediately create a medical file as new employees are hired. - Complete puzzles should be accessible to children. Pieces should not be mixed together and stored in a container next to puzzle boards. - I recommend removing glass shelves in the mini classroom refrigerators and clean with soapy water. The following Technical Assistance (TA) was provided: -All walls and ceilings including doors and windows must be kept clean, free of visible fungal growth, and in good repair. Refer to Sanitation Rule 15A NCAC18 .2825(a). -Books and equipment must be in good repair, including books and materials. Refer to Child Care Rule 10A NCAC 09 . 0601(d). -Air conditioning units must be inaccessible to children. Refer to Child Care Rule 10A NCAC 09 .0604(m). -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 must be stored in a locked room or cabinet. Refer to Child Care Rule .2820(b). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work. Refer to Child Care Rule 10A NCAC 09 .0701(a). -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child. Refer to Child Care Rules 10A NCAC 09 .0302(d)(2) and .0304(g); Refer to G.S. 110-91(1). -A child's medical exam or health assessment record must be on file before or within 30 days after admission. Refer to G.S. 110-91(1). -A signed and dated statement by parent that discipline policy received and explained at enrollment must be in child's file; must include the child's name and date of enrollment. Refer to Child Care Rule 10A NCAC 09 .1802(c). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information. Refer to Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Aquatic activities involving the following are prohibited: hot tubs, spas, saunas or steam rooms, portable wading pools, and natural bodies of water and other unfiltered, nondisinfected containments of water. Refer to Child Care Rule 10A NCAC 09 .1403(b)(1-5). -Criminal Qualifying letters must be completed every five (5) years. A teacher (D.B.) must have a current criminal qualifying letter when the staff returns for the school year. Staff (D.B.) is on leave for the summer months. Refer to Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b). -Staff must complete the required number of training hours annually. Staff (K.H.) must complete nine (9) training hours by August 8, 2024. Refer to Child Care Rule 10A NCAC 09 . 1103. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. 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 . 1103 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/31/2024 Number Present: 77 Completed Date: 7/31/2024 Age: From 0 To 8 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 Five Star Rated License issued on January 17, 2020, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 80% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Ms. Deanna Matthews, Licensing Consultant, accompanied me today. Upon arrival we were greeted by Ms. Bridgett Clark, Director, and I explained the purpose of the visit. Ms. Clark accompanied me on the walkthrough. It was reported there were seventy-eight (78) children enrolled. Ms. Matthews reviewed ten (10) files and verified each child had a file available for review. Infants were observed in the Bye-Bye Buggy taking a walk when we arrived. Space 1 for infant care was observed organized and materials were in good repair. Each infant had an individual crib and each crib was labeled. A child’s diaper bag was observed sitting on a low shelf. I observed travel sized Scope inside the bag with warnings to “Keep out of Reach of Children.” The bag was moved and stored behind lock and key. Bottles were dated and labeled as required. Feeding schedules were posted. Safe sleep checks were completed and maintained as required. Diaper creams were stored above five (5) feet and each cream had a current permission form. Toddlers were observed coming inside from water play activities. Teachers were observed assisting children change clothes and diapers. Teachers provided a nurturing environment. Space 2 and 3 had infant feeding schedules posted for each child under 15 months of age. Tubes of Aquafor and Vaseline were observed stored on a shelf above five (5) feet. We discussed that all petroleum based products should be stored behind lock and key. A tube of prescription Nystatin was observed stored with diaper creams. I explained prescription medications should be stored behind lock and key. Children in other classrooms were observed participating in free choice and large group activities. Walls in classrooms throughout the building were observed with chipped paint. Ms. Clark stated a ticket had been placed for painting throughout the building. Ceilings in Spaces 8 and 9 were stained and require painting. Books in Spaces 7 & 9 were observed in poor repair and should be replaced. Ms. Clark stated she joined a program that provided free books and she was placing an order this week. Staff were observed providing a nurturing environment. Adequate supervision was observed, and staff/child ratio was maintained. Activity plans were posted and current. Arrival and departure times were documented as required. Playgrounds were monitored. I observed plastic kiddie pools filled with water on the toddler and preschool playground. Children had participated in water play activities prior to monitoring. Ms. Clark stated the pools were not meant for water play but for an indoor activity that occurred the prior week. She removed the pools today. Emergency medications were monitored. All required documents were current and available for review. Each medication was stored properly. The facility did not provide transportation. The posted menu reflected what was served. Fifteen (15) new staff files were reviewed and two (2) veteran files were monitored. The EPR plan was reviewed and updated in the Risk Management portal on 8/10/23. The facility used approved Ascend Curriculum (Creative Curriculum). The sanitation inspection was completed 5/30/24 and received an “Approved” classification. The last fire inspection was completed 8/28/23. The facility is operated by Cadence Education, LLC and was Current-Active with the NC Secretary of State. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in classrooms throughout the building were chipped and require repainting. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Books were in poor repair in space 7 and in space 9. .0601(d) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning units in garden area were enclosed in a fence, and the gate was unlocked; air conditioning units were accessible to children. .0604 (m) 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. Two (2) opened bags of soil containing fertilizer were stored inside the fence where air conditioners were located and the gate was not locked. Wallflower liquid plug-in air freshener was stored in an unlocked cabinet. A child's diaper bag was stored on a low shelf in Space 1. There were travel sized bottles of Scope inside the bag. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of prescription Nystatin was observed stored with diaper creams on an unlocked opened shelf above five (5) feet. 15A NCAC 18A .2820(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in Space 2. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Ten (10) new staff did not have the health questionnaire completed before the first day of employment. .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. There were ten (10) new staff that did not have completed Emergency Information form on file on or before the first day of employment. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation documentation for two (2) new staff did not list dates orientation was received; the forms were incomplete. .1101(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child (W.H.), record did not include medical and immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child (W.H.) did not have a medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child (W.H.) signed discipline policy did not include the enrollment date. .1804(c) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (C.D.), file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. There were accessible wading pools on the toddler playground and on the preschool playground. .1403(b)(1-5) 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, August 14, 2024, 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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. Technical Assistance/General Comments: - Continue to check emails from DCDEE for updates. - Fire inspection reports should be emailed to the consultant within 7 days of the inspection. I recommend reaching out the fire inspector now to schedule the annual inspection. - Staff medical forms should include information regarding staff’s ability to work with children. It is recommended to use the medical form on the DCDEE website as it includes all of the required information. Patient portal reports often do not include this information therefore do not meet requirements. - Staff medical information must be maintained in a separate file. It is good practice to immediately create a medical file as new employees are hired. - Complete puzzles should be accessible to children. Pieces should not be mixed together and stored in a container next to puzzle boards. - I recommend removing glass shelves in the mini classroom refrigerators and clean with soapy water. The following Technical Assistance (TA) was provided: -All walls and ceilings including doors and windows must be kept clean, free of visible fungal growth, and in good repair. Refer to Sanitation Rule 15A NCAC18 .2825(a). -Books and equipment must be in good repair, including books and materials. Refer to Child Care Rule 10A NCAC 09 . 0601(d). -Air conditioning units must be inaccessible to children. Refer to Child Care Rule 10A NCAC 09 .0604(m). -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 must be stored in a locked room or cabinet. Refer to Child Care Rule .2820(b). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work. Refer to Child Care Rule 10A NCAC 09 .0701(a). -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child. Refer to Child Care Rules 10A NCAC 09 .0302(d)(2) and .0304(g); Refer to G.S. 110-91(1). -A child's medical exam or health assessment record must be on file before or within 30 days after admission. Refer to G.S. 110-91(1). -A signed and dated statement by parent that discipline policy received and explained at enrollment must be in child's file; must include the child's name and date of enrollment. Refer to Child Care Rule 10A NCAC 09 .1802(c). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information. Refer to Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Aquatic activities involving the following are prohibited: hot tubs, spas, saunas or steam rooms, portable wading pools, and natural bodies of water and other unfiltered, nondisinfected containments of water. Refer to Child Care Rule 10A NCAC 09 .1403(b)(1-5). -Criminal Qualifying letters must be completed every five (5) years. A teacher (D.B.) must have a current criminal qualifying letter when the staff returns for the school year. Staff (D.B.) is on leave for the summer months. Refer to Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b). -Staff must complete the required number of training hours annually. Staff (K.H.) must complete nine (9) training hours by August 8, 2024. Refer to Child Care Rule 10A NCAC 09 . 1103. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/31/2024 Number Present: 77 Completed Date: 7/31/2024 Age: From 0 To 8 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 Five Star Rated License issued on January 17, 2020, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 80% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Ms. Deanna Matthews, Licensing Consultant, accompanied me today. Upon arrival we were greeted by Ms. Bridgett Clark, Director, and I explained the purpose of the visit. Ms. Clark accompanied me on the walkthrough. It was reported there were seventy-eight (78) children enrolled. Ms. Matthews reviewed ten (10) files and verified each child had a file available for review. Infants were observed in the Bye-Bye Buggy taking a walk when we arrived. Space 1 for infant care was observed organized and materials were in good repair. Each infant had an individual crib and each crib was labeled. A child’s diaper bag was observed sitting on a low shelf. I observed travel sized Scope inside the bag with warnings to “Keep out of Reach of Children.” The bag was moved and stored behind lock and key. Bottles were dated and labeled as required. Feeding schedules were posted. Safe sleep checks were completed and maintained as required. Diaper creams were stored above five (5) feet and each cream had a current permission form. Toddlers were observed coming inside from water play activities. Teachers were observed assisting children change clothes and diapers. Teachers provided a nurturing environment. Space 2 and 3 had infant feeding schedules posted for each child under 15 months of age. Tubes of Aquafor and Vaseline were observed stored on a shelf above five (5) feet. We discussed that all petroleum based products should be stored behind lock and key. A tube of prescription Nystatin was observed stored with diaper creams. I explained prescription medications should be stored behind lock and key. Children in other classrooms were observed participating in free choice and large group activities. Walls in classrooms throughout the building were observed with chipped paint. Ms. Clark stated a ticket had been placed for painting throughout the building. Ceilings in Spaces 8 and 9 were stained and require painting. Books in Spaces 7 & 9 were observed in poor repair and should be replaced. Ms. Clark stated she joined a program that provided free books and she was placing an order this week. Staff were observed providing a nurturing environment. Adequate supervision was observed, and staff/child ratio was maintained. Activity plans were posted and current. Arrival and departure times were documented as required. Playgrounds were monitored. I observed plastic kiddie pools filled with water on the toddler and preschool playground. Children had participated in water play activities prior to monitoring. Ms. Clark stated the pools were not meant for water play but for an indoor activity that occurred the prior week. She removed the pools today. Emergency medications were monitored. All required documents were current and available for review. Each medication was stored properly. The facility did not provide transportation. The posted menu reflected what was served. Fifteen (15) new staff files were reviewed and two (2) veteran files were monitored. The EPR plan was reviewed and updated in the Risk Management portal on 8/10/23. The facility used approved Ascend Curriculum (Creative Curriculum). The sanitation inspection was completed 5/30/24 and received an “Approved” classification. The last fire inspection was completed 8/28/23. The facility is operated by Cadence Education, LLC and was Current-Active with the NC Secretary of State. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in classrooms throughout the building were chipped and require repainting. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Books were in poor repair in space 7 and in space 9. .0601(d) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning units in garden area were enclosed in a fence, and the gate was unlocked; air conditioning units were accessible to children. .0604 (m) 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. Two (2) opened bags of soil containing fertilizer were stored inside the fence where air conditioners were located and the gate was not locked. Wallflower liquid plug-in air freshener was stored in an unlocked cabinet. A child's diaper bag was stored on a low shelf in Space 1. There were travel sized bottles of Scope inside the bag. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of prescription Nystatin was observed stored with diaper creams on an unlocked opened shelf above five (5) feet. 15A NCAC 18A .2820(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in Space 2. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Ten (10) new staff did not have the health questionnaire completed before the first day of employment. .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. There were ten (10) new staff that did not have completed Emergency Information form on file on or before the first day of employment. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation documentation for two (2) new staff did not list dates orientation was received; the forms were incomplete. .1101(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child (W.H.), record did not include medical and immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child (W.H.) did not have a medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child (W.H.) signed discipline policy did not include the enrollment date. .1804(c) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (C.D.), file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. There were accessible wading pools on the toddler playground and on the preschool playground. .1403(b)(1-5) 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, August 14, 2024, 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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. Technical Assistance/General Comments: - Continue to check emails from DCDEE for updates. - Fire inspection reports should be emailed to the consultant within 7 days of the inspection. I recommend reaching out the fire inspector now to schedule the annual inspection. - Staff medical forms should include information regarding staff’s ability to work with children. It is recommended to use the medical form on the DCDEE website as it includes all of the required information. Patient portal reports often do not include this information therefore do not meet requirements. - Staff medical information must be maintained in a separate file. It is good practice to immediately create a medical file as new employees are hired. - Complete puzzles should be accessible to children. Pieces should not be mixed together and stored in a container next to puzzle boards. - I recommend removing glass shelves in the mini classroom refrigerators and clean with soapy water. The following Technical Assistance (TA) was provided: -All walls and ceilings including doors and windows must be kept clean, free of visible fungal growth, and in good repair. Refer to Sanitation Rule 15A NCAC18 .2825(a). -Books and equipment must be in good repair, including books and materials. Refer to Child Care Rule 10A NCAC 09 . 0601(d). -Air conditioning units must be inaccessible to children. Refer to Child Care Rule 10A NCAC 09 .0604(m). -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 must be stored in a locked room or cabinet. Refer to Child Care Rule .2820(b). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work. Refer to Child Care Rule 10A NCAC 09 .0701(a). -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child. Refer to Child Care Rules 10A NCAC 09 .0302(d)(2) and .0304(g); Refer to G.S. 110-91(1). -A child's medical exam or health assessment record must be on file before or within 30 days after admission. Refer to G.S. 110-91(1). -A signed and dated statement by parent that discipline policy received and explained at enrollment must be in child's file; must include the child's name and date of enrollment. Refer to Child Care Rule 10A NCAC 09 .1802(c). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information. Refer to Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Aquatic activities involving the following are prohibited: hot tubs, spas, saunas or steam rooms, portable wading pools, and natural bodies of water and other unfiltered, nondisinfected containments of water. Refer to Child Care Rule 10A NCAC 09 .1403(b)(1-5). -Criminal Qualifying letters must be completed every five (5) years. A teacher (D.B.) must have a current criminal qualifying letter when the staff returns for the school year. Staff (D.B.) is on leave for the summer months. Refer to Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b). -Staff must complete the required number of training hours annually. Staff (K.H.) must complete nine (9) training hours by August 8, 2024. Refer to Child Care Rule 10A NCAC 09 . 1103. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. 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 .0608 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/31/2024 Number Present: 77 Completed Date: 7/31/2024 Age: From 0 To 8 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 Five Star Rated License issued on January 17, 2020, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 80% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Ms. Deanna Matthews, Licensing Consultant, accompanied me today. Upon arrival we were greeted by Ms. Bridgett Clark, Director, and I explained the purpose of the visit. Ms. Clark accompanied me on the walkthrough. It was reported there were seventy-eight (78) children enrolled. Ms. Matthews reviewed ten (10) files and verified each child had a file available for review. Infants were observed in the Bye-Bye Buggy taking a walk when we arrived. Space 1 for infant care was observed organized and materials were in good repair. Each infant had an individual crib and each crib was labeled. A child’s diaper bag was observed sitting on a low shelf. I observed travel sized Scope inside the bag with warnings to “Keep out of Reach of Children.” The bag was moved and stored behind lock and key. Bottles were dated and labeled as required. Feeding schedules were posted. Safe sleep checks were completed and maintained as required. Diaper creams were stored above five (5) feet and each cream had a current permission form. Toddlers were observed coming inside from water play activities. Teachers were observed assisting children change clothes and diapers. Teachers provided a nurturing environment. Space 2 and 3 had infant feeding schedules posted for each child under 15 months of age. Tubes of Aquafor and Vaseline were observed stored on a shelf above five (5) feet. We discussed that all petroleum based products should be stored behind lock and key. A tube of prescription Nystatin was observed stored with diaper creams. I explained prescription medications should be stored behind lock and key. Children in other classrooms were observed participating in free choice and large group activities. Walls in classrooms throughout the building were observed with chipped paint. Ms. Clark stated a ticket had been placed for painting throughout the building. Ceilings in Spaces 8 and 9 were stained and require painting. Books in Spaces 7 & 9 were observed in poor repair and should be replaced. Ms. Clark stated she joined a program that provided free books and she was placing an order this week. Staff were observed providing a nurturing environment. Adequate supervision was observed, and staff/child ratio was maintained. Activity plans were posted and current. Arrival and departure times were documented as required. Playgrounds were monitored. I observed plastic kiddie pools filled with water on the toddler and preschool playground. Children had participated in water play activities prior to monitoring. Ms. Clark stated the pools were not meant for water play but for an indoor activity that occurred the prior week. She removed the pools today. Emergency medications were monitored. All required documents were current and available for review. Each medication was stored properly. The facility did not provide transportation. The posted menu reflected what was served. Fifteen (15) new staff files were reviewed and two (2) veteran files were monitored. The EPR plan was reviewed and updated in the Risk Management portal on 8/10/23. The facility used approved Ascend Curriculum (Creative Curriculum). The sanitation inspection was completed 5/30/24 and received an “Approved” classification. The last fire inspection was completed 8/28/23. The facility is operated by Cadence Education, LLC and was Current-Active with the NC Secretary of State. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in classrooms throughout the building were chipped and require repainting. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Books were in poor repair in space 7 and in space 9. .0601(d) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning units in garden area were enclosed in a fence, and the gate was unlocked; air conditioning units were accessible to children. .0604 (m) 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. Two (2) opened bags of soil containing fertilizer were stored inside the fence where air conditioners were located and the gate was not locked. Wallflower liquid plug-in air freshener was stored in an unlocked cabinet. A child's diaper bag was stored on a low shelf in Space 1. There were travel sized bottles of Scope inside the bag. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of prescription Nystatin was observed stored with diaper creams on an unlocked opened shelf above five (5) feet. 15A NCAC 18A .2820(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in Space 2. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Ten (10) new staff did not have the health questionnaire completed before the first day of employment. .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. There were ten (10) new staff that did not have completed Emergency Information form on file on or before the first day of employment. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation documentation for two (2) new staff did not list dates orientation was received; the forms were incomplete. .1101(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child (W.H.), record did not include medical and immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child (W.H.) did not have a medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child (W.H.) signed discipline policy did not include the enrollment date. .1804(c) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (C.D.), file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. There were accessible wading pools on the toddler playground and on the preschool playground. .1403(b)(1-5) 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, August 14, 2024, 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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. Technical Assistance/General Comments: - Continue to check emails from DCDEE for updates. - Fire inspection reports should be emailed to the consultant within 7 days of the inspection. I recommend reaching out the fire inspector now to schedule the annual inspection. - Staff medical forms should include information regarding staff’s ability to work with children. It is recommended to use the medical form on the DCDEE website as it includes all of the required information. Patient portal reports often do not include this information therefore do not meet requirements. - Staff medical information must be maintained in a separate file. It is good practice to immediately create a medical file as new employees are hired. - Complete puzzles should be accessible to children. Pieces should not be mixed together and stored in a container next to puzzle boards. - I recommend removing glass shelves in the mini classroom refrigerators and clean with soapy water. The following Technical Assistance (TA) was provided: -All walls and ceilings including doors and windows must be kept clean, free of visible fungal growth, and in good repair. Refer to Sanitation Rule 15A NCAC18 .2825(a). -Books and equipment must be in good repair, including books and materials. Refer to Child Care Rule 10A NCAC 09 . 0601(d). -Air conditioning units must be inaccessible to children. Refer to Child Care Rule 10A NCAC 09 .0604(m). -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 must be stored in a locked room or cabinet. Refer to Child Care Rule .2820(b). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work. Refer to Child Care Rule 10A NCAC 09 .0701(a). -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child. Refer to Child Care Rules 10A NCAC 09 .0302(d)(2) and .0304(g); Refer to G.S. 110-91(1). -A child's medical exam or health assessment record must be on file before or within 30 days after admission. Refer to G.S. 110-91(1). -A signed and dated statement by parent that discipline policy received and explained at enrollment must be in child's file; must include the child's name and date of enrollment. Refer to Child Care Rule 10A NCAC 09 .1802(c). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information. Refer to Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Aquatic activities involving the following are prohibited: hot tubs, spas, saunas or steam rooms, portable wading pools, and natural bodies of water and other unfiltered, nondisinfected containments of water. Refer to Child Care Rule 10A NCAC 09 .1403(b)(1-5). -Criminal Qualifying letters must be completed every five (5) years. A teacher (D.B.) must have a current criminal qualifying letter when the staff returns for the school year. Staff (D.B.) is on leave for the summer months. Refer to Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b). -Staff must complete the required number of training hours annually. Staff (K.H.) must complete nine (9) training hours by August 8, 2024. Refer to Child Care Rule 10A NCAC 09 . 1103. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/31/2024 Number Present: 77 Completed Date: 7/31/2024 Age: From 0 To 8 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 Five Star Rated License issued on January 17, 2020, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 80% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Ms. Deanna Matthews, Licensing Consultant, accompanied me today. Upon arrival we were greeted by Ms. Bridgett Clark, Director, and I explained the purpose of the visit. Ms. Clark accompanied me on the walkthrough. It was reported there were seventy-eight (78) children enrolled. Ms. Matthews reviewed ten (10) files and verified each child had a file available for review. Infants were observed in the Bye-Bye Buggy taking a walk when we arrived. Space 1 for infant care was observed organized and materials were in good repair. Each infant had an individual crib and each crib was labeled. A child’s diaper bag was observed sitting on a low shelf. I observed travel sized Scope inside the bag with warnings to “Keep out of Reach of Children.” The bag was moved and stored behind lock and key. Bottles were dated and labeled as required. Feeding schedules were posted. Safe sleep checks were completed and maintained as required. Diaper creams were stored above five (5) feet and each cream had a current permission form. Toddlers were observed coming inside from water play activities. Teachers were observed assisting children change clothes and diapers. Teachers provided a nurturing environment. Space 2 and 3 had infant feeding schedules posted for each child under 15 months of age. Tubes of Aquafor and Vaseline were observed stored on a shelf above five (5) feet. We discussed that all petroleum based products should be stored behind lock and key. A tube of prescription Nystatin was observed stored with diaper creams. I explained prescription medications should be stored behind lock and key. Children in other classrooms were observed participating in free choice and large group activities. Walls in classrooms throughout the building were observed with chipped paint. Ms. Clark stated a ticket had been placed for painting throughout the building. Ceilings in Spaces 8 and 9 were stained and require painting. Books in Spaces 7 & 9 were observed in poor repair and should be replaced. Ms. Clark stated she joined a program that provided free books and she was placing an order this week. Staff were observed providing a nurturing environment. Adequate supervision was observed, and staff/child ratio was maintained. Activity plans were posted and current. Arrival and departure times were documented as required. Playgrounds were monitored. I observed plastic kiddie pools filled with water on the toddler and preschool playground. Children had participated in water play activities prior to monitoring. Ms. Clark stated the pools were not meant for water play but for an indoor activity that occurred the prior week. She removed the pools today. Emergency medications were monitored. All required documents were current and available for review. Each medication was stored properly. The facility did not provide transportation. The posted menu reflected what was served. Fifteen (15) new staff files were reviewed and two (2) veteran files were monitored. The EPR plan was reviewed and updated in the Risk Management portal on 8/10/23. The facility used approved Ascend Curriculum (Creative Curriculum). The sanitation inspection was completed 5/30/24 and received an “Approved” classification. The last fire inspection was completed 8/28/23. The facility is operated by Cadence Education, LLC and was Current-Active with the NC Secretary of State. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in classrooms throughout the building were chipped and require repainting. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Books were in poor repair in space 7 and in space 9. .0601(d) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning units in garden area were enclosed in a fence, and the gate was unlocked; air conditioning units were accessible to children. .0604 (m) 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. Two (2) opened bags of soil containing fertilizer were stored inside the fence where air conditioners were located and the gate was not locked. Wallflower liquid plug-in air freshener was stored in an unlocked cabinet. A child's diaper bag was stored on a low shelf in Space 1. There were travel sized bottles of Scope inside the bag. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of prescription Nystatin was observed stored with diaper creams on an unlocked opened shelf above five (5) feet. 15A NCAC 18A .2820(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in Space 2. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Ten (10) new staff did not have the health questionnaire completed before the first day of employment. .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. There were ten (10) new staff that did not have completed Emergency Information form on file on or before the first day of employment. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation documentation for two (2) new staff did not list dates orientation was received; the forms were incomplete. .1101(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child (W.H.), record did not include medical and immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child (W.H.) did not have a medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child (W.H.) signed discipline policy did not include the enrollment date. .1804(c) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (C.D.), file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. There were accessible wading pools on the toddler playground and on the preschool playground. .1403(b)(1-5) 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, August 14, 2024, 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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. Technical Assistance/General Comments: - Continue to check emails from DCDEE for updates. - Fire inspection reports should be emailed to the consultant within 7 days of the inspection. I recommend reaching out the fire inspector now to schedule the annual inspection. - Staff medical forms should include information regarding staff’s ability to work with children. It is recommended to use the medical form on the DCDEE website as it includes all of the required information. Patient portal reports often do not include this information therefore do not meet requirements. - Staff medical information must be maintained in a separate file. It is good practice to immediately create a medical file as new employees are hired. - Complete puzzles should be accessible to children. Pieces should not be mixed together and stored in a container next to puzzle boards. - I recommend removing glass shelves in the mini classroom refrigerators and clean with soapy water. The following Technical Assistance (TA) was provided: -All walls and ceilings including doors and windows must be kept clean, free of visible fungal growth, and in good repair. Refer to Sanitation Rule 15A NCAC18 .2825(a). -Books and equipment must be in good repair, including books and materials. Refer to Child Care Rule 10A NCAC 09 . 0601(d). -Air conditioning units must be inaccessible to children. Refer to Child Care Rule 10A NCAC 09 .0604(m). -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 must be stored in a locked room or cabinet. Refer to Child Care Rule .2820(b). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work. Refer to Child Care Rule 10A NCAC 09 .0701(a). -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child. Refer to Child Care Rules 10A NCAC 09 .0302(d)(2) and .0304(g); Refer to G.S. 110-91(1). -A child's medical exam or health assessment record must be on file before or within 30 days after admission. Refer to G.S. 110-91(1). -A signed and dated statement by parent that discipline policy received and explained at enrollment must be in child's file; must include the child's name and date of enrollment. Refer to Child Care Rule 10A NCAC 09 .1802(c). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information. Refer to Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Aquatic activities involving the following are prohibited: hot tubs, spas, saunas or steam rooms, portable wading pools, and natural bodies of water and other unfiltered, nondisinfected containments of water. Refer to Child Care Rule 10A NCAC 09 .1403(b)(1-5). -Criminal Qualifying letters must be completed every five (5) years. A teacher (D.B.) must have a current criminal qualifying letter when the staff returns for the school year. Staff (D.B.) is on leave for the summer months. Refer to Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b). -Staff must complete the required number of training hours annually. Staff (K.H.) must complete nine (9) training hours by August 8, 2024. Refer to Child Care Rule 10A NCAC 09 . 1103. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. 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 .1403 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/31/2024 Number Present: 77 Completed Date: 7/31/2024 Age: From 0 To 8 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 Five Star Rated License issued on January 17, 2020, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 80% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Ms. Deanna Matthews, Licensing Consultant, accompanied me today. Upon arrival we were greeted by Ms. Bridgett Clark, Director, and I explained the purpose of the visit. Ms. Clark accompanied me on the walkthrough. It was reported there were seventy-eight (78) children enrolled. Ms. Matthews reviewed ten (10) files and verified each child had a file available for review. Infants were observed in the Bye-Bye Buggy taking a walk when we arrived. Space 1 for infant care was observed organized and materials were in good repair. Each infant had an individual crib and each crib was labeled. A child’s diaper bag was observed sitting on a low shelf. I observed travel sized Scope inside the bag with warnings to “Keep out of Reach of Children.” The bag was moved and stored behind lock and key. Bottles were dated and labeled as required. Feeding schedules were posted. Safe sleep checks were completed and maintained as required. Diaper creams were stored above five (5) feet and each cream had a current permission form. Toddlers were observed coming inside from water play activities. Teachers were observed assisting children change clothes and diapers. Teachers provided a nurturing environment. Space 2 and 3 had infant feeding schedules posted for each child under 15 months of age. Tubes of Aquafor and Vaseline were observed stored on a shelf above five (5) feet. We discussed that all petroleum based products should be stored behind lock and key. A tube of prescription Nystatin was observed stored with diaper creams. I explained prescription medications should be stored behind lock and key. Children in other classrooms were observed participating in free choice and large group activities. Walls in classrooms throughout the building were observed with chipped paint. Ms. Clark stated a ticket had been placed for painting throughout the building. Ceilings in Spaces 8 and 9 were stained and require painting. Books in Spaces 7 & 9 were observed in poor repair and should be replaced. Ms. Clark stated she joined a program that provided free books and she was placing an order this week. Staff were observed providing a nurturing environment. Adequate supervision was observed, and staff/child ratio was maintained. Activity plans were posted and current. Arrival and departure times were documented as required. Playgrounds were monitored. I observed plastic kiddie pools filled with water on the toddler and preschool playground. Children had participated in water play activities prior to monitoring. Ms. Clark stated the pools were not meant for water play but for an indoor activity that occurred the prior week. She removed the pools today. Emergency medications were monitored. All required documents were current and available for review. Each medication was stored properly. The facility did not provide transportation. The posted menu reflected what was served. Fifteen (15) new staff files were reviewed and two (2) veteran files were monitored. The EPR plan was reviewed and updated in the Risk Management portal on 8/10/23. The facility used approved Ascend Curriculum (Creative Curriculum). The sanitation inspection was completed 5/30/24 and received an “Approved” classification. The last fire inspection was completed 8/28/23. The facility is operated by Cadence Education, LLC and was Current-Active with the NC Secretary of State. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in classrooms throughout the building were chipped and require repainting. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Books were in poor repair in space 7 and in space 9. .0601(d) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning units in garden area were enclosed in a fence, and the gate was unlocked; air conditioning units were accessible to children. .0604 (m) 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. Two (2) opened bags of soil containing fertilizer were stored inside the fence where air conditioners were located and the gate was not locked. Wallflower liquid plug-in air freshener was stored in an unlocked cabinet. A child's diaper bag was stored on a low shelf in Space 1. There were travel sized bottles of Scope inside the bag. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of prescription Nystatin was observed stored with diaper creams on an unlocked opened shelf above five (5) feet. 15A NCAC 18A .2820(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in Space 2. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Ten (10) new staff did not have the health questionnaire completed before the first day of employment. .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. There were ten (10) new staff that did not have completed Emergency Information form on file on or before the first day of employment. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation documentation for two (2) new staff did not list dates orientation was received; the forms were incomplete. .1101(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child (W.H.), record did not include medical and immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child (W.H.) did not have a medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child (W.H.) signed discipline policy did not include the enrollment date. .1804(c) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (C.D.), file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. There were accessible wading pools on the toddler playground and on the preschool playground. .1403(b)(1-5) 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, August 14, 2024, 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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. Technical Assistance/General Comments: - Continue to check emails from DCDEE for updates. - Fire inspection reports should be emailed to the consultant within 7 days of the inspection. I recommend reaching out the fire inspector now to schedule the annual inspection. - Staff medical forms should include information regarding staff’s ability to work with children. It is recommended to use the medical form on the DCDEE website as it includes all of the required information. Patient portal reports often do not include this information therefore do not meet requirements. - Staff medical information must be maintained in a separate file. It is good practice to immediately create a medical file as new employees are hired. - Complete puzzles should be accessible to children. Pieces should not be mixed together and stored in a container next to puzzle boards. - I recommend removing glass shelves in the mini classroom refrigerators and clean with soapy water. The following Technical Assistance (TA) was provided: -All walls and ceilings including doors and windows must be kept clean, free of visible fungal growth, and in good repair. Refer to Sanitation Rule 15A NCAC18 .2825(a). -Books and equipment must be in good repair, including books and materials. Refer to Child Care Rule 10A NCAC 09 . 0601(d). -Air conditioning units must be inaccessible to children. Refer to Child Care Rule 10A NCAC 09 .0604(m). -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 must be stored in a locked room or cabinet. Refer to Child Care Rule .2820(b). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work. Refer to Child Care Rule 10A NCAC 09 .0701(a). -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child. Refer to Child Care Rules 10A NCAC 09 .0302(d)(2) and .0304(g); Refer to G.S. 110-91(1). -A child's medical exam or health assessment record must be on file before or within 30 days after admission. Refer to G.S. 110-91(1). -A signed and dated statement by parent that discipline policy received and explained at enrollment must be in child's file; must include the child's name and date of enrollment. Refer to Child Care Rule 10A NCAC 09 .1802(c). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information. Refer to Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Aquatic activities involving the following are prohibited: hot tubs, spas, saunas or steam rooms, portable wading pools, and natural bodies of water and other unfiltered, nondisinfected containments of water. Refer to Child Care Rule 10A NCAC 09 .1403(b)(1-5). -Criminal Qualifying letters must be completed every five (5) years. A teacher (D.B.) must have a current criminal qualifying letter when the staff returns for the school year. Staff (D.B.) is on leave for the summer months. Refer to Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b). -Staff must complete the required number of training hours annually. Staff (K.H.) must complete nine (9) training hours by August 8, 2024. Refer to Child Care Rule 10A NCAC 09 . 1103. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. 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 .2703 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/31/2024 Number Present: 77 Completed Date: 7/31/2024 Age: From 0 To 8 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 Five Star Rated License issued on January 17, 2020, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 80% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Ms. Deanna Matthews, Licensing Consultant, accompanied me today. Upon arrival we were greeted by Ms. Bridgett Clark, Director, and I explained the purpose of the visit. Ms. Clark accompanied me on the walkthrough. It was reported there were seventy-eight (78) children enrolled. Ms. Matthews reviewed ten (10) files and verified each child had a file available for review. Infants were observed in the Bye-Bye Buggy taking a walk when we arrived. Space 1 for infant care was observed organized and materials were in good repair. Each infant had an individual crib and each crib was labeled. A child’s diaper bag was observed sitting on a low shelf. I observed travel sized Scope inside the bag with warnings to “Keep out of Reach of Children.” The bag was moved and stored behind lock and key. Bottles were dated and labeled as required. Feeding schedules were posted. Safe sleep checks were completed and maintained as required. Diaper creams were stored above five (5) feet and each cream had a current permission form. Toddlers were observed coming inside from water play activities. Teachers were observed assisting children change clothes and diapers. Teachers provided a nurturing environment. Space 2 and 3 had infant feeding schedules posted for each child under 15 months of age. Tubes of Aquafor and Vaseline were observed stored on a shelf above five (5) feet. We discussed that all petroleum based products should be stored behind lock and key. A tube of prescription Nystatin was observed stored with diaper creams. I explained prescription medications should be stored behind lock and key. Children in other classrooms were observed participating in free choice and large group activities. Walls in classrooms throughout the building were observed with chipped paint. Ms. Clark stated a ticket had been placed for painting throughout the building. Ceilings in Spaces 8 and 9 were stained and require painting. Books in Spaces 7 & 9 were observed in poor repair and should be replaced. Ms. Clark stated she joined a program that provided free books and she was placing an order this week. Staff were observed providing a nurturing environment. Adequate supervision was observed, and staff/child ratio was maintained. Activity plans were posted and current. Arrival and departure times were documented as required. Playgrounds were monitored. I observed plastic kiddie pools filled with water on the toddler and preschool playground. Children had participated in water play activities prior to monitoring. Ms. Clark stated the pools were not meant for water play but for an indoor activity that occurred the prior week. She removed the pools today. Emergency medications were monitored. All required documents were current and available for review. Each medication was stored properly. The facility did not provide transportation. The posted menu reflected what was served. Fifteen (15) new staff files were reviewed and two (2) veteran files were monitored. The EPR plan was reviewed and updated in the Risk Management portal on 8/10/23. The facility used approved Ascend Curriculum (Creative Curriculum). The sanitation inspection was completed 5/30/24 and received an “Approved” classification. The last fire inspection was completed 8/28/23. The facility is operated by Cadence Education, LLC and was Current-Active with the NC Secretary of State. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in classrooms throughout the building were chipped and require repainting. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Books were in poor repair in space 7 and in space 9. .0601(d) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning units in garden area were enclosed in a fence, and the gate was unlocked; air conditioning units were accessible to children. .0604 (m) 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. Two (2) opened bags of soil containing fertilizer were stored inside the fence where air conditioners were located and the gate was not locked. Wallflower liquid plug-in air freshener was stored in an unlocked cabinet. A child's diaper bag was stored on a low shelf in Space 1. There were travel sized bottles of Scope inside the bag. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of prescription Nystatin was observed stored with diaper creams on an unlocked opened shelf above five (5) feet. 15A NCAC 18A .2820(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in Space 2. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Ten (10) new staff did not have the health questionnaire completed before the first day of employment. .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. There were ten (10) new staff that did not have completed Emergency Information form on file on or before the first day of employment. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation documentation for two (2) new staff did not list dates orientation was received; the forms were incomplete. .1101(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child (W.H.), record did not include medical and immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child (W.H.) did not have a medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child (W.H.) signed discipline policy did not include the enrollment date. .1804(c) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (C.D.), file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. There were accessible wading pools on the toddler playground and on the preschool playground. .1403(b)(1-5) 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, August 14, 2024, 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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. Technical Assistance/General Comments: - Continue to check emails from DCDEE for updates. - Fire inspection reports should be emailed to the consultant within 7 days of the inspection. I recommend reaching out the fire inspector now to schedule the annual inspection. - Staff medical forms should include information regarding staff’s ability to work with children. It is recommended to use the medical form on the DCDEE website as it includes all of the required information. Patient portal reports often do not include this information therefore do not meet requirements. - Staff medical information must be maintained in a separate file. It is good practice to immediately create a medical file as new employees are hired. - Complete puzzles should be accessible to children. Pieces should not be mixed together and stored in a container next to puzzle boards. - I recommend removing glass shelves in the mini classroom refrigerators and clean with soapy water. The following Technical Assistance (TA) was provided: -All walls and ceilings including doors and windows must be kept clean, free of visible fungal growth, and in good repair. Refer to Sanitation Rule 15A NCAC18 .2825(a). -Books and equipment must be in good repair, including books and materials. Refer to Child Care Rule 10A NCAC 09 . 0601(d). -Air conditioning units must be inaccessible to children. Refer to Child Care Rule 10A NCAC 09 .0604(m). -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 must be stored in a locked room or cabinet. Refer to Child Care Rule .2820(b). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work. Refer to Child Care Rule 10A NCAC 09 .0701(a). -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child. Refer to Child Care Rules 10A NCAC 09 .0302(d)(2) and .0304(g); Refer to G.S. 110-91(1). -A child's medical exam or health assessment record must be on file before or within 30 days after admission. Refer to G.S. 110-91(1). -A signed and dated statement by parent that discipline policy received and explained at enrollment must be in child's file; must include the child's name and date of enrollment. Refer to Child Care Rule 10A NCAC 09 .1802(c). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information. Refer to Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Aquatic activities involving the following are prohibited: hot tubs, spas, saunas or steam rooms, portable wading pools, and natural bodies of water and other unfiltered, nondisinfected containments of water. Refer to Child Care Rule 10A NCAC 09 .1403(b)(1-5). -Criminal Qualifying letters must be completed every five (5) years. A teacher (D.B.) must have a current criminal qualifying letter when the staff returns for the school year. Staff (D.B.) is on leave for the summer months. Refer to Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b). -Staff must complete the required number of training hours annually. Staff (K.H.) must complete nine (9) training hours by August 8, 2024. Refer to Child Care Rule 10A NCAC 09 . 1103. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/31/2024 Number Present: 77 Completed Date: 7/31/2024 Age: From 0 To 8 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 Five Star Rated License issued on January 17, 2020, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 80% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Ms. Deanna Matthews, Licensing Consultant, accompanied me today. Upon arrival we were greeted by Ms. Bridgett Clark, Director, and I explained the purpose of the visit. Ms. Clark accompanied me on the walkthrough. It was reported there were seventy-eight (78) children enrolled. Ms. Matthews reviewed ten (10) files and verified each child had a file available for review. Infants were observed in the Bye-Bye Buggy taking a walk when we arrived. Space 1 for infant care was observed organized and materials were in good repair. Each infant had an individual crib and each crib was labeled. A child’s diaper bag was observed sitting on a low shelf. I observed travel sized Scope inside the bag with warnings to “Keep out of Reach of Children.” The bag was moved and stored behind lock and key. Bottles were dated and labeled as required. Feeding schedules were posted. Safe sleep checks were completed and maintained as required. Diaper creams were stored above five (5) feet and each cream had a current permission form. Toddlers were observed coming inside from water play activities. Teachers were observed assisting children change clothes and diapers. Teachers provided a nurturing environment. Space 2 and 3 had infant feeding schedules posted for each child under 15 months of age. Tubes of Aquafor and Vaseline were observed stored on a shelf above five (5) feet. We discussed that all petroleum based products should be stored behind lock and key. A tube of prescription Nystatin was observed stored with diaper creams. I explained prescription medications should be stored behind lock and key. Children in other classrooms were observed participating in free choice and large group activities. Walls in classrooms throughout the building were observed with chipped paint. Ms. Clark stated a ticket had been placed for painting throughout the building. Ceilings in Spaces 8 and 9 were stained and require painting. Books in Spaces 7 & 9 were observed in poor repair and should be replaced. Ms. Clark stated she joined a program that provided free books and she was placing an order this week. Staff were observed providing a nurturing environment. Adequate supervision was observed, and staff/child ratio was maintained. Activity plans were posted and current. Arrival and departure times were documented as required. Playgrounds were monitored. I observed plastic kiddie pools filled with water on the toddler and preschool playground. Children had participated in water play activities prior to monitoring. Ms. Clark stated the pools were not meant for water play but for an indoor activity that occurred the prior week. She removed the pools today. Emergency medications were monitored. All required documents were current and available for review. Each medication was stored properly. The facility did not provide transportation. The posted menu reflected what was served. Fifteen (15) new staff files were reviewed and two (2) veteran files were monitored. The EPR plan was reviewed and updated in the Risk Management portal on 8/10/23. The facility used approved Ascend Curriculum (Creative Curriculum). The sanitation inspection was completed 5/30/24 and received an “Approved” classification. The last fire inspection was completed 8/28/23. The facility is operated by Cadence Education, LLC and was Current-Active with the NC Secretary of State. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in classrooms throughout the building were chipped and require repainting. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Books were in poor repair in space 7 and in space 9. .0601(d) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning units in garden area were enclosed in a fence, and the gate was unlocked; air conditioning units were accessible to children. .0604 (m) 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. Two (2) opened bags of soil containing fertilizer were stored inside the fence where air conditioners were located and the gate was not locked. Wallflower liquid plug-in air freshener was stored in an unlocked cabinet. A child's diaper bag was stored on a low shelf in Space 1. There were travel sized bottles of Scope inside the bag. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of prescription Nystatin was observed stored with diaper creams on an unlocked opened shelf above five (5) feet. 15A NCAC 18A .2820(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in Space 2. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Ten (10) new staff did not have the health questionnaire completed before the first day of employment. .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. There were ten (10) new staff that did not have completed Emergency Information form on file on or before the first day of employment. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation documentation for two (2) new staff did not list dates orientation was received; the forms were incomplete. .1101(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child (W.H.), record did not include medical and immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child (W.H.) did not have a medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child (W.H.) signed discipline policy did not include the enrollment date. .1804(c) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (C.D.), file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. There were accessible wading pools on the toddler playground and on the preschool playground. .1403(b)(1-5) 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, August 14, 2024, 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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. Technical Assistance/General Comments: - Continue to check emails from DCDEE for updates. - Fire inspection reports should be emailed to the consultant within 7 days of the inspection. I recommend reaching out the fire inspector now to schedule the annual inspection. - Staff medical forms should include information regarding staff’s ability to work with children. It is recommended to use the medical form on the DCDEE website as it includes all of the required information. Patient portal reports often do not include this information therefore do not meet requirements. - Staff medical information must be maintained in a separate file. It is good practice to immediately create a medical file as new employees are hired. - Complete puzzles should be accessible to children. Pieces should not be mixed together and stored in a container next to puzzle boards. - I recommend removing glass shelves in the mini classroom refrigerators and clean with soapy water. The following Technical Assistance (TA) was provided: -All walls and ceilings including doors and windows must be kept clean, free of visible fungal growth, and in good repair. Refer to Sanitation Rule 15A NCAC18 .2825(a). -Books and equipment must be in good repair, including books and materials. Refer to Child Care Rule 10A NCAC 09 . 0601(d). -Air conditioning units must be inaccessible to children. Refer to Child Care Rule 10A NCAC 09 .0604(m). -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 must be stored in a locked room or cabinet. Refer to Child Care Rule .2820(b). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work. Refer to Child Care Rule 10A NCAC 09 .0701(a). -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child. Refer to Child Care Rules 10A NCAC 09 .0302(d)(2) and .0304(g); Refer to G.S. 110-91(1). -A child's medical exam or health assessment record must be on file before or within 30 days after admission. Refer to G.S. 110-91(1). -A signed and dated statement by parent that discipline policy received and explained at enrollment must be in child's file; must include the child's name and date of enrollment. Refer to Child Care Rule 10A NCAC 09 .1802(c). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information. Refer to Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Aquatic activities involving the following are prohibited: hot tubs, spas, saunas or steam rooms, portable wading pools, and natural bodies of water and other unfiltered, nondisinfected containments of water. Refer to Child Care Rule 10A NCAC 09 .1403(b)(1-5). -Criminal Qualifying letters must be completed every five (5) years. A teacher (D.B.) must have a current criminal qualifying letter when the staff returns for the school year. Staff (D.B.) is on leave for the summer months. Refer to Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b). -Staff must complete the required number of training hours annually. Staff (K.H.) must complete nine (9) training hours by August 8, 2024. Refer to Child Care Rule 10A NCAC 09 . 1103. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/31/2024 Number Present: 77 Completed Date: 7/31/2024 Age: From 0 To 8 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 Five Star Rated License issued on January 17, 2020, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 80% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Ms. Deanna Matthews, Licensing Consultant, accompanied me today. Upon arrival we were greeted by Ms. Bridgett Clark, Director, and I explained the purpose of the visit. Ms. Clark accompanied me on the walkthrough. It was reported there were seventy-eight (78) children enrolled. Ms. Matthews reviewed ten (10) files and verified each child had a file available for review. Infants were observed in the Bye-Bye Buggy taking a walk when we arrived. Space 1 for infant care was observed organized and materials were in good repair. Each infant had an individual crib and each crib was labeled. A child’s diaper bag was observed sitting on a low shelf. I observed travel sized Scope inside the bag with warnings to “Keep out of Reach of Children.” The bag was moved and stored behind lock and key. Bottles were dated and labeled as required. Feeding schedules were posted. Safe sleep checks were completed and maintained as required. Diaper creams were stored above five (5) feet and each cream had a current permission form. Toddlers were observed coming inside from water play activities. Teachers were observed assisting children change clothes and diapers. Teachers provided a nurturing environment. Space 2 and 3 had infant feeding schedules posted for each child under 15 months of age. Tubes of Aquafor and Vaseline were observed stored on a shelf above five (5) feet. We discussed that all petroleum based products should be stored behind lock and key. A tube of prescription Nystatin was observed stored with diaper creams. I explained prescription medications should be stored behind lock and key. Children in other classrooms were observed participating in free choice and large group activities. Walls in classrooms throughout the building were observed with chipped paint. Ms. Clark stated a ticket had been placed for painting throughout the building. Ceilings in Spaces 8 and 9 were stained and require painting. Books in Spaces 7 & 9 were observed in poor repair and should be replaced. Ms. Clark stated she joined a program that provided free books and she was placing an order this week. Staff were observed providing a nurturing environment. Adequate supervision was observed, and staff/child ratio was maintained. Activity plans were posted and current. Arrival and departure times were documented as required. Playgrounds were monitored. I observed plastic kiddie pools filled with water on the toddler and preschool playground. Children had participated in water play activities prior to monitoring. Ms. Clark stated the pools were not meant for water play but for an indoor activity that occurred the prior week. She removed the pools today. Emergency medications were monitored. All required documents were current and available for review. Each medication was stored properly. The facility did not provide transportation. The posted menu reflected what was served. Fifteen (15) new staff files were reviewed and two (2) veteran files were monitored. The EPR plan was reviewed and updated in the Risk Management portal on 8/10/23. The facility used approved Ascend Curriculum (Creative Curriculum). The sanitation inspection was completed 5/30/24 and received an “Approved” classification. The last fire inspection was completed 8/28/23. The facility is operated by Cadence Education, LLC and was Current-Active with the NC Secretary of State. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in classrooms throughout the building were chipped and require repainting. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Books were in poor repair in space 7 and in space 9. .0601(d) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning units in garden area were enclosed in a fence, and the gate was unlocked; air conditioning units were accessible to children. .0604 (m) 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. Two (2) opened bags of soil containing fertilizer were stored inside the fence where air conditioners were located and the gate was not locked. Wallflower liquid plug-in air freshener was stored in an unlocked cabinet. A child's diaper bag was stored on a low shelf in Space 1. There were travel sized bottles of Scope inside the bag. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of prescription Nystatin was observed stored with diaper creams on an unlocked opened shelf above five (5) feet. 15A NCAC 18A .2820(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in Space 2. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Ten (10) new staff did not have the health questionnaire completed before the first day of employment. .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. There were ten (10) new staff that did not have completed Emergency Information form on file on or before the first day of employment. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation documentation for two (2) new staff did not list dates orientation was received; the forms were incomplete. .1101(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child (W.H.), record did not include medical and immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child (W.H.) did not have a medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child (W.H.) signed discipline policy did not include the enrollment date. .1804(c) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (C.D.), file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. There were accessible wading pools on the toddler playground and on the preschool playground. .1403(b)(1-5) 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, August 14, 2024, 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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. Technical Assistance/General Comments: - Continue to check emails from DCDEE for updates. - Fire inspection reports should be emailed to the consultant within 7 days of the inspection. I recommend reaching out the fire inspector now to schedule the annual inspection. - Staff medical forms should include information regarding staff’s ability to work with children. It is recommended to use the medical form on the DCDEE website as it includes all of the required information. Patient portal reports often do not include this information therefore do not meet requirements. - Staff medical information must be maintained in a separate file. It is good practice to immediately create a medical file as new employees are hired. - Complete puzzles should be accessible to children. Pieces should not be mixed together and stored in a container next to puzzle boards. - I recommend removing glass shelves in the mini classroom refrigerators and clean with soapy water. The following Technical Assistance (TA) was provided: -All walls and ceilings including doors and windows must be kept clean, free of visible fungal growth, and in good repair. Refer to Sanitation Rule 15A NCAC18 .2825(a). -Books and equipment must be in good repair, including books and materials. Refer to Child Care Rule 10A NCAC 09 . 0601(d). -Air conditioning units must be inaccessible to children. Refer to Child Care Rule 10A NCAC 09 .0604(m). -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 must be stored in a locked room or cabinet. Refer to Child Care Rule .2820(b). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work. Refer to Child Care Rule 10A NCAC 09 .0701(a). -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child. Refer to Child Care Rules 10A NCAC 09 .0302(d)(2) and .0304(g); Refer to G.S. 110-91(1). -A child's medical exam or health assessment record must be on file before or within 30 days after admission. Refer to G.S. 110-91(1). -A signed and dated statement by parent that discipline policy received and explained at enrollment must be in child's file; must include the child's name and date of enrollment. Refer to Child Care Rule 10A NCAC 09 .1802(c). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information. Refer to Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Aquatic activities involving the following are prohibited: hot tubs, spas, saunas or steam rooms, portable wading pools, and natural bodies of water and other unfiltered, nondisinfected containments of water. Refer to Child Care Rule 10A NCAC 09 .1403(b)(1-5). -Criminal Qualifying letters must be completed every five (5) years. A teacher (D.B.) must have a current criminal qualifying letter when the staff returns for the school year. Staff (D.B.) is on leave for the summer months. Refer to Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b). -Staff must complete the required number of training hours annually. Staff (K.H.) must complete nine (9) training hours by August 8, 2024. Refer to Child Care Rule 10A NCAC 09 . 1103. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/31/2024 Number Present: 77 Completed Date: 7/31/2024 Age: From 0 To 8 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 Five Star Rated License issued on January 17, 2020, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 80% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Ms. Deanna Matthews, Licensing Consultant, accompanied me today. Upon arrival we were greeted by Ms. Bridgett Clark, Director, and I explained the purpose of the visit. Ms. Clark accompanied me on the walkthrough. It was reported there were seventy-eight (78) children enrolled. Ms. Matthews reviewed ten (10) files and verified each child had a file available for review. Infants were observed in the Bye-Bye Buggy taking a walk when we arrived. Space 1 for infant care was observed organized and materials were in good repair. Each infant had an individual crib and each crib was labeled. A child’s diaper bag was observed sitting on a low shelf. I observed travel sized Scope inside the bag with warnings to “Keep out of Reach of Children.” The bag was moved and stored behind lock and key. Bottles were dated and labeled as required. Feeding schedules were posted. Safe sleep checks were completed and maintained as required. Diaper creams were stored above five (5) feet and each cream had a current permission form. Toddlers were observed coming inside from water play activities. Teachers were observed assisting children change clothes and diapers. Teachers provided a nurturing environment. Space 2 and 3 had infant feeding schedules posted for each child under 15 months of age. Tubes of Aquafor and Vaseline were observed stored on a shelf above five (5) feet. We discussed that all petroleum based products should be stored behind lock and key. A tube of prescription Nystatin was observed stored with diaper creams. I explained prescription medications should be stored behind lock and key. Children in other classrooms were observed participating in free choice and large group activities. Walls in classrooms throughout the building were observed with chipped paint. Ms. Clark stated a ticket had been placed for painting throughout the building. Ceilings in Spaces 8 and 9 were stained and require painting. Books in Spaces 7 & 9 were observed in poor repair and should be replaced. Ms. Clark stated she joined a program that provided free books and she was placing an order this week. Staff were observed providing a nurturing environment. Adequate supervision was observed, and staff/child ratio was maintained. Activity plans were posted and current. Arrival and departure times were documented as required. Playgrounds were monitored. I observed plastic kiddie pools filled with water on the toddler and preschool playground. Children had participated in water play activities prior to monitoring. Ms. Clark stated the pools were not meant for water play but for an indoor activity that occurred the prior week. She removed the pools today. Emergency medications were monitored. All required documents were current and available for review. Each medication was stored properly. The facility did not provide transportation. The posted menu reflected what was served. Fifteen (15) new staff files were reviewed and two (2) veteran files were monitored. The EPR plan was reviewed and updated in the Risk Management portal on 8/10/23. The facility used approved Ascend Curriculum (Creative Curriculum). The sanitation inspection was completed 5/30/24 and received an “Approved” classification. The last fire inspection was completed 8/28/23. The facility is operated by Cadence Education, LLC and was Current-Active with the NC Secretary of State. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in classrooms throughout the building were chipped and require repainting. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Books were in poor repair in space 7 and in space 9. .0601(d) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning units in garden area were enclosed in a fence, and the gate was unlocked; air conditioning units were accessible to children. .0604 (m) 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. Two (2) opened bags of soil containing fertilizer were stored inside the fence where air conditioners were located and the gate was not locked. Wallflower liquid plug-in air freshener was stored in an unlocked cabinet. A child's diaper bag was stored on a low shelf in Space 1. There were travel sized bottles of Scope inside the bag. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of prescription Nystatin was observed stored with diaper creams on an unlocked opened shelf above five (5) feet. 15A NCAC 18A .2820(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in Space 2. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Ten (10) new staff did not have the health questionnaire completed before the first day of employment. .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. There were ten (10) new staff that did not have completed Emergency Information form on file on or before the first day of employment. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation documentation for two (2) new staff did not list dates orientation was received; the forms were incomplete. .1101(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child (W.H.), record did not include medical and immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child (W.H.) did not have a medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child (W.H.) signed discipline policy did not include the enrollment date. .1804(c) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (C.D.), file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. There were accessible wading pools on the toddler playground and on the preschool playground. .1403(b)(1-5) 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, August 14, 2024, 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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. Technical Assistance/General Comments: - Continue to check emails from DCDEE for updates. - Fire inspection reports should be emailed to the consultant within 7 days of the inspection. I recommend reaching out the fire inspector now to schedule the annual inspection. - Staff medical forms should include information regarding staff’s ability to work with children. It is recommended to use the medical form on the DCDEE website as it includes all of the required information. Patient portal reports often do not include this information therefore do not meet requirements. - Staff medical information must be maintained in a separate file. It is good practice to immediately create a medical file as new employees are hired. - Complete puzzles should be accessible to children. Pieces should not be mixed together and stored in a container next to puzzle boards. - I recommend removing glass shelves in the mini classroom refrigerators and clean with soapy water. The following Technical Assistance (TA) was provided: -All walls and ceilings including doors and windows must be kept clean, free of visible fungal growth, and in good repair. Refer to Sanitation Rule 15A NCAC18 .2825(a). -Books and equipment must be in good repair, including books and materials. Refer to Child Care Rule 10A NCAC 09 . 0601(d). -Air conditioning units must be inaccessible to children. Refer to Child Care Rule 10A NCAC 09 .0604(m). -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 must be stored in a locked room or cabinet. Refer to Child Care Rule .2820(b). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work. Refer to Child Care Rule 10A NCAC 09 .0701(a). -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child. Refer to Child Care Rules 10A NCAC 09 .0302(d)(2) and .0304(g); Refer to G.S. 110-91(1). -A child's medical exam or health assessment record must be on file before or within 30 days after admission. Refer to G.S. 110-91(1). -A signed and dated statement by parent that discipline policy received and explained at enrollment must be in child's file; must include the child's name and date of enrollment. Refer to Child Care Rule 10A NCAC 09 .1802(c). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information. Refer to Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Aquatic activities involving the following are prohibited: hot tubs, spas, saunas or steam rooms, portable wading pools, and natural bodies of water and other unfiltered, nondisinfected containments of water. Refer to Child Care Rule 10A NCAC 09 .1403(b)(1-5). -Criminal Qualifying letters must be completed every five (5) years. A teacher (D.B.) must have a current criminal qualifying letter when the staff returns for the school year. Staff (D.B.) is on leave for the summer months. Refer to Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b). -Staff must complete the required number of training hours annually. Staff (K.H.) must complete nine (9) training hours by August 8, 2024. Refer to Child Care Rule 10A NCAC 09 . 1103. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/31/2024 Number Present: 77 Completed Date: 7/31/2024 Age: From 0 To 8 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 Five Star Rated License issued on January 17, 2020, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 80% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Ms. Deanna Matthews, Licensing Consultant, accompanied me today. Upon arrival we were greeted by Ms. Bridgett Clark, Director, and I explained the purpose of the visit. Ms. Clark accompanied me on the walkthrough. It was reported there were seventy-eight (78) children enrolled. Ms. Matthews reviewed ten (10) files and verified each child had a file available for review. Infants were observed in the Bye-Bye Buggy taking a walk when we arrived. Space 1 for infant care was observed organized and materials were in good repair. Each infant had an individual crib and each crib was labeled. A child’s diaper bag was observed sitting on a low shelf. I observed travel sized Scope inside the bag with warnings to “Keep out of Reach of Children.” The bag was moved and stored behind lock and key. Bottles were dated and labeled as required. Feeding schedules were posted. Safe sleep checks were completed and maintained as required. Diaper creams were stored above five (5) feet and each cream had a current permission form. Toddlers were observed coming inside from water play activities. Teachers were observed assisting children change clothes and diapers. Teachers provided a nurturing environment. Space 2 and 3 had infant feeding schedules posted for each child under 15 months of age. Tubes of Aquafor and Vaseline were observed stored on a shelf above five (5) feet. We discussed that all petroleum based products should be stored behind lock and key. A tube of prescription Nystatin was observed stored with diaper creams. I explained prescription medications should be stored behind lock and key. Children in other classrooms were observed participating in free choice and large group activities. Walls in classrooms throughout the building were observed with chipped paint. Ms. Clark stated a ticket had been placed for painting throughout the building. Ceilings in Spaces 8 and 9 were stained and require painting. Books in Spaces 7 & 9 were observed in poor repair and should be replaced. Ms. Clark stated she joined a program that provided free books and she was placing an order this week. Staff were observed providing a nurturing environment. Adequate supervision was observed, and staff/child ratio was maintained. Activity plans were posted and current. Arrival and departure times were documented as required. Playgrounds were monitored. I observed plastic kiddie pools filled with water on the toddler and preschool playground. Children had participated in water play activities prior to monitoring. Ms. Clark stated the pools were not meant for water play but for an indoor activity that occurred the prior week. She removed the pools today. Emergency medications were monitored. All required documents were current and available for review. Each medication was stored properly. The facility did not provide transportation. The posted menu reflected what was served. Fifteen (15) new staff files were reviewed and two (2) veteran files were monitored. The EPR plan was reviewed and updated in the Risk Management portal on 8/10/23. The facility used approved Ascend Curriculum (Creative Curriculum). The sanitation inspection was completed 5/30/24 and received an “Approved” classification. The last fire inspection was completed 8/28/23. The facility is operated by Cadence Education, LLC and was Current-Active with the NC Secretary of State. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in classrooms throughout the building were chipped and require repainting. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Books were in poor repair in space 7 and in space 9. .0601(d) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning units in garden area were enclosed in a fence, and the gate was unlocked; air conditioning units were accessible to children. .0604 (m) 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. Two (2) opened bags of soil containing fertilizer were stored inside the fence where air conditioners were located and the gate was not locked. Wallflower liquid plug-in air freshener was stored in an unlocked cabinet. A child's diaper bag was stored on a low shelf in Space 1. There were travel sized bottles of Scope inside the bag. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of prescription Nystatin was observed stored with diaper creams on an unlocked opened shelf above five (5) feet. 15A NCAC 18A .2820(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in Space 2. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Ten (10) new staff did not have the health questionnaire completed before the first day of employment. .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. There were ten (10) new staff that did not have completed Emergency Information form on file on or before the first day of employment. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation documentation for two (2) new staff did not list dates orientation was received; the forms were incomplete. .1101(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child (W.H.), record did not include medical and immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child (W.H.) did not have a medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child (W.H.) signed discipline policy did not include the enrollment date. .1804(c) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (C.D.), file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. There were accessible wading pools on the toddler playground and on the preschool playground. .1403(b)(1-5) 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, August 14, 2024, 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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. Technical Assistance/General Comments: - Continue to check emails from DCDEE for updates. - Fire inspection reports should be emailed to the consultant within 7 days of the inspection. I recommend reaching out the fire inspector now to schedule the annual inspection. - Staff medical forms should include information regarding staff’s ability to work with children. It is recommended to use the medical form on the DCDEE website as it includes all of the required information. Patient portal reports often do not include this information therefore do not meet requirements. - Staff medical information must be maintained in a separate file. It is good practice to immediately create a medical file as new employees are hired. - Complete puzzles should be accessible to children. Pieces should not be mixed together and stored in a container next to puzzle boards. - I recommend removing glass shelves in the mini classroom refrigerators and clean with soapy water. The following Technical Assistance (TA) was provided: -All walls and ceilings including doors and windows must be kept clean, free of visible fungal growth, and in good repair. Refer to Sanitation Rule 15A NCAC18 .2825(a). -Books and equipment must be in good repair, including books and materials. Refer to Child Care Rule 10A NCAC 09 . 0601(d). -Air conditioning units must be inaccessible to children. Refer to Child Care Rule 10A NCAC 09 .0604(m). -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 must be stored in a locked room or cabinet. Refer to Child Care Rule .2820(b). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work. Refer to Child Care Rule 10A NCAC 09 .0701(a). -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child. Refer to Child Care Rules 10A NCAC 09 .0302(d)(2) and .0304(g); Refer to G.S. 110-91(1). -A child's medical exam or health assessment record must be on file before or within 30 days after admission. Refer to G.S. 110-91(1). -A signed and dated statement by parent that discipline policy received and explained at enrollment must be in child's file; must include the child's name and date of enrollment. Refer to Child Care Rule 10A NCAC 09 .1802(c). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information. Refer to Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Aquatic activities involving the following are prohibited: hot tubs, spas, saunas or steam rooms, portable wading pools, and natural bodies of water and other unfiltered, nondisinfected containments of water. Refer to Child Care Rule 10A NCAC 09 .1403(b)(1-5). -Criminal Qualifying letters must be completed every five (5) years. A teacher (D.B.) must have a current criminal qualifying letter when the staff returns for the school year. Staff (D.B.) is on leave for the summer months. Refer to Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b). -Staff must complete the required number of training hours annually. Staff (K.H.) must complete nine (9) training hours by August 8, 2024. Refer to Child Care Rule 10A NCAC 09 . 1103. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/31/2024 Number Present: 77 Completed Date: 7/31/2024 Age: From 0 To 8 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 Five Star Rated License issued on January 17, 2020, and earned 7 points in the staff education component, 6 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 80% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Ms. Deanna Matthews, Licensing Consultant, accompanied me today. Upon arrival we were greeted by Ms. Bridgett Clark, Director, and I explained the purpose of the visit. Ms. Clark accompanied me on the walkthrough. It was reported there were seventy-eight (78) children enrolled. Ms. Matthews reviewed ten (10) files and verified each child had a file available for review. Infants were observed in the Bye-Bye Buggy taking a walk when we arrived. Space 1 for infant care was observed organized and materials were in good repair. Each infant had an individual crib and each crib was labeled. A child’s diaper bag was observed sitting on a low shelf. I observed travel sized Scope inside the bag with warnings to “Keep out of Reach of Children.” The bag was moved and stored behind lock and key. Bottles were dated and labeled as required. Feeding schedules were posted. Safe sleep checks were completed and maintained as required. Diaper creams were stored above five (5) feet and each cream had a current permission form. Toddlers were observed coming inside from water play activities. Teachers were observed assisting children change clothes and diapers. Teachers provided a nurturing environment. Space 2 and 3 had infant feeding schedules posted for each child under 15 months of age. Tubes of Aquafor and Vaseline were observed stored on a shelf above five (5) feet. We discussed that all petroleum based products should be stored behind lock and key. A tube of prescription Nystatin was observed stored with diaper creams. I explained prescription medications should be stored behind lock and key. Children in other classrooms were observed participating in free choice and large group activities. Walls in classrooms throughout the building were observed with chipped paint. Ms. Clark stated a ticket had been placed for painting throughout the building. Ceilings in Spaces 8 and 9 were stained and require painting. Books in Spaces 7 & 9 were observed in poor repair and should be replaced. Ms. Clark stated she joined a program that provided free books and she was placing an order this week. Staff were observed providing a nurturing environment. Adequate supervision was observed, and staff/child ratio was maintained. Activity plans were posted and current. Arrival and departure times were documented as required. Playgrounds were monitored. I observed plastic kiddie pools filled with water on the toddler and preschool playground. Children had participated in water play activities prior to monitoring. Ms. Clark stated the pools were not meant for water play but for an indoor activity that occurred the prior week. She removed the pools today. Emergency medications were monitored. All required documents were current and available for review. Each medication was stored properly. The facility did not provide transportation. The posted menu reflected what was served. Fifteen (15) new staff files were reviewed and two (2) veteran files were monitored. The EPR plan was reviewed and updated in the Risk Management portal on 8/10/23. The facility used approved Ascend Curriculum (Creative Curriculum). The sanitation inspection was completed 5/30/24 and received an “Approved” classification. The last fire inspection was completed 8/28/23. The facility is operated by Cadence Education, LLC and was Current-Active with the NC Secretary of State. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls in classrooms throughout the building were chipped and require repainting. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Books were in poor repair in space 7 and in space 9. .0601(d) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning units in garden area were enclosed in a fence, and the gate was unlocked; air conditioning units were accessible to children. .0604 (m) 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. Two (2) opened bags of soil containing fertilizer were stored inside the fence where air conditioners were located and the gate was not locked. Wallflower liquid plug-in air freshener was stored in an unlocked cabinet. A child's diaper bag was stored on a low shelf in Space 1. There were travel sized bottles of Scope inside the bag. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of prescription Nystatin was observed stored with diaper creams on an unlocked opened shelf above five (5) feet. 15A NCAC 18A .2820(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in Space 2. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Ten (10) new staff did not have the health questionnaire completed before the first day of employment. .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. There were ten (10) new staff that did not have completed Emergency Information form on file on or before the first day of employment. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation documentation for two (2) new staff did not list dates orientation was received; the forms were incomplete. .1101(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child (W.H.), record did not include medical and immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child (W.H.) did not have a medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child (W.H.) signed discipline policy did not include the enrollment date. .1804(c) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (C.D.), file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. There were accessible wading pools on the toddler playground and on the preschool playground. .1403(b)(1-5) 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, August 14, 2024, 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. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it 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. Technical Assistance/General Comments: - Continue to check emails from DCDEE for updates. - Fire inspection reports should be emailed to the consultant within 7 days of the inspection. I recommend reaching out the fire inspector now to schedule the annual inspection. - Staff medical forms should include information regarding staff’s ability to work with children. It is recommended to use the medical form on the DCDEE website as it includes all of the required information. Patient portal reports often do not include this information therefore do not meet requirements. - Staff medical information must be maintained in a separate file. It is good practice to immediately create a medical file as new employees are hired. - Complete puzzles should be accessible to children. Pieces should not be mixed together and stored in a container next to puzzle boards. - I recommend removing glass shelves in the mini classroom refrigerators and clean with soapy water. The following Technical Assistance (TA) was provided: -All walls and ceilings including doors and windows must be kept clean, free of visible fungal growth, and in good repair. Refer to Sanitation Rule 15A NCAC18 .2825(a). -Books and equipment must be in good repair, including books and materials. Refer to Child Care Rule 10A NCAC 09 . 0601(d). -Air conditioning units must be inaccessible to children. Refer to Child Care Rule 10A NCAC 09 .0604(m). -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 must be stored in a locked room or cabinet. Refer to Child Care Rule .2820(b). -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers must have the required Emergency Information Form on file on or before the first day of work. Refer to Child Care Rule 10A NCAC 09 .0701(a). -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child. Refer to Child Care Rules 10A NCAC 09 .0302(d)(2) and .0304(g); Refer to G.S. 110-91(1). -A child's medical exam or health assessment record must be on file before or within 30 days after admission. Refer to G.S. 110-91(1). -A signed and dated statement by parent that discipline policy received and explained at enrollment must be in child's file; must include the child's name and date of enrollment. Refer to Child Care Rule 10A NCAC 09 .1802(c). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information. Refer to Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Aquatic activities involving the following are prohibited: hot tubs, spas, saunas or steam rooms, portable wading pools, and natural bodies of water and other unfiltered, nondisinfected containments of water. Refer to Child Care Rule 10A NCAC 09 .1403(b)(1-5). -Criminal Qualifying letters must be completed every five (5) years. A teacher (D.B.) must have a current criminal qualifying letter when the staff returns for the school year. Staff (D.B.) is on leave for the summer months. Refer to Child Care Rule 10A NCAC 09 .2703; G.S. 110-90.2(b). -Staff must complete the required number of training hours annually. Staff (K.H.) must complete nine (9) training hours by August 8, 2024. Refer to Child Care Rule 10A NCAC 09 . 1103. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: AMY ITALIANO Operation Type: Center Case Number: 1123-294L Visit Date: 12/7/2023 Number Present: 105 Completed Date: 12/7/2023 Age: From 0 To 5 Total Minutes: 200 Time In: 09:50 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations of childcare requirements during a complaint visit. The facility has a Five-Star License issued January 17, 2020. The facility has a compliance history of 79% prior to today’s visit. The last Annual Compliance Visit was conducted on August 23, 2023. Upon my arrival I was greeted by Miranda Henderson, Assistant Director. Bridgett Clark, Director was also arriving at the facility. I explained the purpose of today’s visit. I shared the following allegation with Ms. Clark and Ms. Henderson. There are concerns that: Children are not adequately supervised. Staff are present but not paying attention to what the children are doing. (infants/toddlers) Soiled diapers are not changed as required. (infants) Incident reports are not prepared as required. An infant’s feeding schedule was not followed. Documentation provided to a parent was not accurate regarding an infant’s day. Ms. Clark stated she was not surprised by the allegations. Ms. Clark stated that on Friday November 3, 2023, she informed a parent, at pick up, that her infant’s braid seemed to be very tight, and the rubber band was pulling the hair from the scalp of the infant’s head. Ms. Clark stated that the parent responded “Ok”. Ms. Clark stated she event call Ms. Lisa Robb, Regional Director, to let her know of the conversation she had with the parent. Ms. Robb arrived during today's visit and verified the conversation. On Monday November 6, 2023. The same parent came to the facility to drop off her infant and told Ms. Henderson that someone had pulled her infant’s hair out and now she had a bald spot, it was the same spot that Ms. Clark had shown the parent at pick up on Friday. Ms. Henderson stated that she was not aware of that happening and would review the video of her child’s classroom. Ms. Henderson informed Ms. Clark of the parents’ concern. Ms. Clark reviewed the video footage of the child’s classroom and did not see any one pull the child’s hair. Ms. Clark called the parent to let her know that she reviewed the video and footage and did not see any one pull the child’s hair. Ms. Clark also reminded the mom of the conversation that they had on Friday November 3, 2023, regarding the infant’s braid was tight and pulled the hair from the scalp. The parent responded, “Are you sure?’ Ms. Clark stated she told her, “Yes, I am sure.” Ms. Clark and I went to the infant and toddler room. Three (3) staff members were with eight (8) Infants/toddlers. I observed staff on the floor supervising and interacting with the infants/toddlers and meeting the infant’s needs. One (1) infant was sleeping, and the safe sleep charts were found in compliance. Feeding schedules were posted and current. The classroom was within staff/child ratio and adequately supervised. I also observed a live video of the infant for 20 minutes. All child care requirements were observed in compliance. Based on observation and interview the allegation that children are not adequately supervised is unsubstantiated. Based on review of the facility’s handbook and Kaymbu app the allegation Soiled diapers are not changed as required is substantiated. Based on the timeline of the allegation, the allegation that Incident reports are not prepared as required is unsubstantiated. Based on the review of the documented feeding schedule and the Kaymbu app allegation an infant’s feeding schedule was not followed is substantiated. Based on review of feeding schedule, safe sleep and Kaymbu the allegation documentation provided to a parent was not accurate regarding an infant’s day in unsubstantiated. Two (2) violations were observed and cited during today’s visit. Violation Number Comment Rule 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) The feeding schedule stated that the infant should get food between each bottle. It was not documented the infant was getting the food between bottles. 10A NCAC 09 .0902(a) 1200 Facility did not follow written operational policies. The operational policy stated that infant's diapers would be changed at least every two hours and as needed. On two(2) occasions it was not documented that the infant's diaper was not changed within the required 2 hour time frame. 10A NCAC 09 .2805(a) Corrective Action The childcare provider is expected to always maintain all applicable childcare requirements. The provider will send the following to me on or before Thursday December 21, 2023. Ms. Clark must send a letter explaining what actions were taken to correct the violations cited during the visit. Please mail/email/scan this letter to: Amy Italiano – amy.italiano@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance: - Ms. Clark, Ms. Henderson, Ms. Robb and I discussed that it is very important that teachers review and keep current all feeding schedules. If a parent verbally tells a teacher a change to the infant schedule, best practice would be for the teacher to ask the parent to write it on the feeding schedule. It is also important that teachers record all daily feeding and diaper changes. If the parent arrives and sees the teacher doing the task or the teacher tells the parent the task has been completed, they should still document the task as required. A good rule of thumb is “if it is written it happened, if it isn’t written it did not happen”. - The following rule was reviewed with Ms. Clark and Ms. Henderson. I recommend that even though an injury did not occur from an incident. Best practice is to always document any event or discussions with a parent to insure all the facts are recorded. This way if an allegation is brought to the division, you will have the documentation, date and time and it will be easier to recall all of the information. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. (f) When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me 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 .0802 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: AMY ITALIANO Operation Type: Center Case Number: 1123-294L Visit Date: 12/7/2023 Number Present: 105 Completed Date: 12/7/2023 Age: From 0 To 5 Total Minutes: 200 Time In: 09:50 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations of childcare requirements during a complaint visit. The facility has a Five-Star License issued January 17, 2020. The facility has a compliance history of 79% prior to today’s visit. The last Annual Compliance Visit was conducted on August 23, 2023. Upon my arrival I was greeted by Miranda Henderson, Assistant Director. Bridgett Clark, Director was also arriving at the facility. I explained the purpose of today’s visit. I shared the following allegation with Ms. Clark and Ms. Henderson. There are concerns that: Children are not adequately supervised. Staff are present but not paying attention to what the children are doing. (infants/toddlers) Soiled diapers are not changed as required. (infants) Incident reports are not prepared as required. An infant’s feeding schedule was not followed. Documentation provided to a parent was not accurate regarding an infant’s day. Ms. Clark stated she was not surprised by the allegations. Ms. Clark stated that on Friday November 3, 2023, she informed a parent, at pick up, that her infant’s braid seemed to be very tight, and the rubber band was pulling the hair from the scalp of the infant’s head. Ms. Clark stated that the parent responded “Ok”. Ms. Clark stated she event call Ms. Lisa Robb, Regional Director, to let her know of the conversation she had with the parent. Ms. Robb arrived during today's visit and verified the conversation. On Monday November 6, 2023. The same parent came to the facility to drop off her infant and told Ms. Henderson that someone had pulled her infant’s hair out and now she had a bald spot, it was the same spot that Ms. Clark had shown the parent at pick up on Friday. Ms. Henderson stated that she was not aware of that happening and would review the video of her child’s classroom. Ms. Henderson informed Ms. Clark of the parents’ concern. Ms. Clark reviewed the video footage of the child’s classroom and did not see any one pull the child’s hair. Ms. Clark called the parent to let her know that she reviewed the video and footage and did not see any one pull the child’s hair. Ms. Clark also reminded the mom of the conversation that they had on Friday November 3, 2023, regarding the infant’s braid was tight and pulled the hair from the scalp. The parent responded, “Are you sure?’ Ms. Clark stated she told her, “Yes, I am sure.” Ms. Clark and I went to the infant and toddler room. Three (3) staff members were with eight (8) Infants/toddlers. I observed staff on the floor supervising and interacting with the infants/toddlers and meeting the infant’s needs. One (1) infant was sleeping, and the safe sleep charts were found in compliance. Feeding schedules were posted and current. The classroom was within staff/child ratio and adequately supervised. I also observed a live video of the infant for 20 minutes. All child care requirements were observed in compliance. Based on observation and interview the allegation that children are not adequately supervised is unsubstantiated. Based on review of the facility’s handbook and Kaymbu app the allegation Soiled diapers are not changed as required is substantiated. Based on the timeline of the allegation, the allegation that Incident reports are not prepared as required is unsubstantiated. Based on the review of the documented feeding schedule and the Kaymbu app allegation an infant’s feeding schedule was not followed is substantiated. Based on review of feeding schedule, safe sleep and Kaymbu the allegation documentation provided to a parent was not accurate regarding an infant’s day in unsubstantiated. Two (2) violations were observed and cited during today’s visit. Violation Number Comment Rule 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) The feeding schedule stated that the infant should get food between each bottle. It was not documented the infant was getting the food between bottles. 10A NCAC 09 .0902(a) 1200 Facility did not follow written operational policies. The operational policy stated that infant's diapers would be changed at least every two hours and as needed. On two(2) occasions it was not documented that the infant's diaper was not changed within the required 2 hour time frame. 10A NCAC 09 .2805(a) Corrective Action The childcare provider is expected to always maintain all applicable childcare requirements. The provider will send the following to me on or before Thursday December 21, 2023. Ms. Clark must send a letter explaining what actions were taken to correct the violations cited during the visit. Please mail/email/scan this letter to: Amy Italiano – amy.italiano@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance: - Ms. Clark, Ms. Henderson, Ms. Robb and I discussed that it is very important that teachers review and keep current all feeding schedules. If a parent verbally tells a teacher a change to the infant schedule, best practice would be for the teacher to ask the parent to write it on the feeding schedule. It is also important that teachers record all daily feeding and diaper changes. If the parent arrives and sees the teacher doing the task or the teacher tells the parent the task has been completed, they should still document the task as required. A good rule of thumb is “if it is written it happened, if it isn’t written it did not happen”. - The following rule was reviewed with Ms. Clark and Ms. Henderson. I recommend that even though an injury did not occur from an incident. Best practice is to always document any event or discussions with a parent to insure all the facts are recorded. This way if an allegation is brought to the division, you will have the documentation, date and time and it will be easier to recall all of the information. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. (f) When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me 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 .2805 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: AMY ITALIANO Operation Type: Center Case Number: 1123-294L Visit Date: 12/7/2023 Number Present: 105 Completed Date: 12/7/2023 Age: From 0 To 5 Total Minutes: 200 Time In: 09:50 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations of childcare requirements during a complaint visit. The facility has a Five-Star License issued January 17, 2020. The facility has a compliance history of 79% prior to today’s visit. The last Annual Compliance Visit was conducted on August 23, 2023. Upon my arrival I was greeted by Miranda Henderson, Assistant Director. Bridgett Clark, Director was also arriving at the facility. I explained the purpose of today’s visit. I shared the following allegation with Ms. Clark and Ms. Henderson. There are concerns that: Children are not adequately supervised. Staff are present but not paying attention to what the children are doing. (infants/toddlers) Soiled diapers are not changed as required. (infants) Incident reports are not prepared as required. An infant’s feeding schedule was not followed. Documentation provided to a parent was not accurate regarding an infant’s day. Ms. Clark stated she was not surprised by the allegations. Ms. Clark stated that on Friday November 3, 2023, she informed a parent, at pick up, that her infant’s braid seemed to be very tight, and the rubber band was pulling the hair from the scalp of the infant’s head. Ms. Clark stated that the parent responded “Ok”. Ms. Clark stated she event call Ms. Lisa Robb, Regional Director, to let her know of the conversation she had with the parent. Ms. Robb arrived during today's visit and verified the conversation. On Monday November 6, 2023. The same parent came to the facility to drop off her infant and told Ms. Henderson that someone had pulled her infant’s hair out and now she had a bald spot, it was the same spot that Ms. Clark had shown the parent at pick up on Friday. Ms. Henderson stated that she was not aware of that happening and would review the video of her child’s classroom. Ms. Henderson informed Ms. Clark of the parents’ concern. Ms. Clark reviewed the video footage of the child’s classroom and did not see any one pull the child’s hair. Ms. Clark called the parent to let her know that she reviewed the video and footage and did not see any one pull the child’s hair. Ms. Clark also reminded the mom of the conversation that they had on Friday November 3, 2023, regarding the infant’s braid was tight and pulled the hair from the scalp. The parent responded, “Are you sure?’ Ms. Clark stated she told her, “Yes, I am sure.” Ms. Clark and I went to the infant and toddler room. Three (3) staff members were with eight (8) Infants/toddlers. I observed staff on the floor supervising and interacting with the infants/toddlers and meeting the infant’s needs. One (1) infant was sleeping, and the safe sleep charts were found in compliance. Feeding schedules were posted and current. The classroom was within staff/child ratio and adequately supervised. I also observed a live video of the infant for 20 minutes. All child care requirements were observed in compliance. Based on observation and interview the allegation that children are not adequately supervised is unsubstantiated. Based on review of the facility’s handbook and Kaymbu app the allegation Soiled diapers are not changed as required is substantiated. Based on the timeline of the allegation, the allegation that Incident reports are not prepared as required is unsubstantiated. Based on the review of the documented feeding schedule and the Kaymbu app allegation an infant’s feeding schedule was not followed is substantiated. Based on review of feeding schedule, safe sleep and Kaymbu the allegation documentation provided to a parent was not accurate regarding an infant’s day in unsubstantiated. Two (2) violations were observed and cited during today’s visit. Violation Number Comment Rule 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) The feeding schedule stated that the infant should get food between each bottle. It was not documented the infant was getting the food between bottles. 10A NCAC 09 .0902(a) 1200 Facility did not follow written operational policies. The operational policy stated that infant's diapers would be changed at least every two hours and as needed. On two(2) occasions it was not documented that the infant's diaper was not changed within the required 2 hour time frame. 10A NCAC 09 .2805(a) Corrective Action The childcare provider is expected to always maintain all applicable childcare requirements. The provider will send the following to me on or before Thursday December 21, 2023. Ms. Clark must send a letter explaining what actions were taken to correct the violations cited during the visit. Please mail/email/scan this letter to: Amy Italiano – amy.italiano@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance: - Ms. Clark, Ms. Henderson, Ms. Robb and I discussed that it is very important that teachers review and keep current all feeding schedules. If a parent verbally tells a teacher a change to the infant schedule, best practice would be for the teacher to ask the parent to write it on the feeding schedule. It is also important that teachers record all daily feeding and diaper changes. If the parent arrives and sees the teacher doing the task or the teacher tells the parent the task has been completed, they should still document the task as required. A good rule of thumb is “if it is written it happened, if it isn’t written it did not happen”. - The following rule was reviewed with Ms. Clark and Ms. Henderson. I recommend that even though an injury did not occur from an incident. Best practice is to always document any event or discussions with a parent to insure all the facts are recorded. This way if an allegation is brought to the division, you will have the documentation, date and time and it will be easier to recall all of the information. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. (f) When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me 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 .0803 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 11/29/2023 Number Present: 107 Completed Date: 11/29/2023 Age: From 0 To 5 Total Minutes: 125 Time In: 11:40 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor the facility for compliance with all applicable childcare requirements during a Routine Unannounced Visit. The facility holds a Five Star Rated License issued January 17, 2020; the facility has a compliance history of 77% prior to today’s visit. The last Annual Compliance Visit was conducted August 12, 2023. Upon arrival, I was greeted by Bridgett Clark, Director. I explained the purpose of my visit. and I conducted a walk-through of the facility. Supervision of children, discipline, nurture and care of children, staff/child ratio, group size, licensed capacity, and permit restrictions were monitored during the walk-through. Infants were observed sleeping. The Safe Sleep Chart was current and documented. One (1) feeding schedule that was posted was not signed by the parent. Preschool age children were observed in circle time, lunchtime, and transiting to nap. Headcount sheets were reviewed. In space #11 a medical authorization had expired September 23, 2023. All groups were within staff/child ratio requirements and were adequately supervised. All required documents were posted. Two (2) violations were observed and discussed with Ms. Clark. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding schedule that was posted was not signed by the parent. .0902(a) 847 Parent's medication authorization did not include required information. In space #11 a medical authorization had expired September 23, 2023. 10A NCAC 09 .0803(4)(6-9) Corrective Action The childcare provider is expected to always maintain all applicable childcare requirements. The provider will send the following to me on or before Wednesday December 13, 2023. Ms. Clark needs to send a letter explaining what actions were taken to correct the violations cited during the visit and the plan implemented to ensure on-going compliance. Please mail/email/scan this letter to: Amy Italiano – amy.italiano@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistant and General Discussions: - The facility received a Written Warning that was issued on October 18, 2023. On November 16, 2023, A+ Supervision training was conducted for all current staff. Stipulation #4 and #5 of the Action are due on or before Monday December 11, 2023. Ms. Clark and I review the stipulations. The Rules Review is scheduled for Tuesday December 19, 2023 at 6:00pm. - I reminded Ms. Clark that Medical Action Plans are good for one year, however the permission for medical authorization is only good for 6 months. The Medical Action Plan can be used as the medical authorization for the first 6 months, but then a new permission for medical authorization would need to be filled out by the physician or the parent. I recommended keeping a calendar of when children Medical Action Plan and medical authorization expire. - I reminded Ms. Clark that administrators need to review all paperwork to ensure that forms are filled out and signed properly. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me 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 .0304 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 8/23/2023 Number Present: 44 Completed Date: 8/23/2023 Age: From 0 To 4 Total Minutes: 100 Time In: 09:35 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s Unannounced visit was to monitor compliance of applicable child care requirements during an Annual Compliance Follow-up Visit. The current Five-Star License was issued on January 17, 2020. The facility’s compliance history prior to today’s visit is 84%. Jennifer Stansfield, Child Care Consultant, accompanied me on today’s visit. Upon our arrival, we were greeted by Bridgett Clark, Director . I explained the purpose for the visit was to verify correction of the violation cited on the August 9, 2023, Annual Compliance Visit. I conducted a walk-through of the facility. Infants were observed eating in highchairs and playing on the floor with the teacher. Children were observed outside on the playground. Staff was observed interacting with the children. In space#4 the baseboard was gone, and peeling paint and chipping drywall exposed. All hazardous products were stored locked. When I arrived on the playground the teacher from Space#7 had 9 (nine) two year old children, 8 (eight) three year old children and 2 (two) four year old children, making the group out of ratio. On the playground a teacher of children ages 2, 3 and 4, was sitting on a child size chair looking at her phone, not moving about supervising the children. On the playground the mulch still measures 1-2 inches no new mulch has been added. There is trash on the playground. Push toys were missing parts and in poor repair. No playground inspection has been completed since June. The fire inspection is scheduled to be completed on August 28, 2023. During the August 9, 2023, Annual Compliance Visit Twenty-two (22) violations were cited. The following violations were verified corrected during today’s visit. 415 All classrooms had the classroom schedule posted. 533 All bottles were label with the child’s name and dated. 540 Feeding schedules were posted. 542 Feeding schedules were updated and current. 601 All refrigerators have a thermometer the reflect the temperature of 45 degrees or lower. 807 A safe indoor and outdoor environment was provided for children. 837 EMC has been updated with the new administrators. 840 All hazardous products were stored locked. 1067 All Employees have orientation on file. 1311 All Children have Emergency Medical information on file. 1313 All children have addresses listed for emergency on the application. 1322 All children have off premise on file. 1325 Enrollment date was put on the discipline policy form during today’s visit. 1792 Teachers were drinking out of cups with lids. 1812 EPR plan was completed on August 10, 2023 Eight (8) violations were cited during today's visit. Seven (7) are repeat violations from the August 9, 2023 Annual Compliance Visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed August 8, 2022. Repeat violation 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. On the playground a teacher of children ages 2, 3 and 4, was sitting on a child size chair looking at her phone, not moving about supervising the children. .1801(a)(1-5) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space #4, and 5 there was peeling paint and drywall where a baseboard was missing. In space #8 there were water stains on the ceiling. Repeat violation. 15A NCAC 18A .2825(a) 808 The outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin. There was litter observed on the infant/toddler playground. Repeat violation. 15A NCAC 18A .2832(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not completed in July 2023. An inspection was not completed for August 2023 by the due date of the correction letter. Repeat violation. .0605(q) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One (1) child did not have the enrollment date listed on the discipline policy. Repeat violation .1804(b) 1756 Enhanced staff/child ratios and group sizes were not met. When I arrived on the playground the teacher from Space#7 had 9 (nine) two year old children, 8 (eight) three year old children and 2 (two) four year old children, making the group out of ratio. 10A NCAC 09 .2818 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured 1 - 2 inches around the climbing structures and under swings on the infant/toddler playground. .0605(k)(1-4) Corrective Action The childcare provider is expected to always maintain all applicable childcare requirements. A follow up visit will be conducted to ensure all violations cited today have been corrected. Quality Enhancement and/or Technical Assistance Discussions: - I discussed with Ms. Clark that an Administrative Action could be issue since twenty-two (22) violations of separate rules were cited on the August 9, 2023, Annual Compliance visit. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me 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 .2818 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 8/23/2023 Number Present: 44 Completed Date: 8/23/2023 Age: From 0 To 4 Total Minutes: 100 Time In: 09:35 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s Unannounced visit was to monitor compliance of applicable child care requirements during an Annual Compliance Follow-up Visit. The current Five-Star License was issued on January 17, 2020. The facility’s compliance history prior to today’s visit is 84%. Jennifer Stansfield, Child Care Consultant, accompanied me on today’s visit. Upon our arrival, we were greeted by Bridgett Clark, Director . I explained the purpose for the visit was to verify correction of the violation cited on the August 9, 2023, Annual Compliance Visit. I conducted a walk-through of the facility. Infants were observed eating in highchairs and playing on the floor with the teacher. Children were observed outside on the playground. Staff was observed interacting with the children. In space#4 the baseboard was gone, and peeling paint and chipping drywall exposed. All hazardous products were stored locked. When I arrived on the playground the teacher from Space#7 had 9 (nine) two year old children, 8 (eight) three year old children and 2 (two) four year old children, making the group out of ratio. On the playground a teacher of children ages 2, 3 and 4, was sitting on a child size chair looking at her phone, not moving about supervising the children. On the playground the mulch still measures 1-2 inches no new mulch has been added. There is trash on the playground. Push toys were missing parts and in poor repair. No playground inspection has been completed since June. The fire inspection is scheduled to be completed on August 28, 2023. During the August 9, 2023, Annual Compliance Visit Twenty-two (22) violations were cited. The following violations were verified corrected during today’s visit. 415 All classrooms had the classroom schedule posted. 533 All bottles were label with the child’s name and dated. 540 Feeding schedules were posted. 542 Feeding schedules were updated and current. 601 All refrigerators have a thermometer the reflect the temperature of 45 degrees or lower. 807 A safe indoor and outdoor environment was provided for children. 837 EMC has been updated with the new administrators. 840 All hazardous products were stored locked. 1067 All Employees have orientation on file. 1311 All Children have Emergency Medical information on file. 1313 All children have addresses listed for emergency on the application. 1322 All children have off premise on file. 1325 Enrollment date was put on the discipline policy form during today’s visit. 1792 Teachers were drinking out of cups with lids. 1812 EPR plan was completed on August 10, 2023 Eight (8) violations were cited during today's visit. Seven (7) are repeat violations from the August 9, 2023 Annual Compliance Visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed August 8, 2022. Repeat violation 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. On the playground a teacher of children ages 2, 3 and 4, was sitting on a child size chair looking at her phone, not moving about supervising the children. .1801(a)(1-5) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space #4, and 5 there was peeling paint and drywall where a baseboard was missing. In space #8 there were water stains on the ceiling. Repeat violation. 15A NCAC 18A .2825(a) 808 The outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin. There was litter observed on the infant/toddler playground. Repeat violation. 15A NCAC 18A .2832(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not completed in July 2023. An inspection was not completed for August 2023 by the due date of the correction letter. Repeat violation. .0605(q) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One (1) child did not have the enrollment date listed on the discipline policy. Repeat violation .1804(b) 1756 Enhanced staff/child ratios and group sizes were not met. When I arrived on the playground the teacher from Space#7 had 9 (nine) two year old children, 8 (eight) three year old children and 2 (two) four year old children, making the group out of ratio. 10A NCAC 09 .2818 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured 1 - 2 inches around the climbing structures and under swings on the infant/toddler playground. .0605(k)(1-4) Corrective Action The childcare provider is expected to always maintain all applicable childcare requirements. A follow up visit will be conducted to ensure all violations cited today have been corrected. Quality Enhancement and/or Technical Assistance Discussions: - I discussed with Ms. Clark that an Administrative Action could be issue since twenty-two (22) violations of separate rules were cited on the August 9, 2023, Annual Compliance visit. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 8/9/2023 Number Present: 51 Completed Date: 8/9/2023 Age: From 0 To 9 Total Minutes: 265 Time In: 09:35 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during an Annual Compliance Visit. The facility has a Five Star License issued January 17, 2020. The facility has a compliance history of 90% prior to today’s visit. The last Annual Compliance Visit was conducted August 12, 2022. Jennifer Stansfield, Child Care Consultant accompanied me on today’s visit. Upon my arrival I was greeted by Ms. Bridgett Clark, Director and Miranda Henderson, Assistant Director. I explained the purpose of today’s visit. Ms. Clark and I conducted the walk-through. Infants were observed playing on the floor with the caregivers. Two (2) infant was sleeping. Safe Sleep Charts and Feeding schedules were monitored, three (3) bottles did not have a date labeled on the bottle. There were two (2) bottles of essential oils in the unlocked cabinet. In Space #2 the feeding schedules were not posted, they were kept in a folder. The feeding schedules had not been updates since the children were enrolled. In space 1, 2 and 3 the refrigerators had no thermometer. Preschool children were observed in free play, outside play, and preparing for lunch. Teachers were engaged with the children. In space #3, 6, 7 there was peeling paint on the wall, in space #8 there are water stains on the ceiling. In space #3 there was a bottle of Cheerwine on the counter. In space #6 the teacher was laminating shelving labels; the laminator was warm to touch and accessible to the children who were two years of age. The teacher was not moving about the room supervising children and was not able to render assistance to the children. In several of the classrooms puzzle pieces were missing, toy refrigerators were rusted, push toys were missing the parts and are poor repair. In space#12 no schedule was posted of the children’s daily activities. All groups were in staff/child ratio. In space #2 there was on one teacher in the classroom with four (4) children under the age of one, and one (1) child who was one year of age. The teacher had her back to the infants and toddlers, not supervising the children, while she was updating feeding schedules and hanging with on the wall. Playgrounds were monitored today, litter, and broken toys were observed on all playgrounds. Mulch measure 1-2 inches around the climbing structures and under swing. A ticket for Mulch was put in on June 30, 2023. On August 2, 2023 it was stated that mulch should be delievered by August 16, 2023. Program records were reviewed , there was no EPR plan available to review. There was no July 2023 playground inspection completed. The Emergency Care Plan was not current. It had both administrators that are no longer at the facility listed. The facility does not provide transportation. Six (6) children’s files were monitored four (4) violations were observed. Nine (9) new staff files were monitored. One(1) violation were observed. - The last sanitation inspection was conducted on January 13, 2023, with 10 demerits and an superior rating. - The last fire inspection was August 8, 2022, no new inspection has been completed. Twenty-two (22) violations were observed and discussed with Ms. Bridgett and Ms. Miranda. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was August 8, 2022, no new inspection has been completed. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. In space #6 the teacher was laminating shelving labels; the laminator was warm to touch and accessible to the children who were two years of age. The teacher was not moving about the room supervising children and was not able to render assistance to the children. In space #2 there was on one teacher in the classroom with four (4) children under the age of one, and one (1) child who was one year of age. The teacher had her back to the infants and toddlers, not supervising the children, while she was updating feeding schedules and hanging with on the wall. .1801(a)(1-5) 415 A current schedule was not posted for each group of children for reference. In space 12 there was not schedule posted. GS 110-91(12);.0508(a) 533 Breast 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. Three (3) infant bottles in Space 1 were not dated. 15A NCAC 18A .2804(d) 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)In Space #2 the feeding schedules were not posted, they were kept in a folder. 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. Infant feeding schedules had not been update since infants were enrolled. 10 NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 1, 2 and 3 the refrigerators had no thermometer. 15A NCAC 18A .2806(j)(2) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space #3, 6, 7 there was peeling paint on the wall, in space #8 there are water stains on the ceiling. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. In several of the classrooms puzzle pieces were missing, toy refrigerators were rusted, push toys were missing the parts and are poor repair. .0601(d) 807 A safe indoor and outdoor environment was not provided for the children. In space #6 the teacher was laminating shelving labels; the laminator was warm to touch and accessible to the children who were two years of age. 10A NCAC 09 .0601(a) 808 The outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin. litter was observed on all playgrounds. 15A NCAC 18A .2832(a) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.The Emergency Care Plan was not current. It had both administrators that are no longer at the facility listed. .0802(a)(1)(A-B); 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. There were two (2) bottles of essential oils in the unlocked cabinet. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No inspection was completed for July 2023. .0605(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) new employee hired 7/3/23 did not have documented orientation for the first two weeks of employment. .1101(a)(b) 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.S., did not have updated emergency medical care information on file. The last time emergency information was updated 9/24/21. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. Two (2) children did have the address listed for emergency contacts on the application. .0802(c)(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Two (2) children had expired off-premise permissions on file. .1005(b)(4) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Two (2) children did not have the enrollment date listed on the discipline policy. .1804(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #3 there was a bottle of Cheerwine on the counter. .0901(i) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. there was no EPR plan available to review. .0607(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measure 1-2 inches around the climbing structures and under swing. .0605(k)(1-4) Corrective Action The childcare provider is expected to always maintain all applicable childcare requirements. A unannounced follow-up visit will be made in the near future. Technical Assistance: - Cadence made a switch of administrators at several of the locations. The administrators present today both started on July 31, 2023. I requested the Pre-Service administrator form filled out and sent to me ASAP. - It was discussed with the infant teachers and director that even if a child is awake in the crib it needs to be documented on the safe sleep chart and mark that the child is awake. A child should not be left in the crib awake for more than 15 minutes. - The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year won’t begin until July 1, 2024, the preparation year for cohort one begins July 1, 2023. - I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. If you have questions prior to me reaching out, please don’t hesitate to contact me. 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 .0601 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 8/9/2023 Number Present: 51 Completed Date: 8/9/2023 Age: From 0 To 9 Total Minutes: 265 Time In: 09:35 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during an Annual Compliance Visit. The facility has a Five Star License issued January 17, 2020. The facility has a compliance history of 90% prior to today’s visit. The last Annual Compliance Visit was conducted August 12, 2022. Jennifer Stansfield, Child Care Consultant accompanied me on today’s visit. Upon my arrival I was greeted by Ms. Bridgett Clark, Director and Miranda Henderson, Assistant Director. I explained the purpose of today’s visit. Ms. Clark and I conducted the walk-through. Infants were observed playing on the floor with the caregivers. Two (2) infant was sleeping. Safe Sleep Charts and Feeding schedules were monitored, three (3) bottles did not have a date labeled on the bottle. There were two (2) bottles of essential oils in the unlocked cabinet. In Space #2 the feeding schedules were not posted, they were kept in a folder. The feeding schedules had not been updates since the children were enrolled. In space 1, 2 and 3 the refrigerators had no thermometer. Preschool children were observed in free play, outside play, and preparing for lunch. Teachers were engaged with the children. In space #3, 6, 7 there was peeling paint on the wall, in space #8 there are water stains on the ceiling. In space #3 there was a bottle of Cheerwine on the counter. In space #6 the teacher was laminating shelving labels; the laminator was warm to touch and accessible to the children who were two years of age. The teacher was not moving about the room supervising children and was not able to render assistance to the children. In several of the classrooms puzzle pieces were missing, toy refrigerators were rusted, push toys were missing the parts and are poor repair. In space#12 no schedule was posted of the children’s daily activities. All groups were in staff/child ratio. In space #2 there was on one teacher in the classroom with four (4) children under the age of one, and one (1) child who was one year of age. The teacher had her back to the infants and toddlers, not supervising the children, while she was updating feeding schedules and hanging with on the wall. Playgrounds were monitored today, litter, and broken toys were observed on all playgrounds. Mulch measure 1-2 inches around the climbing structures and under swing. A ticket for Mulch was put in on June 30, 2023. On August 2, 2023 it was stated that mulch should be delievered by August 16, 2023. Program records were reviewed , there was no EPR plan available to review. There was no July 2023 playground inspection completed. The Emergency Care Plan was not current. It had both administrators that are no longer at the facility listed. The facility does not provide transportation. Six (6) children’s files were monitored four (4) violations were observed. Nine (9) new staff files were monitored. One(1) violation were observed. - The last sanitation inspection was conducted on January 13, 2023, with 10 demerits and an superior rating. - The last fire inspection was August 8, 2022, no new inspection has been completed. Twenty-two (22) violations were observed and discussed with Ms. Bridgett and Ms. Miranda. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was August 8, 2022, no new inspection has been completed. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. In space #6 the teacher was laminating shelving labels; the laminator was warm to touch and accessible to the children who were two years of age. The teacher was not moving about the room supervising children and was not able to render assistance to the children. In space #2 there was on one teacher in the classroom with four (4) children under the age of one, and one (1) child who was one year of age. The teacher had her back to the infants and toddlers, not supervising the children, while she was updating feeding schedules and hanging with on the wall. .1801(a)(1-5) 415 A current schedule was not posted for each group of children for reference. In space 12 there was not schedule posted. GS 110-91(12);.0508(a) 533 Breast 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. Three (3) infant bottles in Space 1 were not dated. 15A NCAC 18A .2804(d) 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)In Space #2 the feeding schedules were not posted, they were kept in a folder. 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. Infant feeding schedules had not been update since infants were enrolled. 10 NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 1, 2 and 3 the refrigerators had no thermometer. 15A NCAC 18A .2806(j)(2) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space #3, 6, 7 there was peeling paint on the wall, in space #8 there are water stains on the ceiling. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. In several of the classrooms puzzle pieces were missing, toy refrigerators were rusted, push toys were missing the parts and are poor repair. .0601(d) 807 A safe indoor and outdoor environment was not provided for the children. In space #6 the teacher was laminating shelving labels; the laminator was warm to touch and accessible to the children who were two years of age. 10A NCAC 09 .0601(a) 808 The outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin. litter was observed on all playgrounds. 15A NCAC 18A .2832(a) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.The Emergency Care Plan was not current. It had both administrators that are no longer at the facility listed. .0802(a)(1)(A-B); 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. There were two (2) bottles of essential oils in the unlocked cabinet. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No inspection was completed for July 2023. .0605(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) new employee hired 7/3/23 did not have documented orientation for the first two weeks of employment. .1101(a)(b) 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.S., did not have updated emergency medical care information on file. The last time emergency information was updated 9/24/21. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. Two (2) children did have the address listed for emergency contacts on the application. .0802(c)(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Two (2) children had expired off-premise permissions on file. .1005(b)(4) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Two (2) children did not have the enrollment date listed on the discipline policy. .1804(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #3 there was a bottle of Cheerwine on the counter. .0901(i) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. there was no EPR plan available to review. .0607(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measure 1-2 inches around the climbing structures and under swing. .0605(k)(1-4) Corrective Action The childcare provider is expected to always maintain all applicable childcare requirements. A unannounced follow-up visit will be made in the near future. Technical Assistance: - Cadence made a switch of administrators at several of the locations. The administrators present today both started on July 31, 2023. I requested the Pre-Service administrator form filled out and sent to me ASAP. - It was discussed with the infant teachers and director that even if a child is awake in the crib it needs to be documented on the safe sleep chart and mark that the child is awake. A child should not be left in the crib awake for more than 15 minutes. - The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year won’t begin until July 1, 2024, the preparation year for cohort one begins July 1, 2023. - I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. If you have questions prior to me reaching out, please don’t hesitate to contact me. 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: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 8/9/2023 Number Present: 51 Completed Date: 8/9/2023 Age: From 0 To 9 Total Minutes: 265 Time In: 09:35 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during an Annual Compliance Visit. The facility has a Five Star License issued January 17, 2020. The facility has a compliance history of 90% prior to today’s visit. The last Annual Compliance Visit was conducted August 12, 2022. Jennifer Stansfield, Child Care Consultant accompanied me on today’s visit. Upon my arrival I was greeted by Ms. Bridgett Clark, Director and Miranda Henderson, Assistant Director. I explained the purpose of today’s visit. Ms. Clark and I conducted the walk-through. Infants were observed playing on the floor with the caregivers. Two (2) infant was sleeping. Safe Sleep Charts and Feeding schedules were monitored, three (3) bottles did not have a date labeled on the bottle. There were two (2) bottles of essential oils in the unlocked cabinet. In Space #2 the feeding schedules were not posted, they were kept in a folder. The feeding schedules had not been updates since the children were enrolled. In space 1, 2 and 3 the refrigerators had no thermometer. Preschool children were observed in free play, outside play, and preparing for lunch. Teachers were engaged with the children. In space #3, 6, 7 there was peeling paint on the wall, in space #8 there are water stains on the ceiling. In space #3 there was a bottle of Cheerwine on the counter. In space #6 the teacher was laminating shelving labels; the laminator was warm to touch and accessible to the children who were two years of age. The teacher was not moving about the room supervising children and was not able to render assistance to the children. In several of the classrooms puzzle pieces were missing, toy refrigerators were rusted, push toys were missing the parts and are poor repair. In space#12 no schedule was posted of the children’s daily activities. All groups were in staff/child ratio. In space #2 there was on one teacher in the classroom with four (4) children under the age of one, and one (1) child who was one year of age. The teacher had her back to the infants and toddlers, not supervising the children, while she was updating feeding schedules and hanging with on the wall. Playgrounds were monitored today, litter, and broken toys were observed on all playgrounds. Mulch measure 1-2 inches around the climbing structures and under swing. A ticket for Mulch was put in on June 30, 2023. On August 2, 2023 it was stated that mulch should be delievered by August 16, 2023. Program records were reviewed , there was no EPR plan available to review. There was no July 2023 playground inspection completed. The Emergency Care Plan was not current. It had both administrators that are no longer at the facility listed. The facility does not provide transportation. Six (6) children’s files were monitored four (4) violations were observed. Nine (9) new staff files were monitored. One(1) violation were observed. - The last sanitation inspection was conducted on January 13, 2023, with 10 demerits and an superior rating. - The last fire inspection was August 8, 2022, no new inspection has been completed. Twenty-two (22) violations were observed and discussed with Ms. Bridgett and Ms. Miranda. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was August 8, 2022, no new inspection has been completed. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. In space #6 the teacher was laminating shelving labels; the laminator was warm to touch and accessible to the children who were two years of age. The teacher was not moving about the room supervising children and was not able to render assistance to the children. In space #2 there was on one teacher in the classroom with four (4) children under the age of one, and one (1) child who was one year of age. The teacher had her back to the infants and toddlers, not supervising the children, while she was updating feeding schedules and hanging with on the wall. .1801(a)(1-5) 415 A current schedule was not posted for each group of children for reference. In space 12 there was not schedule posted. GS 110-91(12);.0508(a) 533 Breast 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. Three (3) infant bottles in Space 1 were not dated. 15A NCAC 18A .2804(d) 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)In Space #2 the feeding schedules were not posted, they were kept in a folder. 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. Infant feeding schedules had not been update since infants were enrolled. 10 NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 1, 2 and 3 the refrigerators had no thermometer. 15A NCAC 18A .2806(j)(2) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space #3, 6, 7 there was peeling paint on the wall, in space #8 there are water stains on the ceiling. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. In several of the classrooms puzzle pieces were missing, toy refrigerators were rusted, push toys were missing the parts and are poor repair. .0601(d) 807 A safe indoor and outdoor environment was not provided for the children. In space #6 the teacher was laminating shelving labels; the laminator was warm to touch and accessible to the children who were two years of age. 10A NCAC 09 .0601(a) 808 The outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin. litter was observed on all playgrounds. 15A NCAC 18A .2832(a) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.The Emergency Care Plan was not current. It had both administrators that are no longer at the facility listed. .0802(a)(1)(A-B); 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. There were two (2) bottles of essential oils in the unlocked cabinet. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No inspection was completed for July 2023. .0605(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) new employee hired 7/3/23 did not have documented orientation for the first two weeks of employment. .1101(a)(b) 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.S., did not have updated emergency medical care information on file. The last time emergency information was updated 9/24/21. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. Two (2) children did have the address listed for emergency contacts on the application. .0802(c)(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Two (2) children had expired off-premise permissions on file. .1005(b)(4) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Two (2) children did not have the enrollment date listed on the discipline policy. .1804(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #3 there was a bottle of Cheerwine on the counter. .0901(i) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. there was no EPR plan available to review. .0607(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measure 1-2 inches around the climbing structures and under swing. .0605(k)(1-4) Corrective Action The childcare provider is expected to always maintain all applicable childcare requirements. A unannounced follow-up visit will be made in the near future. Technical Assistance: - Cadence made a switch of administrators at several of the locations. The administrators present today both started on July 31, 2023. I requested the Pre-Service administrator form filled out and sent to me ASAP. - It was discussed with the infant teachers and director that even if a child is awake in the crib it needs to be documented on the safe sleep chart and mark that the child is awake. A child should not be left in the crib awake for more than 15 minutes. - The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year won’t begin until July 1, 2024, the preparation year for cohort one begins July 1, 2023. - I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. If you have questions prior to me reaching out, please don’t hesitate to contact me. 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 .0304 · Violation

Name of Operation: CADENCE ACADEMY PRESCHOOL, MALLARD Facility ID: 60002689 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 8/9/2023 Number Present: 51 Completed Date: 8/9/2023 Age: From 0 To 9 Total Minutes: 265 Time In: 09:35 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during an Annual Compliance Visit. The facility has a Five Star License issued January 17, 2020. The facility has a compliance history of 90% prior to today’s visit. The last Annual Compliance Visit was conducted August 12, 2022. Jennifer Stansfield, Child Care Consultant accompanied me on today’s visit. Upon my arrival I was greeted by Ms. Bridgett Clark, Director and Miranda Henderson, Assistant Director. I explained the purpose of today’s visit. Ms. Clark and I conducted the walk-through. Infants were observed playing on the floor with the caregivers. Two (2) infant was sleeping. Safe Sleep Charts and Feeding schedules were monitored, three (3) bottles did not have a date labeled on the bottle. There were two (2) bottles of essential oils in the unlocked cabinet. In Space #2 the feeding schedules were not posted, they were kept in a folder. The feeding schedules had not been updates since the children were enrolled. In space 1, 2 and 3 the refrigerators had no thermometer. Preschool children were observed in free play, outside play, and preparing for lunch. Teachers were engaged with the children. In space #3, 6, 7 there was peeling paint on the wall, in space #8 there are water stains on the ceiling. In space #3 there was a bottle of Cheerwine on the counter. In space #6 the teacher was laminating shelving labels; the laminator was warm to touch and accessible to the children who were two years of age. The teacher was not moving about the room supervising children and was not able to render assistance to the children. In several of the classrooms puzzle pieces were missing, toy refrigerators were rusted, push toys were missing the parts and are poor repair. In space#12 no schedule was posted of the children’s daily activities. All groups were in staff/child ratio. In space #2 there was on one teacher in the classroom with four (4) children under the age of one, and one (1) child who was one year of age. The teacher had her back to the infants and toddlers, not supervising the children, while she was updating feeding schedules and hanging with on the wall. Playgrounds were monitored today, litter, and broken toys were observed on all playgrounds. Mulch measure 1-2 inches around the climbing structures and under swing. A ticket for Mulch was put in on June 30, 2023. On August 2, 2023 it was stated that mulch should be delievered by August 16, 2023. Program records were reviewed , there was no EPR plan available to review. There was no July 2023 playground inspection completed. The Emergency Care Plan was not current. It had both administrators that are no longer at the facility listed. The facility does not provide transportation. Six (6) children’s files were monitored four (4) violations were observed. Nine (9) new staff files were monitored. One(1) violation were observed. - The last sanitation inspection was conducted on January 13, 2023, with 10 demerits and an superior rating. - The last fire inspection was August 8, 2022, no new inspection has been completed. Twenty-two (22) violations were observed and discussed with Ms. Bridgett and Ms. Miranda. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was August 8, 2022, no new inspection has been completed. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. In space #6 the teacher was laminating shelving labels; the laminator was warm to touch and accessible to the children who were two years of age. The teacher was not moving about the room supervising children and was not able to render assistance to the children. In space #2 there was on one teacher in the classroom with four (4) children under the age of one, and one (1) child who was one year of age. The teacher had her back to the infants and toddlers, not supervising the children, while she was updating feeding schedules and hanging with on the wall. .1801(a)(1-5) 415 A current schedule was not posted for each group of children for reference. In space 12 there was not schedule posted. GS 110-91(12);.0508(a) 533 Breast 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. Three (3) infant bottles in Space 1 were not dated. 15A NCAC 18A .2804(d) 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)In Space #2 the feeding schedules were not posted, they were kept in a folder. 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. Infant feeding schedules had not been update since infants were enrolled. 10 NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 1, 2 and 3 the refrigerators had no thermometer. 15A NCAC 18A .2806(j)(2) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space #3, 6, 7 there was peeling paint on the wall, in space #8 there are water stains on the ceiling. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. In several of the classrooms puzzle pieces were missing, toy refrigerators were rusted, push toys were missing the parts and are poor repair. .0601(d) 807 A safe indoor and outdoor environment was not provided for the children. In space #6 the teacher was laminating shelving labels; the laminator was warm to touch and accessible to the children who were two years of age. 10A NCAC 09 .0601(a) 808 The outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin. litter was observed on all playgrounds. 15A NCAC 18A .2832(a) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.The Emergency Care Plan was not current. It had both administrators that are no longer at the facility listed. .0802(a)(1)(A-B); 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. There were two (2) bottles of essential oils in the unlocked cabinet. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No inspection was completed for July 2023. .0605(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) new employee hired 7/3/23 did not have documented orientation for the first two weeks of employment. .1101(a)(b) 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.S., did not have updated emergency medical care information on file. The last time emergency information was updated 9/24/21. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. Two (2) children did have the address listed for emergency contacts on the application. .0802(c)(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Two (2) children had expired off-premise permissions on file. .1005(b)(4) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Two (2) children did not have the enrollment date listed on the discipline policy. .1804(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #3 there was a bottle of Cheerwine on the counter. .0901(i) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. there was no EPR plan available to review. .0607(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measure 1-2 inches around the climbing structures and under swing. .0605(k)(1-4) Corrective Action The childcare provider is expected to always maintain all applicable childcare requirements. A unannounced follow-up visit will be made in the near future. Technical Assistance: - Cadence made a switch of administrators at several of the locations. The administrators present today both started on July 31, 2023. I requested the Pre-Service administrator form filled out and sent to me ASAP. - It was discussed with the infant teachers and director that even if a child is awake in the crib it needs to be documented on the safe sleep chart and mark that the child is awake. A child should not be left in the crib awake for more than 15 minutes. - The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year won’t begin until July 1, 2024, the preparation year for cohort one begins July 1, 2023. - I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. If you have questions prior to me reaching out, please don’t hesitate to contact me. 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