10A NCAC 09 .0304 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 43 Completed Date: 10/21/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:50 AM Time Out: 03:50 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 License issued on February 15, 2025 and had an eighteen (18) month compliance history score of 89% prior to today’s visit. The last annual compliance visit was conducted on October 21, 2025. The April 2025 Center Item Number Listing and March 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of the visit. Ms. Blevins accompanied me on the walkthrough. Ten (10) classrooms were monitored today. Activity plans were current and posted in each classroom. The facility used High Reach curriculum. Classroom materials were observed in good repair however some centers did not have enough materials available for children. Space 4 did not have enough home living items available, and the refrigerator was missing handles. Children could not open and close the refrigerator. Space 5 did not have enough materials in the block center or home living center. Arrival and departure times were documented as required. Transitions were observed documented. Safe sleep checks were documented and maintained as required. Individual cribs were labeled for each infant. Bottles were dated and labeled as required. Feeding schedules were current, signed and posted. It was reported that no child required emergency medications and no topical ointments were onsite. Playgrounds were monitored and met compliance. The kitchen was monitored and met requirements. Transportation requirements were monitored. Three (3) buses were used to transport children. Each met safety requirements and had current registration and insurance. Each bus had a transportation notebook and roster completed. Four (4) children had expired permissions to transport. Three (3) children did not have emergency identifying information attached to their emergency information. Four (4) children had incomplete emergency information on file. Permissions to transport were not completed as required. “May vary” was listed for places children had permission to be transported to and departure and arrival times were not accurately completed. It was reported that ninety-three (93) children were enrolled. Nine (9) children’s files were monitored. Fire Drill logs and emergency drills were monitored and met compliance. Playground inspections were completed as required. The last sanitation inspection was conducted on 6/25/25 and received an Approved rating. The last fire inspection was conducted in May 2025. The inspector found items out of compliance and did not issue the DCDEE inspection form. Ms. Blevins stated items were corrected but the inspector did not come back for reinspection. She should contact the inspector tor reinspection and issuance of the DCDEE inspection form. The EPR plan was last updated 8/23/25. The facility was owned and operated by Children of America (Charlotte), LLC and was current-active with the Secretary of State. The center roster was reviewed in the ABCMS portal. The roster was started but not current. Ms. Blevins stated that home office created the roster. Ms. Blevins should take the ABCMS training in Moodle and then contact home office to obtain login information. Center directors should keep rosters current. 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 4/15/24. An inspection occurred in May 2025 but items were found unsatisfactory and the DCDEE inspection form was not completed. 10A NCAC 09 .0304(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were not enough materials in the home living center or blocks center in Spaces 4 and 5. .0510(e)(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were observed stored in a drawer accessible to children and underneath the changing table in Space 3. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee hired 12/4/24 did not have a medical report on file for review. 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 12/4/24 did not have a TB test on file for review. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) employee's qualification letter expired 6/22/25 and the new letter was dated 6/27/25. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) employee hired 11/4/24 did not complete orientation within the first 6 weeks of employment. The orientation form was incomplete. .1101(a) 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) employee hired 11/4/24 did not complete six clock hours of training within the first two weeks of employment. The orientation form was incomplete. .1101(a)(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Three (3) children did not have pictures attached to emergency information. One (1) child did not have emergency contact information completed and three (3) children did not have a hospital listed for emergency medical care information. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Four (4) children did not have current permission to transport. The expected time of departure and arrival was documented as "time varies" on multiple permission forms. .1003(i)(j) 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. Three (3) employees did not have documentation of receiving the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) employee, MB, used distance learning from an unapproved trainer for First Aid and CPR training. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee, LJ, did not complete health and safety trainings within the first year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) employees, DH and AF, did not complete health and safety training every 5 years. One (1) employee, MB, did not complete medication training every 5 years. One (1) employee, MW, did not complete medication and food allergy training every 5 years. .1103(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, November 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. Email the information to: jennifer.stansfield@dhhs.nc.gov. The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - The staff and training worksheet was not completed today. Another visit will be made in the near future to review staff files. Any violations observed will be added to the annual compliance visit summary and a visit summary addendum will be created to attach to today’s visit summary. - Pathways 1, 2, and 3 were reviewed with Ms. Blevins. She indicated that the facility would participate in Pathway 1. - Audit transportation requirements regularly to ensure updated information is on file and all emergency identifying information is current. All permissions completed by parents should be reviewed for accuracy and completion before children are transported. - Landscapers should address the weeds growing along fence of preschool playground. - Children may only be served 6 oz of 100% juice per day. If a parent brings more than 6 oz the required amount should be poured and served to the child. Juice from home must be refrigerated, labeled with the type of juice, name and date. - I recommend introducing cots for infant naptimes several weeks prior to moving the child to the next classroom to ease the transition from a crib to a cot. As a reminder, safe sleep checks would still be required for any child under 12 months of age even if they are sleeping on a cot. - I recommend keeping a copy of the permission to transport in the transportation binder as well as in the child file. - Homemade materials are encouraged for classrooms. Ensure lids are sealed tightly. - During the first and last hour of operation if children of all ages are combined there should be age appropriate materials available for each child present. 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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 43 Completed Date: 10/21/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:50 AM Time Out: 03:50 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 License issued on February 15, 2025 and had an eighteen (18) month compliance history score of 89% prior to today’s visit. The last annual compliance visit was conducted on October 21, 2025. The April 2025 Center Item Number Listing and March 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of the visit. Ms. Blevins accompanied me on the walkthrough. Ten (10) classrooms were monitored today. Activity plans were current and posted in each classroom. The facility used High Reach curriculum. Classroom materials were observed in good repair however some centers did not have enough materials available for children. Space 4 did not have enough home living items available, and the refrigerator was missing handles. Children could not open and close the refrigerator. Space 5 did not have enough materials in the block center or home living center. Arrival and departure times were documented as required. Transitions were observed documented. Safe sleep checks were documented and maintained as required. Individual cribs were labeled for each infant. Bottles were dated and labeled as required. Feeding schedules were current, signed and posted. It was reported that no child required emergency medications and no topical ointments were onsite. Playgrounds were monitored and met compliance. The kitchen was monitored and met requirements. Transportation requirements were monitored. Three (3) buses were used to transport children. Each met safety requirements and had current registration and insurance. Each bus had a transportation notebook and roster completed. Four (4) children had expired permissions to transport. Three (3) children did not have emergency identifying information attached to their emergency information. Four (4) children had incomplete emergency information on file. Permissions to transport were not completed as required. “May vary” was listed for places children had permission to be transported to and departure and arrival times were not accurately completed. It was reported that ninety-three (93) children were enrolled. Nine (9) children’s files were monitored. Fire Drill logs and emergency drills were monitored and met compliance. Playground inspections were completed as required. The last sanitation inspection was conducted on 6/25/25 and received an Approved rating. The last fire inspection was conducted in May 2025. The inspector found items out of compliance and did not issue the DCDEE inspection form. Ms. Blevins stated items were corrected but the inspector did not come back for reinspection. She should contact the inspector tor reinspection and issuance of the DCDEE inspection form. The EPR plan was last updated 8/23/25. The facility was owned and operated by Children of America (Charlotte), LLC and was current-active with the Secretary of State. The center roster was reviewed in the ABCMS portal. The roster was started but not current. Ms. Blevins stated that home office created the roster. Ms. Blevins should take the ABCMS training in Moodle and then contact home office to obtain login information. Center directors should keep rosters current. 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 4/15/24. An inspection occurred in May 2025 but items were found unsatisfactory and the DCDEE inspection form was not completed. 10A NCAC 09 .0304(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were not enough materials in the home living center or blocks center in Spaces 4 and 5. .0510(e)(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were observed stored in a drawer accessible to children and underneath the changing table in Space 3. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee hired 12/4/24 did not have a medical report on file for review. 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 12/4/24 did not have a TB test on file for review. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) employee's qualification letter expired 6/22/25 and the new letter was dated 6/27/25. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) employee hired 11/4/24 did not complete orientation within the first 6 weeks of employment. The orientation form was incomplete. .1101(a) 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) employee hired 11/4/24 did not complete six clock hours of training within the first two weeks of employment. The orientation form was incomplete. .1101(a)(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Three (3) children did not have pictures attached to emergency information. One (1) child did not have emergency contact information completed and three (3) children did not have a hospital listed for emergency medical care information. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Four (4) children did not have current permission to transport. The expected time of departure and arrival was documented as "time varies" on multiple permission forms. .1003(i)(j) 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. Three (3) employees did not have documentation of receiving the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) employee, MB, used distance learning from an unapproved trainer for First Aid and CPR training. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee, LJ, did not complete health and safety trainings within the first year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) employees, DH and AF, did not complete health and safety training every 5 years. One (1) employee, MB, did not complete medication training every 5 years. One (1) employee, MW, did not complete medication and food allergy training every 5 years. .1103(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, November 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. Email the information to: jennifer.stansfield@dhhs.nc.gov. The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - The staff and training worksheet was not completed today. Another visit will be made in the near future to review staff files. Any violations observed will be added to the annual compliance visit summary and a visit summary addendum will be created to attach to today’s visit summary. - Pathways 1, 2, and 3 were reviewed with Ms. Blevins. She indicated that the facility would participate in Pathway 1. - Audit transportation requirements regularly to ensure updated information is on file and all emergency identifying information is current. All permissions completed by parents should be reviewed for accuracy and completion before children are transported. - Landscapers should address the weeds growing along fence of preschool playground. - Children may only be served 6 oz of 100% juice per day. If a parent brings more than 6 oz the required amount should be poured and served to the child. Juice from home must be refrigerated, labeled with the type of juice, name and date. - I recommend introducing cots for infant naptimes several weeks prior to moving the child to the next classroom to ease the transition from a crib to a cot. As a reminder, safe sleep checks would still be required for any child under 12 months of age even if they are sleeping on a cot. - I recommend keeping a copy of the permission to transport in the transportation binder as well as in the child file. - Homemade materials are encouraged for classrooms. Ensure lids are sealed tightly. - During the first and last hour of operation if children of all ages are combined there should be age appropriate materials available for each child present. 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 .1003 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 43 Completed Date: 10/21/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:50 AM Time Out: 03:50 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 License issued on February 15, 2025 and had an eighteen (18) month compliance history score of 89% prior to today’s visit. The last annual compliance visit was conducted on October 21, 2025. The April 2025 Center Item Number Listing and March 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of the visit. Ms. Blevins accompanied me on the walkthrough. Ten (10) classrooms were monitored today. Activity plans were current and posted in each classroom. The facility used High Reach curriculum. Classroom materials were observed in good repair however some centers did not have enough materials available for children. Space 4 did not have enough home living items available, and the refrigerator was missing handles. Children could not open and close the refrigerator. Space 5 did not have enough materials in the block center or home living center. Arrival and departure times were documented as required. Transitions were observed documented. Safe sleep checks were documented and maintained as required. Individual cribs were labeled for each infant. Bottles were dated and labeled as required. Feeding schedules were current, signed and posted. It was reported that no child required emergency medications and no topical ointments were onsite. Playgrounds were monitored and met compliance. The kitchen was monitored and met requirements. Transportation requirements were monitored. Three (3) buses were used to transport children. Each met safety requirements and had current registration and insurance. Each bus had a transportation notebook and roster completed. Four (4) children had expired permissions to transport. Three (3) children did not have emergency identifying information attached to their emergency information. Four (4) children had incomplete emergency information on file. Permissions to transport were not completed as required. “May vary” was listed for places children had permission to be transported to and departure and arrival times were not accurately completed. It was reported that ninety-three (93) children were enrolled. Nine (9) children’s files were monitored. Fire Drill logs and emergency drills were monitored and met compliance. Playground inspections were completed as required. The last sanitation inspection was conducted on 6/25/25 and received an Approved rating. The last fire inspection was conducted in May 2025. The inspector found items out of compliance and did not issue the DCDEE inspection form. Ms. Blevins stated items were corrected but the inspector did not come back for reinspection. She should contact the inspector tor reinspection and issuance of the DCDEE inspection form. The EPR plan was last updated 8/23/25. The facility was owned and operated by Children of America (Charlotte), LLC and was current-active with the Secretary of State. The center roster was reviewed in the ABCMS portal. The roster was started but not current. Ms. Blevins stated that home office created the roster. Ms. Blevins should take the ABCMS training in Moodle and then contact home office to obtain login information. Center directors should keep rosters current. 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 4/15/24. An inspection occurred in May 2025 but items were found unsatisfactory and the DCDEE inspection form was not completed. 10A NCAC 09 .0304(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were not enough materials in the home living center or blocks center in Spaces 4 and 5. .0510(e)(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were observed stored in a drawer accessible to children and underneath the changing table in Space 3. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee hired 12/4/24 did not have a medical report on file for review. 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 12/4/24 did not have a TB test on file for review. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) employee's qualification letter expired 6/22/25 and the new letter was dated 6/27/25. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) employee hired 11/4/24 did not complete orientation within the first 6 weeks of employment. The orientation form was incomplete. .1101(a) 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) employee hired 11/4/24 did not complete six clock hours of training within the first two weeks of employment. The orientation form was incomplete. .1101(a)(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Three (3) children did not have pictures attached to emergency information. One (1) child did not have emergency contact information completed and three (3) children did not have a hospital listed for emergency medical care information. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Four (4) children did not have current permission to transport. The expected time of departure and arrival was documented as "time varies" on multiple permission forms. .1003(i)(j) 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. Three (3) employees did not have documentation of receiving the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) employee, MB, used distance learning from an unapproved trainer for First Aid and CPR training. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee, LJ, did not complete health and safety trainings within the first year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) employees, DH and AF, did not complete health and safety training every 5 years. One (1) employee, MB, did not complete medication training every 5 years. One (1) employee, MW, did not complete medication and food allergy training every 5 years. .1103(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, November 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. Email the information to: jennifer.stansfield@dhhs.nc.gov. The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - The staff and training worksheet was not completed today. Another visit will be made in the near future to review staff files. Any violations observed will be added to the annual compliance visit summary and a visit summary addendum will be created to attach to today’s visit summary. - Pathways 1, 2, and 3 were reviewed with Ms. Blevins. She indicated that the facility would participate in Pathway 1. - Audit transportation requirements regularly to ensure updated information is on file and all emergency identifying information is current. All permissions completed by parents should be reviewed for accuracy and completion before children are transported. - Landscapers should address the weeds growing along fence of preschool playground. - Children may only be served 6 oz of 100% juice per day. If a parent brings more than 6 oz the required amount should be poured and served to the child. Juice from home must be refrigerated, labeled with the type of juice, name and date. - I recommend introducing cots for infant naptimes several weeks prior to moving the child to the next classroom to ease the transition from a crib to a cot. As a reminder, safe sleep checks would still be required for any child under 12 months of age even if they are sleeping on a cot. - I recommend keeping a copy of the permission to transport in the transportation binder as well as in the child file. - Homemade materials are encouraged for classrooms. Ensure lids are sealed tightly. - During the first and last hour of operation if children of all ages are combined there should be age appropriate materials available for each child present. 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 .1102 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 43 Completed Date: 10/21/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:50 AM Time Out: 03:50 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 License issued on February 15, 2025 and had an eighteen (18) month compliance history score of 89% prior to today’s visit. The last annual compliance visit was conducted on October 21, 2025. The April 2025 Center Item Number Listing and March 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of the visit. Ms. Blevins accompanied me on the walkthrough. Ten (10) classrooms were monitored today. Activity plans were current and posted in each classroom. The facility used High Reach curriculum. Classroom materials were observed in good repair however some centers did not have enough materials available for children. Space 4 did not have enough home living items available, and the refrigerator was missing handles. Children could not open and close the refrigerator. Space 5 did not have enough materials in the block center or home living center. Arrival and departure times were documented as required. Transitions were observed documented. Safe sleep checks were documented and maintained as required. Individual cribs were labeled for each infant. Bottles were dated and labeled as required. Feeding schedules were current, signed and posted. It was reported that no child required emergency medications and no topical ointments were onsite. Playgrounds were monitored and met compliance. The kitchen was monitored and met requirements. Transportation requirements were monitored. Three (3) buses were used to transport children. Each met safety requirements and had current registration and insurance. Each bus had a transportation notebook and roster completed. Four (4) children had expired permissions to transport. Three (3) children did not have emergency identifying information attached to their emergency information. Four (4) children had incomplete emergency information on file. Permissions to transport were not completed as required. “May vary” was listed for places children had permission to be transported to and departure and arrival times were not accurately completed. It was reported that ninety-three (93) children were enrolled. Nine (9) children’s files were monitored. Fire Drill logs and emergency drills were monitored and met compliance. Playground inspections were completed as required. The last sanitation inspection was conducted on 6/25/25 and received an Approved rating. The last fire inspection was conducted in May 2025. The inspector found items out of compliance and did not issue the DCDEE inspection form. Ms. Blevins stated items were corrected but the inspector did not come back for reinspection. She should contact the inspector tor reinspection and issuance of the DCDEE inspection form. The EPR plan was last updated 8/23/25. The facility was owned and operated by Children of America (Charlotte), LLC and was current-active with the Secretary of State. The center roster was reviewed in the ABCMS portal. The roster was started but not current. Ms. Blevins stated that home office created the roster. Ms. Blevins should take the ABCMS training in Moodle and then contact home office to obtain login information. Center directors should keep rosters current. 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 4/15/24. An inspection occurred in May 2025 but items were found unsatisfactory and the DCDEE inspection form was not completed. 10A NCAC 09 .0304(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were not enough materials in the home living center or blocks center in Spaces 4 and 5. .0510(e)(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were observed stored in a drawer accessible to children and underneath the changing table in Space 3. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee hired 12/4/24 did not have a medical report on file for review. 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 12/4/24 did not have a TB test on file for review. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) employee's qualification letter expired 6/22/25 and the new letter was dated 6/27/25. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) employee hired 11/4/24 did not complete orientation within the first 6 weeks of employment. The orientation form was incomplete. .1101(a) 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) employee hired 11/4/24 did not complete six clock hours of training within the first two weeks of employment. The orientation form was incomplete. .1101(a)(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Three (3) children did not have pictures attached to emergency information. One (1) child did not have emergency contact information completed and three (3) children did not have a hospital listed for emergency medical care information. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Four (4) children did not have current permission to transport. The expected time of departure and arrival was documented as "time varies" on multiple permission forms. .1003(i)(j) 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. Three (3) employees did not have documentation of receiving the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) employee, MB, used distance learning from an unapproved trainer for First Aid and CPR training. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee, LJ, did not complete health and safety trainings within the first year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) employees, DH and AF, did not complete health and safety training every 5 years. One (1) employee, MB, did not complete medication training every 5 years. One (1) employee, MW, did not complete medication and food allergy training every 5 years. .1103(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, November 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. Email the information to: jennifer.stansfield@dhhs.nc.gov. The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - The staff and training worksheet was not completed today. Another visit will be made in the near future to review staff files. Any violations observed will be added to the annual compliance visit summary and a visit summary addendum will be created to attach to today’s visit summary. - Pathways 1, 2, and 3 were reviewed with Ms. Blevins. She indicated that the facility would participate in Pathway 1. - Audit transportation requirements regularly to ensure updated information is on file and all emergency identifying information is current. All permissions completed by parents should be reviewed for accuracy and completion before children are transported. - Landscapers should address the weeds growing along fence of preschool playground. - Children may only be served 6 oz of 100% juice per day. If a parent brings more than 6 oz the required amount should be poured and served to the child. Juice from home must be refrigerated, labeled with the type of juice, name and date. - I recommend introducing cots for infant naptimes several weeks prior to moving the child to the next classroom to ease the transition from a crib to a cot. As a reminder, safe sleep checks would still be required for any child under 12 months of age even if they are sleeping on a cot. - I recommend keeping a copy of the permission to transport in the transportation binder as well as in the child file. - Homemade materials are encouraged for classrooms. Ensure lids are sealed tightly. - During the first and last hour of operation if children of all ages are combined there should be age appropriate materials available for each child present. 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 .1105 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 43 Completed Date: 10/21/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:50 AM Time Out: 03:50 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 License issued on February 15, 2025 and had an eighteen (18) month compliance history score of 89% prior to today’s visit. The last annual compliance visit was conducted on October 21, 2025. The April 2025 Center Item Number Listing and March 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of the visit. Ms. Blevins accompanied me on the walkthrough. Ten (10) classrooms were monitored today. Activity plans were current and posted in each classroom. The facility used High Reach curriculum. Classroom materials were observed in good repair however some centers did not have enough materials available for children. Space 4 did not have enough home living items available, and the refrigerator was missing handles. Children could not open and close the refrigerator. Space 5 did not have enough materials in the block center or home living center. Arrival and departure times were documented as required. Transitions were observed documented. Safe sleep checks were documented and maintained as required. Individual cribs were labeled for each infant. Bottles were dated and labeled as required. Feeding schedules were current, signed and posted. It was reported that no child required emergency medications and no topical ointments were onsite. Playgrounds were monitored and met compliance. The kitchen was monitored and met requirements. Transportation requirements were monitored. Three (3) buses were used to transport children. Each met safety requirements and had current registration and insurance. Each bus had a transportation notebook and roster completed. Four (4) children had expired permissions to transport. Three (3) children did not have emergency identifying information attached to their emergency information. Four (4) children had incomplete emergency information on file. Permissions to transport were not completed as required. “May vary” was listed for places children had permission to be transported to and departure and arrival times were not accurately completed. It was reported that ninety-three (93) children were enrolled. Nine (9) children’s files were monitored. Fire Drill logs and emergency drills were monitored and met compliance. Playground inspections were completed as required. The last sanitation inspection was conducted on 6/25/25 and received an Approved rating. The last fire inspection was conducted in May 2025. The inspector found items out of compliance and did not issue the DCDEE inspection form. Ms. Blevins stated items were corrected but the inspector did not come back for reinspection. She should contact the inspector tor reinspection and issuance of the DCDEE inspection form. The EPR plan was last updated 8/23/25. The facility was owned and operated by Children of America (Charlotte), LLC and was current-active with the Secretary of State. The center roster was reviewed in the ABCMS portal. The roster was started but not current. Ms. Blevins stated that home office created the roster. Ms. Blevins should take the ABCMS training in Moodle and then contact home office to obtain login information. Center directors should keep rosters current. 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 4/15/24. An inspection occurred in May 2025 but items were found unsatisfactory and the DCDEE inspection form was not completed. 10A NCAC 09 .0304(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were not enough materials in the home living center or blocks center in Spaces 4 and 5. .0510(e)(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were observed stored in a drawer accessible to children and underneath the changing table in Space 3. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee hired 12/4/24 did not have a medical report on file for review. 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 12/4/24 did not have a TB test on file for review. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) employee's qualification letter expired 6/22/25 and the new letter was dated 6/27/25. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) employee hired 11/4/24 did not complete orientation within the first 6 weeks of employment. The orientation form was incomplete. .1101(a) 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) employee hired 11/4/24 did not complete six clock hours of training within the first two weeks of employment. The orientation form was incomplete. .1101(a)(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Three (3) children did not have pictures attached to emergency information. One (1) child did not have emergency contact information completed and three (3) children did not have a hospital listed for emergency medical care information. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Four (4) children did not have current permission to transport. The expected time of departure and arrival was documented as "time varies" on multiple permission forms. .1003(i)(j) 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. Three (3) employees did not have documentation of receiving the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) employee, MB, used distance learning from an unapproved trainer for First Aid and CPR training. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee, LJ, did not complete health and safety trainings within the first year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) employees, DH and AF, did not complete health and safety training every 5 years. One (1) employee, MB, did not complete medication training every 5 years. One (1) employee, MW, did not complete medication and food allergy training every 5 years. .1103(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, November 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. Email the information to: jennifer.stansfield@dhhs.nc.gov. The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - The staff and training worksheet was not completed today. Another visit will be made in the near future to review staff files. Any violations observed will be added to the annual compliance visit summary and a visit summary addendum will be created to attach to today’s visit summary. - Pathways 1, 2, and 3 were reviewed with Ms. Blevins. She indicated that the facility would participate in Pathway 1. - Audit transportation requirements regularly to ensure updated information is on file and all emergency identifying information is current. All permissions completed by parents should be reviewed for accuracy and completion before children are transported. - Landscapers should address the weeds growing along fence of preschool playground. - Children may only be served 6 oz of 100% juice per day. If a parent brings more than 6 oz the required amount should be poured and served to the child. Juice from home must be refrigerated, labeled with the type of juice, name and date. - I recommend introducing cots for infant naptimes several weeks prior to moving the child to the next classroom to ease the transition from a crib to a cot. As a reminder, safe sleep checks would still be required for any child under 12 months of age even if they are sleeping on a cot. - I recommend keeping a copy of the permission to transport in the transportation binder as well as in the child file. - Homemade materials are encouraged for classrooms. Ensure lids are sealed tightly. - During the first and last hour of operation if children of all ages are combined there should be age appropriate materials available for each child present. 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

G.S. 110-90 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 43 Completed Date: 10/21/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:50 AM Time Out: 03:50 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 License issued on February 15, 2025 and had an eighteen (18) month compliance history score of 89% prior to today’s visit. The last annual compliance visit was conducted on October 21, 2025. The April 2025 Center Item Number Listing and March 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of the visit. Ms. Blevins accompanied me on the walkthrough. Ten (10) classrooms were monitored today. Activity plans were current and posted in each classroom. The facility used High Reach curriculum. Classroom materials were observed in good repair however some centers did not have enough materials available for children. Space 4 did not have enough home living items available, and the refrigerator was missing handles. Children could not open and close the refrigerator. Space 5 did not have enough materials in the block center or home living center. Arrival and departure times were documented as required. Transitions were observed documented. Safe sleep checks were documented and maintained as required. Individual cribs were labeled for each infant. Bottles were dated and labeled as required. Feeding schedules were current, signed and posted. It was reported that no child required emergency medications and no topical ointments were onsite. Playgrounds were monitored and met compliance. The kitchen was monitored and met requirements. Transportation requirements were monitored. Three (3) buses were used to transport children. Each met safety requirements and had current registration and insurance. Each bus had a transportation notebook and roster completed. Four (4) children had expired permissions to transport. Three (3) children did not have emergency identifying information attached to their emergency information. Four (4) children had incomplete emergency information on file. Permissions to transport were not completed as required. “May vary” was listed for places children had permission to be transported to and departure and arrival times were not accurately completed. It was reported that ninety-three (93) children were enrolled. Nine (9) children’s files were monitored. Fire Drill logs and emergency drills were monitored and met compliance. Playground inspections were completed as required. The last sanitation inspection was conducted on 6/25/25 and received an Approved rating. The last fire inspection was conducted in May 2025. The inspector found items out of compliance and did not issue the DCDEE inspection form. Ms. Blevins stated items were corrected but the inspector did not come back for reinspection. She should contact the inspector tor reinspection and issuance of the DCDEE inspection form. The EPR plan was last updated 8/23/25. The facility was owned and operated by Children of America (Charlotte), LLC and was current-active with the Secretary of State. The center roster was reviewed in the ABCMS portal. The roster was started but not current. Ms. Blevins stated that home office created the roster. Ms. Blevins should take the ABCMS training in Moodle and then contact home office to obtain login information. Center directors should keep rosters current. 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 4/15/24. An inspection occurred in May 2025 but items were found unsatisfactory and the DCDEE inspection form was not completed. 10A NCAC 09 .0304(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were not enough materials in the home living center or blocks center in Spaces 4 and 5. .0510(e)(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were observed stored in a drawer accessible to children and underneath the changing table in Space 3. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee hired 12/4/24 did not have a medical report on file for review. 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 12/4/24 did not have a TB test on file for review. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) employee's qualification letter expired 6/22/25 and the new letter was dated 6/27/25. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) employee hired 11/4/24 did not complete orientation within the first 6 weeks of employment. The orientation form was incomplete. .1101(a) 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) employee hired 11/4/24 did not complete six clock hours of training within the first two weeks of employment. The orientation form was incomplete. .1101(a)(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Three (3) children did not have pictures attached to emergency information. One (1) child did not have emergency contact information completed and three (3) children did not have a hospital listed for emergency medical care information. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Four (4) children did not have current permission to transport. The expected time of departure and arrival was documented as "time varies" on multiple permission forms. .1003(i)(j) 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. Three (3) employees did not have documentation of receiving the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) employee, MB, used distance learning from an unapproved trainer for First Aid and CPR training. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee, LJ, did not complete health and safety trainings within the first year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) employees, DH and AF, did not complete health and safety training every 5 years. One (1) employee, MB, did not complete medication training every 5 years. One (1) employee, MW, did not complete medication and food allergy training every 5 years. .1103(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, November 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. Email the information to: jennifer.stansfield@dhhs.nc.gov. The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - The staff and training worksheet was not completed today. Another visit will be made in the near future to review staff files. Any violations observed will be added to the annual compliance visit summary and a visit summary addendum will be created to attach to today’s visit summary. - Pathways 1, 2, and 3 were reviewed with Ms. Blevins. She indicated that the facility would participate in Pathway 1. - Audit transportation requirements regularly to ensure updated information is on file and all emergency identifying information is current. All permissions completed by parents should be reviewed for accuracy and completion before children are transported. - Landscapers should address the weeds growing along fence of preschool playground. - Children may only be served 6 oz of 100% juice per day. If a parent brings more than 6 oz the required amount should be poured and served to the child. Juice from home must be refrigerated, labeled with the type of juice, name and date. - I recommend introducing cots for infant naptimes several weeks prior to moving the child to the next classroom to ease the transition from a crib to a cot. As a reminder, safe sleep checks would still be required for any child under 12 months of age even if they are sleeping on a cot. - I recommend keeping a copy of the permission to transport in the transportation binder as well as in the child file. - Homemade materials are encouraged for classrooms. Ensure lids are sealed tightly. - During the first and last hour of operation if children of all ages are combined there should be age appropriate materials available for each child present. 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: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 43 Completed Date: 10/21/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:50 AM Time Out: 03:50 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 License issued on February 15, 2025 and had an eighteen (18) month compliance history score of 89% prior to today’s visit. The last annual compliance visit was conducted on October 21, 2025. The April 2025 Center Item Number Listing and March 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of the visit. Ms. Blevins accompanied me on the walkthrough. Ten (10) classrooms were monitored today. Activity plans were current and posted in each classroom. The facility used High Reach curriculum. Classroom materials were observed in good repair however some centers did not have enough materials available for children. Space 4 did not have enough home living items available, and the refrigerator was missing handles. Children could not open and close the refrigerator. Space 5 did not have enough materials in the block center or home living center. Arrival and departure times were documented as required. Transitions were observed documented. Safe sleep checks were documented and maintained as required. Individual cribs were labeled for each infant. Bottles were dated and labeled as required. Feeding schedules were current, signed and posted. It was reported that no child required emergency medications and no topical ointments were onsite. Playgrounds were monitored and met compliance. The kitchen was monitored and met requirements. Transportation requirements were monitored. Three (3) buses were used to transport children. Each met safety requirements and had current registration and insurance. Each bus had a transportation notebook and roster completed. Four (4) children had expired permissions to transport. Three (3) children did not have emergency identifying information attached to their emergency information. Four (4) children had incomplete emergency information on file. Permissions to transport were not completed as required. “May vary” was listed for places children had permission to be transported to and departure and arrival times were not accurately completed. It was reported that ninety-three (93) children were enrolled. Nine (9) children’s files were monitored. Fire Drill logs and emergency drills were monitored and met compliance. Playground inspections were completed as required. The last sanitation inspection was conducted on 6/25/25 and received an Approved rating. The last fire inspection was conducted in May 2025. The inspector found items out of compliance and did not issue the DCDEE inspection form. Ms. Blevins stated items were corrected but the inspector did not come back for reinspection. She should contact the inspector tor reinspection and issuance of the DCDEE inspection form. The EPR plan was last updated 8/23/25. The facility was owned and operated by Children of America (Charlotte), LLC and was current-active with the Secretary of State. The center roster was reviewed in the ABCMS portal. The roster was started but not current. Ms. Blevins stated that home office created the roster. Ms. Blevins should take the ABCMS training in Moodle and then contact home office to obtain login information. Center directors should keep rosters current. 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 4/15/24. An inspection occurred in May 2025 but items were found unsatisfactory and the DCDEE inspection form was not completed. 10A NCAC 09 .0304(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were not enough materials in the home living center or blocks center in Spaces 4 and 5. .0510(e)(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were observed stored in a drawer accessible to children and underneath the changing table in Space 3. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) employee hired 12/4/24 did not have a medical report on file for review. 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 12/4/24 did not have a TB test on file for review. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) employee's qualification letter expired 6/22/25 and the new letter was dated 6/27/25. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) employee hired 11/4/24 did not complete orientation within the first 6 weeks of employment. The orientation form was incomplete. .1101(a) 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) employee hired 11/4/24 did not complete six clock hours of training within the first two weeks of employment. The orientation form was incomplete. .1101(a)(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Three (3) children did not have pictures attached to emergency information. One (1) child did not have emergency contact information completed and three (3) children did not have a hospital listed for emergency medical care information. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Four (4) children did not have current permission to transport. The expected time of departure and arrival was documented as "time varies" on multiple permission forms. .1003(i)(j) 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. Three (3) employees did not have documentation of receiving the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One (1) employee, MB, used distance learning from an unapproved trainer for First Aid and CPR training. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee, LJ, did not complete health and safety trainings within the first year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) employees, DH and AF, did not complete health and safety training every 5 years. One (1) employee, MB, did not complete medication training every 5 years. One (1) employee, MW, did not complete medication and food allergy training every 5 years. .1103(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, November 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. Email the information to: jennifer.stansfield@dhhs.nc.gov. The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - The staff and training worksheet was not completed today. Another visit will be made in the near future to review staff files. Any violations observed will be added to the annual compliance visit summary and a visit summary addendum will be created to attach to today’s visit summary. - Pathways 1, 2, and 3 were reviewed with Ms. Blevins. She indicated that the facility would participate in Pathway 1. - Audit transportation requirements regularly to ensure updated information is on file and all emergency identifying information is current. All permissions completed by parents should be reviewed for accuracy and completion before children are transported. - Landscapers should address the weeds growing along fence of preschool playground. - Children may only be served 6 oz of 100% juice per day. If a parent brings more than 6 oz the required amount should be poured and served to the child. Juice from home must be refrigerated, labeled with the type of juice, name and date. - I recommend introducing cots for infant naptimes several weeks prior to moving the child to the next classroom to ease the transition from a crib to a cot. As a reminder, safe sleep checks would still be required for any child under 12 months of age even if they are sleeping on a cot. - I recommend keeping a copy of the permission to transport in the transportation binder as well as in the child file. - Homemade materials are encouraged for classrooms. Ensure lids are sealed tightly. - During the first and last hour of operation if children of all ages are combined there should be age appropriate materials available for each child present. 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: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0525-300L Visit Date: 6/5/2025 Number Present: 47 Completed Date: 6/5/2025 Age: From 0 To 11 Total Minutes: 275 Time In: 09:45 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The concerns were related to supervision, program records, nurture and care, and safe environment. Michele Sullivan, Licensing Supervisor, accompanied me today. Upon arrival we were greeted by Ms. Angie Foster, Program Coordinator, and asked to speak with Ms. Stephanie Blevins, Director. Ms. Carrie Burnat, Children of America Executive Director of Independence Campus, was onsite today. Ms. Blevins met us in the foyer, and we explained the purpose of the visit. Ms. Blevins accompanied us to Space 7, “City Place”, where we discussed the concerns. The Director, Assistant Director and a teacher were interviewed regarding an incident that occurred on May 23, 2025 when a child’s hair/braid was pulled away from the scalp. Based on the interviews the following was reported: On the afternoon of May 23, 2025 a three (3) year old child was climbing on the chain link fence that separated the preschool and toddler playgrounds. The teacher saw the child’s braid caught in the top link of the fence. She removed the child’s braid from the link while removing the child from the fence. The teacher stated it appeared the child’s braid loosened but was still attached. The child did not cry and did not appear to be in discomfort. The teacher called administration for assistance on the walkie. The assistant director arrived to the playground and assessed the child. It was determined no first aid was needed; however, the assistant director asked the teacher to still complete an incident report. The assistant director took pictures of the child’s hair and called parent to inform her of the incident. She also sent the pictures to the parent. The child’s aunt arrived at the center to pick up the child and was made aware of the incident as well. The aunt called the parent while in the classroom to discuss. The parent arrived at the facility shortly after the aunt. The completed and signed incident report was provided to the parent. The parent had additional questions after reading the incident report and asked for additional information. The parent interviewed the teacher and documented what she said on the back of the original report. She requested the teacher re-sign the report and the teacher did not as she had already signed the front of the report. Charlotte-Mecklenburg Police (CMPD) were called by the parent and arrived at the center after hours. No action was taken by CMPD and no report was provided. The child did not return to the facility. We reviewed the child’s application and the child’s aunt was listed as an authorized pick-up person. Based on interviews and observations regarding program records we reviewed the incident report and incident log. The incident report was completed on the DCDEE sample form. The teacher confirmed that she completed and signed the form. The administrator stated the parent refused the sign the form. The incident report was stored in the child’s file. The incident log was completed. The concern regarding completion of the incident report and log was unconfirmed as both met requirements. The emergency medical care (EMC) plan was monitored. The posted plan listed the assistant director as one (1) of the contact persons to determine the level of care needed following an incident. The concern regarding following the posted EMC plan was unconfirmed. The head count sheet, arrival and departure sheet and transition sheet were reviewed for May 23, 2025. It was determined that staff/child ratio met requirements and children’s transitions and departure times were documented as required. The concern regarding staff/child ratio and documentation of arrival and departure times was unconfirmed. Based on interviews and after monitoring the playground, the concern regarding supervision was unconfirmed. The teacher showed us where she was standing when the incident occurred. According to the teacher she was standing near the child. She stated she was talking to a parent who was picking up his child and turned to see the child climbing the fence. She stated she immediately removed the child from the fence. She also stated that she had previously told the group not to climb the fence and that it was not safe. Based on four (4) staff interviews and observations the concern regarding nurture and care was unconfirmed. Staff reported no concerns regarding staff/child interactions and we did not observe or hear any inappropriate interactions during the visit. Teachers stated that if they did have concerns they would report it to administrators and it would be addressed. The concerns regarding the facility’s refusal to provide DCDEE contact information to the parent was unconfirmed because we observed a signed and dated document in the child’s file indicating the parent had received a copy of the NC Summary of Child Care Law that provides DCDEE contact information. The assistant director also stated she provided the parent with the DCDEE website as well as the main DCDEE phone number for reporting concerns. She stated she did not have the consultant’s contact information at that time she was talking to the parent so that specific information was not provided. The NC Summary of Child Care Law was not posted next to the license during today’s visit. The violation was cited and corrected during the visit. The concern regarding a safe environment was confirmed. While monitoring the playground today we observed a link at the top of the fence that was in poor repair. The link was separated from the support beam and protruding into the playground. It was reported that the child was climbing the fence in the area of the protrusion and her braid was caught on the link. It was also reported that earlier in the day the teacher ran her hand across the top of the fence and scratched her hand, however this was not reported to management prior to the incident. A walk through was completed. I observed a staff member eating a Bojangles cookie while supervising school aged children. Staff should only 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 being cared for. Three (3) violations were cited today. Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. The summary of the NC Child Care Law was not posted next to the permit. G.S. 110-102 807 A safe indoor and outdoor environment was not provided for the children. The link at the top of the fence on the preschool playground was observed in poor repair. The link was separated from the support beam and protruding into the playground. It was reported that on May 23, 2025 a child was climbing the fence in the area of the protrusion and her braid was caught on the link. It was also reported that earlier in the day on May 23, 2025 a teacher ran her hand across the top of the fence and scratched her hand, however this was not reported to management prior to the incident. 10A NCAC 09 .0601(a) 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. A staff member's Bojangles cookie was observed sitting on a table where school aged children were playing games. .0901(i) 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. Corrections must be received by me on or before Thursday, June 19, 2025 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. 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: - Staff should immediately report to administration anytime they observe a hazard or item in poor repair so that a ticket for repair can me made or a temporary solution be put in place. § 110-102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full-time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full-time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full-time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. The summary shall include the name and address of the Secretary and the address of the Commission. The summary shall explain how parents may obtain information on individual child care facilities maintained in public files by the Division of Child Development and Early Education. The summary shall also include a statement regarding the mandatory duty prescribed in G.S. 7B-301 of any person suspecting child abuse or neglect has taken place in child care, or elsewhere, to report to the county Department of Social Services. The statement shall include the definitions of child abuse and neglect described in the Juvenile Code in G.S. 7B-101 and of child abuse described in the Criminal Code in G.S. 14-318.2 and G.S. 14-318.4. The statement shall stress that this reporting law does not require that the person reporting reveal the person's identity. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110-99. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-102 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0525-300L Visit Date: 6/5/2025 Number Present: 47 Completed Date: 6/5/2025 Age: From 0 To 11 Total Minutes: 275 Time In: 09:45 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The concerns were related to supervision, program records, nurture and care, and safe environment. Michele Sullivan, Licensing Supervisor, accompanied me today. Upon arrival we were greeted by Ms. Angie Foster, Program Coordinator, and asked to speak with Ms. Stephanie Blevins, Director. Ms. Carrie Burnat, Children of America Executive Director of Independence Campus, was onsite today. Ms. Blevins met us in the foyer, and we explained the purpose of the visit. Ms. Blevins accompanied us to Space 7, “City Place”, where we discussed the concerns. The Director, Assistant Director and a teacher were interviewed regarding an incident that occurred on May 23, 2025 when a child’s hair/braid was pulled away from the scalp. Based on the interviews the following was reported: On the afternoon of May 23, 2025 a three (3) year old child was climbing on the chain link fence that separated the preschool and toddler playgrounds. The teacher saw the child’s braid caught in the top link of the fence. She removed the child’s braid from the link while removing the child from the fence. The teacher stated it appeared the child’s braid loosened but was still attached. The child did not cry and did not appear to be in discomfort. The teacher called administration for assistance on the walkie. The assistant director arrived to the playground and assessed the child. It was determined no first aid was needed; however, the assistant director asked the teacher to still complete an incident report. The assistant director took pictures of the child’s hair and called parent to inform her of the incident. She also sent the pictures to the parent. The child’s aunt arrived at the center to pick up the child and was made aware of the incident as well. The aunt called the parent while in the classroom to discuss. The parent arrived at the facility shortly after the aunt. The completed and signed incident report was provided to the parent. The parent had additional questions after reading the incident report and asked for additional information. The parent interviewed the teacher and documented what she said on the back of the original report. She requested the teacher re-sign the report and the teacher did not as she had already signed the front of the report. Charlotte-Mecklenburg Police (CMPD) were called by the parent and arrived at the center after hours. No action was taken by CMPD and no report was provided. The child did not return to the facility. We reviewed the child’s application and the child’s aunt was listed as an authorized pick-up person. Based on interviews and observations regarding program records we reviewed the incident report and incident log. The incident report was completed on the DCDEE sample form. The teacher confirmed that she completed and signed the form. The administrator stated the parent refused the sign the form. The incident report was stored in the child’s file. The incident log was completed. The concern regarding completion of the incident report and log was unconfirmed as both met requirements. The emergency medical care (EMC) plan was monitored. The posted plan listed the assistant director as one (1) of the contact persons to determine the level of care needed following an incident. The concern regarding following the posted EMC plan was unconfirmed. The head count sheet, arrival and departure sheet and transition sheet were reviewed for May 23, 2025. It was determined that staff/child ratio met requirements and children’s transitions and departure times were documented as required. The concern regarding staff/child ratio and documentation of arrival and departure times was unconfirmed. Based on interviews and after monitoring the playground, the concern regarding supervision was unconfirmed. The teacher showed us where she was standing when the incident occurred. According to the teacher she was standing near the child. She stated she was talking to a parent who was picking up his child and turned to see the child climbing the fence. She stated she immediately removed the child from the fence. She also stated that she had previously told the group not to climb the fence and that it was not safe. Based on four (4) staff interviews and observations the concern regarding nurture and care was unconfirmed. Staff reported no concerns regarding staff/child interactions and we did not observe or hear any inappropriate interactions during the visit. Teachers stated that if they did have concerns they would report it to administrators and it would be addressed. The concerns regarding the facility’s refusal to provide DCDEE contact information to the parent was unconfirmed because we observed a signed and dated document in the child’s file indicating the parent had received a copy of the NC Summary of Child Care Law that provides DCDEE contact information. The assistant director also stated she provided the parent with the DCDEE website as well as the main DCDEE phone number for reporting concerns. She stated she did not have the consultant’s contact information at that time she was talking to the parent so that specific information was not provided. The NC Summary of Child Care Law was not posted next to the license during today’s visit. The violation was cited and corrected during the visit. The concern regarding a safe environment was confirmed. While monitoring the playground today we observed a link at the top of the fence that was in poor repair. The link was separated from the support beam and protruding into the playground. It was reported that the child was climbing the fence in the area of the protrusion and her braid was caught on the link. It was also reported that earlier in the day the teacher ran her hand across the top of the fence and scratched her hand, however this was not reported to management prior to the incident. A walk through was completed. I observed a staff member eating a Bojangles cookie while supervising school aged children. Staff should only 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 being cared for. Three (3) violations were cited today. Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. The summary of the NC Child Care Law was not posted next to the permit. G.S. 110-102 807 A safe indoor and outdoor environment was not provided for the children. The link at the top of the fence on the preschool playground was observed in poor repair. The link was separated from the support beam and protruding into the playground. It was reported that on May 23, 2025 a child was climbing the fence in the area of the protrusion and her braid was caught on the link. It was also reported that earlier in the day on May 23, 2025 a teacher ran her hand across the top of the fence and scratched her hand, however this was not reported to management prior to the incident. 10A NCAC 09 .0601(a) 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. A staff member's Bojangles cookie was observed sitting on a table where school aged children were playing games. .0901(i) 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. Corrections must be received by me on or before Thursday, June 19, 2025 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. 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: - Staff should immediately report to administration anytime they observe a hazard or item in poor repair so that a ticket for repair can me made or a temporary solution be put in place. § 110-102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full-time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full-time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full-time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. The summary shall include the name and address of the Secretary and the address of the Commission. The summary shall explain how parents may obtain information on individual child care facilities maintained in public files by the Division of Child Development and Early Education. The summary shall also include a statement regarding the mandatory duty prescribed in G.S. 7B-301 of any person suspecting child abuse or neglect has taken place in child care, or elsewhere, to report to the county Department of Social Services. The statement shall include the definitions of child abuse and neglect described in the Juvenile Code in G.S. 7B-101 and of child abuse described in the Criminal Code in G.S. 14-318.2 and G.S. 14-318.4. The statement shall stress that this reporting law does not require that the person reporting reveal the person's identity. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110-99. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-99 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0525-300L Visit Date: 6/5/2025 Number Present: 47 Completed Date: 6/5/2025 Age: From 0 To 11 Total Minutes: 275 Time In: 09:45 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The concerns were related to supervision, program records, nurture and care, and safe environment. Michele Sullivan, Licensing Supervisor, accompanied me today. Upon arrival we were greeted by Ms. Angie Foster, Program Coordinator, and asked to speak with Ms. Stephanie Blevins, Director. Ms. Carrie Burnat, Children of America Executive Director of Independence Campus, was onsite today. Ms. Blevins met us in the foyer, and we explained the purpose of the visit. Ms. Blevins accompanied us to Space 7, “City Place”, where we discussed the concerns. The Director, Assistant Director and a teacher were interviewed regarding an incident that occurred on May 23, 2025 when a child’s hair/braid was pulled away from the scalp. Based on the interviews the following was reported: On the afternoon of May 23, 2025 a three (3) year old child was climbing on the chain link fence that separated the preschool and toddler playgrounds. The teacher saw the child’s braid caught in the top link of the fence. She removed the child’s braid from the link while removing the child from the fence. The teacher stated it appeared the child’s braid loosened but was still attached. The child did not cry and did not appear to be in discomfort. The teacher called administration for assistance on the walkie. The assistant director arrived to the playground and assessed the child. It was determined no first aid was needed; however, the assistant director asked the teacher to still complete an incident report. The assistant director took pictures of the child’s hair and called parent to inform her of the incident. She also sent the pictures to the parent. The child’s aunt arrived at the center to pick up the child and was made aware of the incident as well. The aunt called the parent while in the classroom to discuss. The parent arrived at the facility shortly after the aunt. The completed and signed incident report was provided to the parent. The parent had additional questions after reading the incident report and asked for additional information. The parent interviewed the teacher and documented what she said on the back of the original report. She requested the teacher re-sign the report and the teacher did not as she had already signed the front of the report. Charlotte-Mecklenburg Police (CMPD) were called by the parent and arrived at the center after hours. No action was taken by CMPD and no report was provided. The child did not return to the facility. We reviewed the child’s application and the child’s aunt was listed as an authorized pick-up person. Based on interviews and observations regarding program records we reviewed the incident report and incident log. The incident report was completed on the DCDEE sample form. The teacher confirmed that she completed and signed the form. The administrator stated the parent refused the sign the form. The incident report was stored in the child’s file. The incident log was completed. The concern regarding completion of the incident report and log was unconfirmed as both met requirements. The emergency medical care (EMC) plan was monitored. The posted plan listed the assistant director as one (1) of the contact persons to determine the level of care needed following an incident. The concern regarding following the posted EMC plan was unconfirmed. The head count sheet, arrival and departure sheet and transition sheet were reviewed for May 23, 2025. It was determined that staff/child ratio met requirements and children’s transitions and departure times were documented as required. The concern regarding staff/child ratio and documentation of arrival and departure times was unconfirmed. Based on interviews and after monitoring the playground, the concern regarding supervision was unconfirmed. The teacher showed us where she was standing when the incident occurred. According to the teacher she was standing near the child. She stated she was talking to a parent who was picking up his child and turned to see the child climbing the fence. She stated she immediately removed the child from the fence. She also stated that she had previously told the group not to climb the fence and that it was not safe. Based on four (4) staff interviews and observations the concern regarding nurture and care was unconfirmed. Staff reported no concerns regarding staff/child interactions and we did not observe or hear any inappropriate interactions during the visit. Teachers stated that if they did have concerns they would report it to administrators and it would be addressed. The concerns regarding the facility’s refusal to provide DCDEE contact information to the parent was unconfirmed because we observed a signed and dated document in the child’s file indicating the parent had received a copy of the NC Summary of Child Care Law that provides DCDEE contact information. The assistant director also stated she provided the parent with the DCDEE website as well as the main DCDEE phone number for reporting concerns. She stated she did not have the consultant’s contact information at that time she was talking to the parent so that specific information was not provided. The NC Summary of Child Care Law was not posted next to the license during today’s visit. The violation was cited and corrected during the visit. The concern regarding a safe environment was confirmed. While monitoring the playground today we observed a link at the top of the fence that was in poor repair. The link was separated from the support beam and protruding into the playground. It was reported that the child was climbing the fence in the area of the protrusion and her braid was caught on the link. It was also reported that earlier in the day the teacher ran her hand across the top of the fence and scratched her hand, however this was not reported to management prior to the incident. A walk through was completed. I observed a staff member eating a Bojangles cookie while supervising school aged children. Staff should only 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 being cared for. Three (3) violations were cited today. Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. The summary of the NC Child Care Law was not posted next to the permit. G.S. 110-102 807 A safe indoor and outdoor environment was not provided for the children. The link at the top of the fence on the preschool playground was observed in poor repair. The link was separated from the support beam and protruding into the playground. It was reported that on May 23, 2025 a child was climbing the fence in the area of the protrusion and her braid was caught on the link. It was also reported that earlier in the day on May 23, 2025 a teacher ran her hand across the top of the fence and scratched her hand, however this was not reported to management prior to the incident. 10A NCAC 09 .0601(a) 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. A staff member's Bojangles cookie was observed sitting on a table where school aged children were playing games. .0901(i) 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. Corrections must be received by me on or before Thursday, June 19, 2025 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. 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: - Staff should immediately report to administration anytime they observe a hazard or item in poor repair so that a ticket for repair can me made or a temporary solution be put in place. § 110-102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full-time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full-time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full-time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. The summary shall include the name and address of the Secretary and the address of the Commission. The summary shall explain how parents may obtain information on individual child care facilities maintained in public files by the Division of Child Development and Early Education. The summary shall also include a statement regarding the mandatory duty prescribed in G.S. 7B-301 of any person suspecting child abuse or neglect has taken place in child care, or elsewhere, to report to the county Department of Social Services. The statement shall include the definitions of child abuse and neglect described in the Juvenile Code in G.S. 7B-101 and of child abuse described in the Criminal Code in G.S. 14-318.2 and G.S. 14-318.4. The statement shall stress that this reporting law does not require that the person reporting reveal the person's identity. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110-99. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 11/6/2024 Number Present: 53 Completed Date: 11/6/2024 Age: From 0 To 5 Total Minutes: 308 Time In: 10:06 AM Time Out: 03:14 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 6-month Special Provisional License issued on August 14, 2024 and had an eighteen (18) month compliance history score of 79% prior to today’s visit. The last annual compliance visit was conducted on November 15, 2023. The March 2024 Center Item Number Listing and March 2023 Annual Compliance Checklist were used to monitor today. The license, NC Summary of the Law and administrative action were prominently posted. Upon arrival I was greeted by Ms. Stephanie Blevins, director, and I explained the purpose of the visit. The facility was preparing to conduct an unannounced fire drill. I observed the fire drill and all classrooms evacuating the building. It was evident that fire drills were conducted as required as children were not upset by the alarms and everyone exited in an orderly manner. Ms. Blevins and Ms. Angie Foster, program coordinator, accompanied me on the walkthrough. Eight (8) classrooms were monitored. Three (3) classrooms were not currently being used. Children were observed participating in large group art activities, free choice play, washing hands after re-entering the building from outdoor play, and eating lunch. Lunch met nutrition requirements and reflected what was listed on the menu. Infant safe sleep checks were documented as required. Infants had individual cribs and cribs were labeled. Feeding schedules were posted in Space 2 for infants and all required fields were completed on the schedules. Two (2) children under 15 months were present in Space 3. Feeding schedules were not posted for the children. Ms. Blevins made copies and posted the feeding plans during the visit. Arrival times were documented as required on the iPads. Teachers were observed engaged with children and caring for individual needs. Schedules were being followed and activity plans were posted as required. Children were in their assigned classrooms throughout the visit. Adequate supervision was observed, and staff/child ratio was maintained throughout the visit. Playgrounds were monitored and met compliance. No medications were required. The kitchen was monitored and met compliance. Transportation requirements were monitored. A sampling of staff files were monitored including six (6) new employees. A sampling of children’s files were monitored. Fire Drill logs and emergency drills were monitored. Playground inspections were monitored. The last sanitation inspection was conducted on 4/15/24 and received superior rating. The last fire inspection was conducted on 2/28/24. The facility was operated by Children of America Charlotte, LLC and was current-active with the Secretary of State. Violation Number Comment Rule 486 For children under three years of age, materials were not kept in a space with related equipment and materials. The housekeeping and art centers in Space 4 did not have materials accessible to children. The kitchen and dress up centers in Space 5 did not have materials available for children. .0510(e)(2) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. A thermometer was not placed in the small refrigerator in Space 2 for infant care. 15A NCAC 18A .2806(j)(2) 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. Both buses used to transport children had first aid kits accessible to children with items marked keep out of reach of children and listed additional warnings on the labels. A small travel pack of Motrin was observed in the cup holder accessible to children on one of the buses. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Small rocks were observed on the changing table counters in Spaces 4 and 5. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not documented for March - May 2024. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) employee hired 9/24/24 did not have documentation of receiving 16 hrs of orientation within the first 6 weeks of employment. .1101(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency medical care information was not updated annually for children transported. 10A NCAC 09 .1003(d) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. Five (5) children did not have the address listed on the application for emergency contacts. .0802(c)(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Two (2) discipline policies did not have the child's date of enrollment included on the signed copy. .1804(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee hired 5/20/24 did not complete maltreatment training within 90 days. The training was completed 9/30/24. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) established employee did not renew health and safety trainings every five (5) years. Trainings were due to be completed again in 2022. .1103(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, November 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: 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. – 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. CBC Provider Portal/Technical Assistance & Notification to the Division of New Hires: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. - A copy of approved CPR/First Aid trainers was emailed to Ms. Blevins. We discussed these trainings were required to be taken in person and the skills evaluation was required in addition to testing. - Audit books in classrooms of young toddlers and early preschool children to ensure books available are in good repair. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 11/6/2024 Number Present: 53 Completed Date: 11/6/2024 Age: From 0 To 5 Total Minutes: 308 Time In: 10:06 AM Time Out: 03:14 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 6-month Special Provisional License issued on August 14, 2024 and had an eighteen (18) month compliance history score of 79% prior to today’s visit. The last annual compliance visit was conducted on November 15, 2023. The March 2024 Center Item Number Listing and March 2023 Annual Compliance Checklist were used to monitor today. The license, NC Summary of the Law and administrative action were prominently posted. Upon arrival I was greeted by Ms. Stephanie Blevins, director, and I explained the purpose of the visit. The facility was preparing to conduct an unannounced fire drill. I observed the fire drill and all classrooms evacuating the building. It was evident that fire drills were conducted as required as children were not upset by the alarms and everyone exited in an orderly manner. Ms. Blevins and Ms. Angie Foster, program coordinator, accompanied me on the walkthrough. Eight (8) classrooms were monitored. Three (3) classrooms were not currently being used. Children were observed participating in large group art activities, free choice play, washing hands after re-entering the building from outdoor play, and eating lunch. Lunch met nutrition requirements and reflected what was listed on the menu. Infant safe sleep checks were documented as required. Infants had individual cribs and cribs were labeled. Feeding schedules were posted in Space 2 for infants and all required fields were completed on the schedules. Two (2) children under 15 months were present in Space 3. Feeding schedules were not posted for the children. Ms. Blevins made copies and posted the feeding plans during the visit. Arrival times were documented as required on the iPads. Teachers were observed engaged with children and caring for individual needs. Schedules were being followed and activity plans were posted as required. Children were in their assigned classrooms throughout the visit. Adequate supervision was observed, and staff/child ratio was maintained throughout the visit. Playgrounds were monitored and met compliance. No medications were required. The kitchen was monitored and met compliance. Transportation requirements were monitored. A sampling of staff files were monitored including six (6) new employees. A sampling of children’s files were monitored. Fire Drill logs and emergency drills were monitored. Playground inspections were monitored. The last sanitation inspection was conducted on 4/15/24 and received superior rating. The last fire inspection was conducted on 2/28/24. The facility was operated by Children of America Charlotte, LLC and was current-active with the Secretary of State. Violation Number Comment Rule 486 For children under three years of age, materials were not kept in a space with related equipment and materials. The housekeeping and art centers in Space 4 did not have materials accessible to children. The kitchen and dress up centers in Space 5 did not have materials available for children. .0510(e)(2) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. A thermometer was not placed in the small refrigerator in Space 2 for infant care. 15A NCAC 18A .2806(j)(2) 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. Both buses used to transport children had first aid kits accessible to children with items marked keep out of reach of children and listed additional warnings on the labels. A small travel pack of Motrin was observed in the cup holder accessible to children on one of the buses. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Small rocks were observed on the changing table counters in Spaces 4 and 5. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not documented for March - May 2024. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) employee hired 9/24/24 did not have documentation of receiving 16 hrs of orientation within the first 6 weeks of employment. .1101(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency medical care information was not updated annually for children transported. 10A NCAC 09 .1003(d) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. Five (5) children did not have the address listed on the application for emergency contacts. .0802(c)(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Two (2) discipline policies did not have the child's date of enrollment included on the signed copy. .1804(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee hired 5/20/24 did not complete maltreatment training within 90 days. The training was completed 9/30/24. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) established employee did not renew health and safety trainings every five (5) years. Trainings were due to be completed again in 2022. .1103(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, November 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: 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. – 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. CBC Provider Portal/Technical Assistance & Notification to the Division of New Hires: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. - A copy of approved CPR/First Aid trainers was emailed to Ms. Blevins. We discussed these trainings were required to be taken in person and the skills evaluation was required in addition to testing. - Audit books in classrooms of young toddlers and early preschool children to ensure books available are in good repair. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 11/6/2024 Number Present: 53 Completed Date: 11/6/2024 Age: From 0 To 5 Total Minutes: 308 Time In: 10:06 AM Time Out: 03:14 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 6-month Special Provisional License issued on August 14, 2024 and had an eighteen (18) month compliance history score of 79% prior to today’s visit. The last annual compliance visit was conducted on November 15, 2023. The March 2024 Center Item Number Listing and March 2023 Annual Compliance Checklist were used to monitor today. The license, NC Summary of the Law and administrative action were prominently posted. Upon arrival I was greeted by Ms. Stephanie Blevins, director, and I explained the purpose of the visit. The facility was preparing to conduct an unannounced fire drill. I observed the fire drill and all classrooms evacuating the building. It was evident that fire drills were conducted as required as children were not upset by the alarms and everyone exited in an orderly manner. Ms. Blevins and Ms. Angie Foster, program coordinator, accompanied me on the walkthrough. Eight (8) classrooms were monitored. Three (3) classrooms were not currently being used. Children were observed participating in large group art activities, free choice play, washing hands after re-entering the building from outdoor play, and eating lunch. Lunch met nutrition requirements and reflected what was listed on the menu. Infant safe sleep checks were documented as required. Infants had individual cribs and cribs were labeled. Feeding schedules were posted in Space 2 for infants and all required fields were completed on the schedules. Two (2) children under 15 months were present in Space 3. Feeding schedules were not posted for the children. Ms. Blevins made copies and posted the feeding plans during the visit. Arrival times were documented as required on the iPads. Teachers were observed engaged with children and caring for individual needs. Schedules were being followed and activity plans were posted as required. Children were in their assigned classrooms throughout the visit. Adequate supervision was observed, and staff/child ratio was maintained throughout the visit. Playgrounds were monitored and met compliance. No medications were required. The kitchen was monitored and met compliance. Transportation requirements were monitored. A sampling of staff files were monitored including six (6) new employees. A sampling of children’s files were monitored. Fire Drill logs and emergency drills were monitored. Playground inspections were monitored. The last sanitation inspection was conducted on 4/15/24 and received superior rating. The last fire inspection was conducted on 2/28/24. The facility was operated by Children of America Charlotte, LLC and was current-active with the Secretary of State. Violation Number Comment Rule 486 For children under three years of age, materials were not kept in a space with related equipment and materials. The housekeeping and art centers in Space 4 did not have materials accessible to children. The kitchen and dress up centers in Space 5 did not have materials available for children. .0510(e)(2) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. A thermometer was not placed in the small refrigerator in Space 2 for infant care. 15A NCAC 18A .2806(j)(2) 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. Both buses used to transport children had first aid kits accessible to children with items marked keep out of reach of children and listed additional warnings on the labels. A small travel pack of Motrin was observed in the cup holder accessible to children on one of the buses. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Small rocks were observed on the changing table counters in Spaces 4 and 5. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not documented for March - May 2024. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) employee hired 9/24/24 did not have documentation of receiving 16 hrs of orientation within the first 6 weeks of employment. .1101(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency medical care information was not updated annually for children transported. 10A NCAC 09 .1003(d) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. Five (5) children did not have the address listed on the application for emergency contacts. .0802(c)(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Two (2) discipline policies did not have the child's date of enrollment included on the signed copy. .1804(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee hired 5/20/24 did not complete maltreatment training within 90 days. The training was completed 9/30/24. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) established employee did not renew health and safety trainings every five (5) years. Trainings were due to be completed again in 2022. .1103(b) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, November 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: 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. – 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. CBC Provider Portal/Technical Assistance & Notification to the Division of New Hires: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. - A copy of approved CPR/First Aid trainers was emailed to Ms. Blevins. We discussed these trainings were required to be taken in person and the skills evaluation was required in addition to testing. - Audit books in classrooms of young toddlers and early preschool children to ensure books available are in good repair. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 65 Completed Date: 8/28/2024 Age: From 0 To 7 Total Minutes: 220 Time In: 09:50 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during an Administrative Action Follow-Up Visit. The last annual compliance visit was conducted on November 15, 2023. The center had a compliance history of 76% prior to today’s visit. The Special Provisional license was issued 8/14/24. The following was monitored using the March 2023 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Upon arrival I was greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of our visit. The Special Provisional license was observed posted in the lobby. The administrative action and cover letter were observed posted in the vestibule where parents sign children in and out each day. Ms. Blevins accompanied me on the walk through. Infants were observed being fed in high chairs and one (1) infant was observed playing independently. Safe sleep checks were documented as required. Each infant had an assigned and labeled crib. Spaces 2, 4, 6, & 9 were not in use today. Children were enrolled in Spaces 4, 6, & 9 however it was reported that a teacher was absent in Space 9 and low attendance in Spaces 4 and 6 led to the decision to combine spaces. During the visit Ms. Angie Foster, Assistant Director, moved ten (10) children from Space 7 into Space 9. Ms. Blevins stated she was waiting to assign children to classrooms until after staggered entry ended at elementary schools. I highly encouraged to keep children in their assigned classrooms for consistency and to place a floater in the room if a teacher was absent. Lesson plans should be completed and materials ready for the week for substitute staff if a teacher is absent from work. Children were observed on the playground, eating lunch, and participating in large group activities. Attendance was maintained, head counts were documented, and arrival/departure times were documented on the iPads. A “movement” form was placed inside each classroom for administrative staff to complete whenever they assisted with transitions. The form was laminated and information was erased each day. I recommended using paper copies and maintaining the forms in the office at the end of each week since the facility has had previous issues with supervision during transition times. Ms. Blevins stated the facility would transport school aged children again this year. She stated vans would pick up at five (5) area schools and two (2) schools would drop children off at the front door. She stated a teacher was assigned to sit at the front desk to received children being dropped off on Char-Meck (CMS) school buses. Ms. Blevins stated there was no medication onsite. She stated a parent of a school aged child asked about sending Albuterol to the facility. I explained that emergency medications should be kept in the classroom with the child and stored above five feet and not stored behind lock and key. Emergency medications include Albuterol, Epinephrine, and medications for seizures. Antihistamines were not considered ER medications and should be stored behind lock and key and could be stored in the office. One (1) new employee was hired since the last visit conducted 6/28/24. I reviewed her file and the confirmed the therapist who was observed working independently with a child had a current CBC letter on file. The therapist did not have a letter on file at the center however I confirmed her qualification in ABCMS system. All policies and procedures were approved for the Corrective Action stipulations. Ms. Blevins conducted a staff meeting on 8/14/24 to review the approved policies and procedures. All staff should be implementing the new procedures going forward as they are part of the permanent operating process. While typing in the “Community Room” I overheard a teacher from Space 10 not interacting with children in a positive manner and using an elevated volume with children while they prepared to eat and use the restroom after lunch. She was overheard in the space next door loudly telling a child to “get down”, “you’re not the mom”, “stop playing”, and “you’re a big boy. Pee pee on the potty if you need to go.” I walked into the room and asked the teacher to lower her volume and soften her tone. I also informed Ms. Blevins and Ms. Foster of the conversation. Violation Number Comment Rule 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher from Space 10 was overheard not interacting with children in a positive manner and using an elevated volume with children while they prepared to eat and use the restroom after lunch. She was overheard in the space next door loudly telling a child to “get down”, “you’re not the mom”, “stop playing”, and “you’re a big boy. Pee pee on the potty if you need to go.” .1802 721 All equipment and furnishings were not in good repair. The couch in the cozy area in Space 5 was observed peeling and in poor repair. Books in Space 7 were observed with torn and bent covers and pages. The knobs were missing to the play stove in Space 7. G.S. 110-91(6); .0601(b) 1757 A valid qualification letter was not on file and available to review at the facility. A therapist was observed working independently with a child during the visit. She did not have a CBC qualification letter on file for review. Her qualification was confirmed in the ABCMS system. G.S. 110-90.2(b) & (d) & .2703(e) 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. A bottle of Pepsi was observed on the floor in Space 7. .0901(i) 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, September 11, 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: The following was discussed during the visit: -Maintaining transition documentation - Adding a crib mattress and pillows in the 2’s cozy area. - Replace worn books and assess classroom equipment and materials for replacement and/or repair. - Assign a floater to classrooms where teachers were absent to prevent children from moving to classrooms throughout the building to maintain ratio. Children should stay in assigned classrooms as much as possible. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 65 Completed Date: 8/28/2024 Age: From 0 To 7 Total Minutes: 220 Time In: 09:50 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during an Administrative Action Follow-Up Visit. The last annual compliance visit was conducted on November 15, 2023. The center had a compliance history of 76% prior to today’s visit. The Special Provisional license was issued 8/14/24. The following was monitored using the March 2023 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Upon arrival I was greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of our visit. The Special Provisional license was observed posted in the lobby. The administrative action and cover letter were observed posted in the vestibule where parents sign children in and out each day. Ms. Blevins accompanied me on the walk through. Infants were observed being fed in high chairs and one (1) infant was observed playing independently. Safe sleep checks were documented as required. Each infant had an assigned and labeled crib. Spaces 2, 4, 6, & 9 were not in use today. Children were enrolled in Spaces 4, 6, & 9 however it was reported that a teacher was absent in Space 9 and low attendance in Spaces 4 and 6 led to the decision to combine spaces. During the visit Ms. Angie Foster, Assistant Director, moved ten (10) children from Space 7 into Space 9. Ms. Blevins stated she was waiting to assign children to classrooms until after staggered entry ended at elementary schools. I highly encouraged to keep children in their assigned classrooms for consistency and to place a floater in the room if a teacher was absent. Lesson plans should be completed and materials ready for the week for substitute staff if a teacher is absent from work. Children were observed on the playground, eating lunch, and participating in large group activities. Attendance was maintained, head counts were documented, and arrival/departure times were documented on the iPads. A “movement” form was placed inside each classroom for administrative staff to complete whenever they assisted with transitions. The form was laminated and information was erased each day. I recommended using paper copies and maintaining the forms in the office at the end of each week since the facility has had previous issues with supervision during transition times. Ms. Blevins stated the facility would transport school aged children again this year. She stated vans would pick up at five (5) area schools and two (2) schools would drop children off at the front door. She stated a teacher was assigned to sit at the front desk to received children being dropped off on Char-Meck (CMS) school buses. Ms. Blevins stated there was no medication onsite. She stated a parent of a school aged child asked about sending Albuterol to the facility. I explained that emergency medications should be kept in the classroom with the child and stored above five feet and not stored behind lock and key. Emergency medications include Albuterol, Epinephrine, and medications for seizures. Antihistamines were not considered ER medications and should be stored behind lock and key and could be stored in the office. One (1) new employee was hired since the last visit conducted 6/28/24. I reviewed her file and the confirmed the therapist who was observed working independently with a child had a current CBC letter on file. The therapist did not have a letter on file at the center however I confirmed her qualification in ABCMS system. All policies and procedures were approved for the Corrective Action stipulations. Ms. Blevins conducted a staff meeting on 8/14/24 to review the approved policies and procedures. All staff should be implementing the new procedures going forward as they are part of the permanent operating process. While typing in the “Community Room” I overheard a teacher from Space 10 not interacting with children in a positive manner and using an elevated volume with children while they prepared to eat and use the restroom after lunch. She was overheard in the space next door loudly telling a child to “get down”, “you’re not the mom”, “stop playing”, and “you’re a big boy. Pee pee on the potty if you need to go.” I walked into the room and asked the teacher to lower her volume and soften her tone. I also informed Ms. Blevins and Ms. Foster of the conversation. Violation Number Comment Rule 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher from Space 10 was overheard not interacting with children in a positive manner and using an elevated volume with children while they prepared to eat and use the restroom after lunch. She was overheard in the space next door loudly telling a child to “get down”, “you’re not the mom”, “stop playing”, and “you’re a big boy. Pee pee on the potty if you need to go.” .1802 721 All equipment and furnishings were not in good repair. The couch in the cozy area in Space 5 was observed peeling and in poor repair. Books in Space 7 were observed with torn and bent covers and pages. The knobs were missing to the play stove in Space 7. G.S. 110-91(6); .0601(b) 1757 A valid qualification letter was not on file and available to review at the facility. A therapist was observed working independently with a child during the visit. She did not have a CBC qualification letter on file for review. Her qualification was confirmed in the ABCMS system. G.S. 110-90.2(b) & (d) & .2703(e) 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. A bottle of Pepsi was observed on the floor in Space 7. .0901(i) 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, September 11, 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: The following was discussed during the visit: -Maintaining transition documentation - Adding a crib mattress and pillows in the 2’s cozy area. - Replace worn books and assess classroom equipment and materials for replacement and/or repair. - Assign a floater to classrooms where teachers were absent to prevent children from moving to classrooms throughout the building to maintain ratio. Children should stay in assigned classrooms as much as possible. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 65 Completed Date: 8/28/2024 Age: From 0 To 7 Total Minutes: 220 Time In: 09:50 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during an Administrative Action Follow-Up Visit. The last annual compliance visit was conducted on November 15, 2023. The center had a compliance history of 76% prior to today’s visit. The Special Provisional license was issued 8/14/24. The following was monitored using the March 2023 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Upon arrival I was greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of our visit. The Special Provisional license was observed posted in the lobby. The administrative action and cover letter were observed posted in the vestibule where parents sign children in and out each day. Ms. Blevins accompanied me on the walk through. Infants were observed being fed in high chairs and one (1) infant was observed playing independently. Safe sleep checks were documented as required. Each infant had an assigned and labeled crib. Spaces 2, 4, 6, & 9 were not in use today. Children were enrolled in Spaces 4, 6, & 9 however it was reported that a teacher was absent in Space 9 and low attendance in Spaces 4 and 6 led to the decision to combine spaces. During the visit Ms. Angie Foster, Assistant Director, moved ten (10) children from Space 7 into Space 9. Ms. Blevins stated she was waiting to assign children to classrooms until after staggered entry ended at elementary schools. I highly encouraged to keep children in their assigned classrooms for consistency and to place a floater in the room if a teacher was absent. Lesson plans should be completed and materials ready for the week for substitute staff if a teacher is absent from work. Children were observed on the playground, eating lunch, and participating in large group activities. Attendance was maintained, head counts were documented, and arrival/departure times were documented on the iPads. A “movement” form was placed inside each classroom for administrative staff to complete whenever they assisted with transitions. The form was laminated and information was erased each day. I recommended using paper copies and maintaining the forms in the office at the end of each week since the facility has had previous issues with supervision during transition times. Ms. Blevins stated the facility would transport school aged children again this year. She stated vans would pick up at five (5) area schools and two (2) schools would drop children off at the front door. She stated a teacher was assigned to sit at the front desk to received children being dropped off on Char-Meck (CMS) school buses. Ms. Blevins stated there was no medication onsite. She stated a parent of a school aged child asked about sending Albuterol to the facility. I explained that emergency medications should be kept in the classroom with the child and stored above five feet and not stored behind lock and key. Emergency medications include Albuterol, Epinephrine, and medications for seizures. Antihistamines were not considered ER medications and should be stored behind lock and key and could be stored in the office. One (1) new employee was hired since the last visit conducted 6/28/24. I reviewed her file and the confirmed the therapist who was observed working independently with a child had a current CBC letter on file. The therapist did not have a letter on file at the center however I confirmed her qualification in ABCMS system. All policies and procedures were approved for the Corrective Action stipulations. Ms. Blevins conducted a staff meeting on 8/14/24 to review the approved policies and procedures. All staff should be implementing the new procedures going forward as they are part of the permanent operating process. While typing in the “Community Room” I overheard a teacher from Space 10 not interacting with children in a positive manner and using an elevated volume with children while they prepared to eat and use the restroom after lunch. She was overheard in the space next door loudly telling a child to “get down”, “you’re not the mom”, “stop playing”, and “you’re a big boy. Pee pee on the potty if you need to go.” I walked into the room and asked the teacher to lower her volume and soften her tone. I also informed Ms. Blevins and Ms. Foster of the conversation. Violation Number Comment Rule 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher from Space 10 was overheard not interacting with children in a positive manner and using an elevated volume with children while they prepared to eat and use the restroom after lunch. She was overheard in the space next door loudly telling a child to “get down”, “you’re not the mom”, “stop playing”, and “you’re a big boy. Pee pee on the potty if you need to go.” .1802 721 All equipment and furnishings were not in good repair. The couch in the cozy area in Space 5 was observed peeling and in poor repair. Books in Space 7 were observed with torn and bent covers and pages. The knobs were missing to the play stove in Space 7. G.S. 110-91(6); .0601(b) 1757 A valid qualification letter was not on file and available to review at the facility. A therapist was observed working independently with a child during the visit. She did not have a CBC qualification letter on file for review. Her qualification was confirmed in the ABCMS system. G.S. 110-90.2(b) & (d) & .2703(e) 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. A bottle of Pepsi was observed on the floor in Space 7. .0901(i) 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, September 11, 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: The following was discussed during the visit: -Maintaining transition documentation - Adding a crib mattress and pillows in the 2’s cozy area. - Replace worn books and assess classroom equipment and materials for replacement and/or repair. - Assign a floater to classrooms where teachers were absent to prevent children from moving to classrooms throughout the building to maintain ratio. Children should stay in assigned classrooms as much as possible. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0624-162L Visit Date: 6/26/2024 Number Present: 84 Completed Date: 6/26/2024 Age: From 0 To 12 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 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: There are concerns that a child was handled in a rough manner. Staff/child ratio, supervision, adequate and approved space, posted license and license restrictions were monitored. Additionally requirements regarding the administrative action were monitored. The provisional license and administrative action were observed posted. Upon arrival I was greeted by Ms. Stephanie Blevins, Director. Ms. Blevins was working with a parent at the front desk and I completed a quick walk to observed classrooms through the windows in the hallway. Ms. Angie Foster, administrative assistant, was present in the office. After the parent left Ms. Blevins and I met in the office. An individual was present in the office and Ms. Blevins introduced her as a volunteer. Ms. Blevins stated she was fifteen (15) years old and was assisting with filing and office work. She stated she was never counted in ratio and did not supervise children. I requested paperwork for the volunteer. Ms. Blevins and I discussed the allegation. She stated the employee was not onsite today, but the co-teacher who witnessed the incident was available for me to interview. It was explained that a four (4) year old child put a broken piece of plastic toy in her mouth as the class was lining up to go outside on the afternoon of June 13, 2024. The teacher observed the child moving the broken toy in her mouth and thought the child was choking. The teacher squeezed the child’s cheeks to open her mouth and she scooped the broken toy out of the child’s mouth. It was reported that the teacher was scared the child was choking or going to choke and she performed the training she was taught in First Aid. It was reported that after the teacher removed the broken toy from the child’s mouth she explained to the child why she squeezed her cheeks and that she was scared something was going to happen to the child. It was explained to the child she should not put toys in her mouth. According the interviews the parent arrived while the teacher was talking to and consoling the child. It was reported the teacher explained to the parent what happened. It was reported that the teachers reaction to the child did not appear aggressive and that the teacher did not raise her voice while retrieving the broken toy from the child’s mouth. It was explained that the cameras onsite were live feed and did not record. It was reported an incident report was not completed. Based on interviews the concern that a child was handled in a rough manner was unsubstantiated as it was reported that the teacher squeezed the child’s cheeks to remove a broken toy from her mouth as she thought the child would choke. The teacher was providing care taught to her in First Aid training. I completed a walk through of the facility with Ms. Blevins. All classrooms were observed meeting staff/child ratio requirements and adequate supervision was observed. Safe sleep checks were documented as required. Policies and procedures regarding Stipulation #3 were approved on June 11, 2024. I reviewed submitted policies and procedures for Stipulation #4 during the visit today. I requested additional information regarding submitted policies and procedures. Once updated information is received, I will reach out to Ms. Blevins. Five (5) new staff files were reviewed including the file for the volunteer. The following violations were observed. Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report was not completed for a child who had a broken piece of a toy removed from her mouth by the teacher. .0802 (e) 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. The volunteer who was onsite weekly since 5/29/24 did not have a TB test completed. .0701(a) 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 4/22/24 did not complete six hours or orientation. The child maltreatment module was completed 2/8/24 prior to hire. The training should be specific to the facility. .1101(a)(b) 1757 A valid qualification letter was not on file and available to review at the facility. A new employee did not have a valid qualification letter on file for review. Their qualification was verified in the ABCMS system. G.S. 110-90.2(b) & (d) & .2703(e) 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. Documentation of review of the center's EPR plan was not available for review in the volunteer's file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A signed acknowledgement of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy was not available for review in six (6) new staff files. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information was not maintained seperately for five (5) new staff members and the volunteer. .0701(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 Wednesday, July 10, 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: - Orientation for new staff should be specific to the center’s policies and procedures. Health and safety training as well as Prevent Child Abuse NC cannot be used for orientation. - All health information for staff must be stored separately from personnel information. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0624-162L Visit Date: 6/26/2024 Number Present: 84 Completed Date: 6/26/2024 Age: From 0 To 12 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 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: There are concerns that a child was handled in a rough manner. Staff/child ratio, supervision, adequate and approved space, posted license and license restrictions were monitored. Additionally requirements regarding the administrative action were monitored. The provisional license and administrative action were observed posted. Upon arrival I was greeted by Ms. Stephanie Blevins, Director. Ms. Blevins was working with a parent at the front desk and I completed a quick walk to observed classrooms through the windows in the hallway. Ms. Angie Foster, administrative assistant, was present in the office. After the parent left Ms. Blevins and I met in the office. An individual was present in the office and Ms. Blevins introduced her as a volunteer. Ms. Blevins stated she was fifteen (15) years old and was assisting with filing and office work. She stated she was never counted in ratio and did not supervise children. I requested paperwork for the volunteer. Ms. Blevins and I discussed the allegation. She stated the employee was not onsite today, but the co-teacher who witnessed the incident was available for me to interview. It was explained that a four (4) year old child put a broken piece of plastic toy in her mouth as the class was lining up to go outside on the afternoon of June 13, 2024. The teacher observed the child moving the broken toy in her mouth and thought the child was choking. The teacher squeezed the child’s cheeks to open her mouth and she scooped the broken toy out of the child’s mouth. It was reported that the teacher was scared the child was choking or going to choke and she performed the training she was taught in First Aid. It was reported that after the teacher removed the broken toy from the child’s mouth she explained to the child why she squeezed her cheeks and that she was scared something was going to happen to the child. It was explained to the child she should not put toys in her mouth. According the interviews the parent arrived while the teacher was talking to and consoling the child. It was reported the teacher explained to the parent what happened. It was reported that the teachers reaction to the child did not appear aggressive and that the teacher did not raise her voice while retrieving the broken toy from the child’s mouth. It was explained that the cameras onsite were live feed and did not record. It was reported an incident report was not completed. Based on interviews the concern that a child was handled in a rough manner was unsubstantiated as it was reported that the teacher squeezed the child’s cheeks to remove a broken toy from her mouth as she thought the child would choke. The teacher was providing care taught to her in First Aid training. I completed a walk through of the facility with Ms. Blevins. All classrooms were observed meeting staff/child ratio requirements and adequate supervision was observed. Safe sleep checks were documented as required. Policies and procedures regarding Stipulation #3 were approved on June 11, 2024. I reviewed submitted policies and procedures for Stipulation #4 during the visit today. I requested additional information regarding submitted policies and procedures. Once updated information is received, I will reach out to Ms. Blevins. Five (5) new staff files were reviewed including the file for the volunteer. The following violations were observed. Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report was not completed for a child who had a broken piece of a toy removed from her mouth by the teacher. .0802 (e) 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. The volunteer who was onsite weekly since 5/29/24 did not have a TB test completed. .0701(a) 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 4/22/24 did not complete six hours or orientation. The child maltreatment module was completed 2/8/24 prior to hire. The training should be specific to the facility. .1101(a)(b) 1757 A valid qualification letter was not on file and available to review at the facility. A new employee did not have a valid qualification letter on file for review. Their qualification was verified in the ABCMS system. G.S. 110-90.2(b) & (d) & .2703(e) 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. Documentation of review of the center's EPR plan was not available for review in the volunteer's file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A signed acknowledgement of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy was not available for review in six (6) new staff files. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information was not maintained seperately for five (5) new staff members and the volunteer. .0701(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 Wednesday, July 10, 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: - Orientation for new staff should be specific to the center’s policies and procedures. Health and safety training as well as Prevent Child Abuse NC cannot be used for orientation. - All health information for staff must be stored separately from personnel information. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: TAMIKA POWELL Operation Type: Center Case Number: 0524-056A Visit Date: 5/13/2024 Number Present: 78 Completed Date: 5/13/2024 Age: From 0 To 5 Total Minutes: 80 Time In: 10:30 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow-up regarding allegations of violations of child care requirements at this child care facility. Stephanie Blevins, administrator, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. Blevins and an additional staff member. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On May 3, 2024, a staff member snatched items from a four-year-old child’s hands, causing the child to have a tantrum. The staff member repeatedly said to the child, “I don’t have time for this.” G.S. 110-91(10) 904 Child was handled roughly. On May 3, 2024, a staff member grabbed a four-year-old child aggressively and carried the child by putting their arms under the child’s arms, and locking their hands behind the child’s head, restricting the child’s movement. The child’s arms were extended up and the child’s feet were off the floor. The child repeatedly screamed, “Let me go!” .1803(a)(1) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. On May 3, 2024, a staff member carried a four-year-old child down the hallway and used the word “retarded” to the child who has special needs. .1803(a)(9) All violations documented above must be corrected immediately. A written, dated, and signed letter of compliance must be submitted to me within one week, by May 20, 2024, describing how and when the violations were corrected and how compliance will be maintained in the future. The letter of compliance should be emailed or mailed to: Tamika Powell, Investigations Consultant Raleigh, NC 27699-2200 (919)715-1013 - fax Tamika.t.powell@dhhs.nc.gov You may contact me at Tamika Powell, Investigations Consultant, (704) 330-9725, Tamika.t.powell@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-105 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: TAMIKA POWELL Operation Type: Center Case Number: 0524-056A Visit Date: 5/9/2024 Number Present: 73 Completed Date: 5/9/2024 Age: From 0 To 7 Total Minutes: 110 Time In: 11:10 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Amber Pride-Porter, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Pride-Porter and an additional staff member. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 1810 There was a substantiation of child maltreatment. There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) You may contact me at Tamika Powell, Investigations Consultant, (704) 330-9725, Tamika.t.powell@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0713 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/17/2024 Number Present: 83 Completed Date: 4/17/2024 Age: From 0 To 5 Total Minutes: 425 Time In: 10:40 AM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during an Administrative Action Follow-Up Visit. The last annual compliance visit was conducted on November 15, 2023. The center had a compliance history of 75% prior to today’s visit. The Provisional license was issued February 8, 2024. The following was monitored using the June 2022 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Ms. Lisa Eddins-Smith, Child Care Consultant, accompanied me today. Ms. Carrie Brunat, Children of America Executive Director of Independence Campus, was onsite during the visit. Upon arrival we were greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of our visit. The Provisional license was observed posted in the lobby. The administrative action and cover letter were observed posted in the vestibule where parents sign children in and out each day. Ms. Blevins was working with a potential hire when we arrived. Ms. Eddins-Smith and I walked to the main hallway while we waited for Ms. Blevins. I observed the door to Space 5 was not able to close completely and had to be forcefully pulled closed. It was explained that a repair ticket had been requested. There is a concern that children could get their fingers caught in the door. Ms. Blevins was asked to remind staff to completely close the door each time it was used. While standing outside Space 5 we heard a teacher in Space 8 using a harsh tone and raised voice. I walked to the window located in the hallway and observed a teacher standing at the bathroom door yelling at children across the room to sit down and go to the carpet now. Ms. Angie Foster, Program Coordinator, was standing at the door inside the classroom. I walked in and asked Ms. Foster if she would like to address the inappropriate tone or if she would like for me to address it with the teacher. She stated she wanted me to address it. I explained to the teacher that she was using an inappropriate tone with children and that her volume was way too loud. I explained that she should walk across the room and speak directly to children in a respectful tone when asking them to sit down or giving directions. She stated a child had wet the floor and their clothes and she was trying to help him and get the kids to sit down. I explained that as the teacher she had to maintain a calm emotional response and if she needed assistance she should ask administration and I pointed to Ms. Foster. She stated ok. The violation was cited and discussed with Ms. Blevins, Ms. Foster, Ms. Pride-Porter (Assistant Director) and Ms. Burnat. The teacher was a new teacher and I recommended that Admin spend time coaching her on appropriate tone, interactions, and volume in the classroom. Infants were observed sleeping, being diapered, and playing on the floor. Safe sleep checks were documented as required. It was explained that two (2) teachers called out today and additional staff were either sick or on leave, so the facility was short staffed. Children were moved throughout the building to maintain ratio during today’s visit. A one (1) year old child from Space 4 was moved to Space 5. The oldest child in Space 5 was three (3) years old. I explained to Ms. Blevins that one (1) year olds may not be combined with children three (3) years and older except for the first and last hour of the operating day. Children in Spaces 4- 6 were observed sitting at tables waiting for lunch. It was explained that the regular cook was not onsite today, and that lunch was running behind schedule. Children should not sit for extended periods without activities. It is recommended to create transition activities such as singing or reading stories to children while they waited. Three (3) toddlers were observed asleep while waiting and were laid down without lunch. They explained that lunch would be served to them when they woke up. In Space 6 a child who was transitioned from another classroom was documented as “two year old girl” on the head count sheet. I explained that anytime a child was moved staff in the new classroom should be given the child’s name and age and if they had allergies. I explained that if there was an emergency and they had to evacuate the building it was imperative that children be able to be identified or if someone came to pick up the child staff should know the child’s name and who was authorized to pick up. The air conditioning was not working in Space 10 or the foyer. It was reported that parts were ordered and repairs were expected for the end of the week. I requested Ms. Blevins or Ms. Pride-Porter to purchase a thermometer to place in Space 10 to ensure the temperature did not rise above 85 degrees. The outside temperature today was 82 degrees and was predicted to be 87 degrees tomorrow. Menus were observed posted outside of each classroom. Changes were documented on menus except for on the menu poste outside Space 8. It was documented that beef crumbles were served today, however I observed turkey crumbles served. It was previously recommended to post one (1) menu at the front of the facility for parents to view so that changes only had to be made to one (1) menu. Menus were changed to correspond with what was served during the visit. One (1) new staff was hired 3/25/24 and her file was reviewed today. It was noted on the orientation form that fifteen (15) hours of orientation was provided on 3/27/24. The orientation form was signed by Ms. Pride-Porter. We asked her to explain the documentation and if she did provide fifteen hours of orientation on 3/27/24. She stated she did not spend that much time with the new employee on that date. I explained that the amount of time documented had to be true and accurate and would be considered providing false information if it was not accurate. I reviewed two (2) additional employee files to review orientation documentation to see if all employee’s orientation was documented on one day. I observed one (1) employee hired 1/30/24 had sixteen (16) hours of orientation documented on 2/1/24. Another employee hired 8/31/23 had two (2) hours of orientation documented on 8/31/23, two (2) hours on 9/1/23, one (1) hour on 9/4/23, two (2) hours on 9/5/23, one (1) hour on 9/6/23, one (1) hour on 9/7/23, one (1) hour on 9/8/23, and five (5) hours on 9/11/24. Both were completed by Ms. Pride-Porter. I discussed the information with Michele Sullivan, Licensing Supervisor, and she confirmed that the violation should be cited. This is the third falsification violation cited since 2020. On 5/29/20 falsification was cited regarding falsified medical forms. On 4/17/23 falsification was cited regarding falsified fire drills, and today falsification was cited regarding falsified staff orientation documentation. Ms. Blevins submitted policies and procedures for stipulation #2 on 3/ 26 /24 and were reviewed with Ms. Blevins today. Additional information was requested to fully explain processes for maintaining staff, child and program records and who was responsible for those processes. Ms. Blevins will submit revisions for approval. Ms. Blevins should begin working on Stipulation #4. Violation Number Comment Rule 108 The operator made an effort to falsify information. The orientation for a new employee hired 3/25/24 signed by the assistant director stated fifteen (15) hours of orientation occured on 3/27/24. She stated she did not spend fifteen (15) hours with the new employee on 3/27/24. G.S. 110-91(14) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. A one (1) year old child from Space 4 was moved to Space 5. The oldest child in Space 5 was three (3) years old. 10A NCAC 09 .0713(a)(6) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. While standing outside Space 5 I heard a teacher in Space 8 using a harsh tone and raised voice. I walked to the window located in the hallway and observed a teacher standing at the bathroom door yelling at children across the room to sit down and go to the carpet now using an inappropriate tone. .1802 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus posted outside of all classrooms except Space 8 did not indicate the correct substitution made to today's menu. Space 8 did not have any substitutions documented. 10A NCAC 09 .0901(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. The laundry closet was observed unlocked. Bleaches, detergents and cleaners were observed stored inside. .2820(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation cannot be confirmed for an employee hired 1/30/24 based on the documentation provided. It was documented that the employee received 16 hours of orientation on 2/1/24. .1101(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, May 1, 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: The following was discussed during the visit: - The record retention information in DCDEE rule was emailed to Ms. Blevins. - Accurate documentation was discussed - Confirm the ages of all children in classrooms prior to moving children to different classrooms to ensure proper grouping of children. - We discussed proper documentation and clarification of the requirements for children’s records according to the children’s checklist. Mrs. Porter-Pride asked for clarification of the rules pertaining to the following items: 1. Emergency Medical Care Information/Medical Action Plan - I explained to Mrs. Porter-Pride that the emergency medical care information is included in the child’s application and the Medical Action Plan is only used if applicable to the child i.e. asthma, seizures, allergies. I explained that the Medical Action Plan is a separate form completed by the parent and a doctor to be on file for the child. 2. Immunization Records - Mrs. Porter-Price asked about how to determine if immunization records from out of state met immunization requirements. I referred her to the Immunization Branch and explained to her that resources are available there for her to reference and that all immunization requirements are included on the annual immunization form completed by the center. - I referred Ms. Blevins to Child Care Rule .1005 regarding transportation as she prepared to schedule field trips for summer camp. Rule References: 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/17/2024 Number Present: 83 Completed Date: 4/17/2024 Age: From 0 To 5 Total Minutes: 425 Time In: 10:40 AM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during an Administrative Action Follow-Up Visit. The last annual compliance visit was conducted on November 15, 2023. The center had a compliance history of 75% prior to today’s visit. The Provisional license was issued February 8, 2024. The following was monitored using the June 2022 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Ms. Lisa Eddins-Smith, Child Care Consultant, accompanied me today. Ms. Carrie Brunat, Children of America Executive Director of Independence Campus, was onsite during the visit. Upon arrival we were greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of our visit. The Provisional license was observed posted in the lobby. The administrative action and cover letter were observed posted in the vestibule where parents sign children in and out each day. Ms. Blevins was working with a potential hire when we arrived. Ms. Eddins-Smith and I walked to the main hallway while we waited for Ms. Blevins. I observed the door to Space 5 was not able to close completely and had to be forcefully pulled closed. It was explained that a repair ticket had been requested. There is a concern that children could get their fingers caught in the door. Ms. Blevins was asked to remind staff to completely close the door each time it was used. While standing outside Space 5 we heard a teacher in Space 8 using a harsh tone and raised voice. I walked to the window located in the hallway and observed a teacher standing at the bathroom door yelling at children across the room to sit down and go to the carpet now. Ms. Angie Foster, Program Coordinator, was standing at the door inside the classroom. I walked in and asked Ms. Foster if she would like to address the inappropriate tone or if she would like for me to address it with the teacher. She stated she wanted me to address it. I explained to the teacher that she was using an inappropriate tone with children and that her volume was way too loud. I explained that she should walk across the room and speak directly to children in a respectful tone when asking them to sit down or giving directions. She stated a child had wet the floor and their clothes and she was trying to help him and get the kids to sit down. I explained that as the teacher she had to maintain a calm emotional response and if she needed assistance she should ask administration and I pointed to Ms. Foster. She stated ok. The violation was cited and discussed with Ms. Blevins, Ms. Foster, Ms. Pride-Porter (Assistant Director) and Ms. Burnat. The teacher was a new teacher and I recommended that Admin spend time coaching her on appropriate tone, interactions, and volume in the classroom. Infants were observed sleeping, being diapered, and playing on the floor. Safe sleep checks were documented as required. It was explained that two (2) teachers called out today and additional staff were either sick or on leave, so the facility was short staffed. Children were moved throughout the building to maintain ratio during today’s visit. A one (1) year old child from Space 4 was moved to Space 5. The oldest child in Space 5 was three (3) years old. I explained to Ms. Blevins that one (1) year olds may not be combined with children three (3) years and older except for the first and last hour of the operating day. Children in Spaces 4- 6 were observed sitting at tables waiting for lunch. It was explained that the regular cook was not onsite today, and that lunch was running behind schedule. Children should not sit for extended periods without activities. It is recommended to create transition activities such as singing or reading stories to children while they waited. Three (3) toddlers were observed asleep while waiting and were laid down without lunch. They explained that lunch would be served to them when they woke up. In Space 6 a child who was transitioned from another classroom was documented as “two year old girl” on the head count sheet. I explained that anytime a child was moved staff in the new classroom should be given the child’s name and age and if they had allergies. I explained that if there was an emergency and they had to evacuate the building it was imperative that children be able to be identified or if someone came to pick up the child staff should know the child’s name and who was authorized to pick up. The air conditioning was not working in Space 10 or the foyer. It was reported that parts were ordered and repairs were expected for the end of the week. I requested Ms. Blevins or Ms. Pride-Porter to purchase a thermometer to place in Space 10 to ensure the temperature did not rise above 85 degrees. The outside temperature today was 82 degrees and was predicted to be 87 degrees tomorrow. Menus were observed posted outside of each classroom. Changes were documented on menus except for on the menu poste outside Space 8. It was documented that beef crumbles were served today, however I observed turkey crumbles served. It was previously recommended to post one (1) menu at the front of the facility for parents to view so that changes only had to be made to one (1) menu. Menus were changed to correspond with what was served during the visit. One (1) new staff was hired 3/25/24 and her file was reviewed today. It was noted on the orientation form that fifteen (15) hours of orientation was provided on 3/27/24. The orientation form was signed by Ms. Pride-Porter. We asked her to explain the documentation and if she did provide fifteen hours of orientation on 3/27/24. She stated she did not spend that much time with the new employee on that date. I explained that the amount of time documented had to be true and accurate and would be considered providing false information if it was not accurate. I reviewed two (2) additional employee files to review orientation documentation to see if all employee’s orientation was documented on one day. I observed one (1) employee hired 1/30/24 had sixteen (16) hours of orientation documented on 2/1/24. Another employee hired 8/31/23 had two (2) hours of orientation documented on 8/31/23, two (2) hours on 9/1/23, one (1) hour on 9/4/23, two (2) hours on 9/5/23, one (1) hour on 9/6/23, one (1) hour on 9/7/23, one (1) hour on 9/8/23, and five (5) hours on 9/11/24. Both were completed by Ms. Pride-Porter. I discussed the information with Michele Sullivan, Licensing Supervisor, and she confirmed that the violation should be cited. This is the third falsification violation cited since 2020. On 5/29/20 falsification was cited regarding falsified medical forms. On 4/17/23 falsification was cited regarding falsified fire drills, and today falsification was cited regarding falsified staff orientation documentation. Ms. Blevins submitted policies and procedures for stipulation #2 on 3/ 26 /24 and were reviewed with Ms. Blevins today. Additional information was requested to fully explain processes for maintaining staff, child and program records and who was responsible for those processes. Ms. Blevins will submit revisions for approval. Ms. Blevins should begin working on Stipulation #4. Violation Number Comment Rule 108 The operator made an effort to falsify information. The orientation for a new employee hired 3/25/24 signed by the assistant director stated fifteen (15) hours of orientation occured on 3/27/24. She stated she did not spend fifteen (15) hours with the new employee on 3/27/24. G.S. 110-91(14) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. A one (1) year old child from Space 4 was moved to Space 5. The oldest child in Space 5 was three (3) years old. 10A NCAC 09 .0713(a)(6) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. While standing outside Space 5 I heard a teacher in Space 8 using a harsh tone and raised voice. I walked to the window located in the hallway and observed a teacher standing at the bathroom door yelling at children across the room to sit down and go to the carpet now using an inappropriate tone. .1802 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus posted outside of all classrooms except Space 8 did not indicate the correct substitution made to today's menu. Space 8 did not have any substitutions documented. 10A NCAC 09 .0901(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. The laundry closet was observed unlocked. Bleaches, detergents and cleaners were observed stored inside. .2820(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation cannot be confirmed for an employee hired 1/30/24 based on the documentation provided. It was documented that the employee received 16 hours of orientation on 2/1/24. .1101(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, May 1, 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: The following was discussed during the visit: - The record retention information in DCDEE rule was emailed to Ms. Blevins. - Accurate documentation was discussed - Confirm the ages of all children in classrooms prior to moving children to different classrooms to ensure proper grouping of children. - We discussed proper documentation and clarification of the requirements for children’s records according to the children’s checklist. Mrs. Porter-Pride asked for clarification of the rules pertaining to the following items: 1. Emergency Medical Care Information/Medical Action Plan - I explained to Mrs. Porter-Pride that the emergency medical care information is included in the child’s application and the Medical Action Plan is only used if applicable to the child i.e. asthma, seizures, allergies. I explained that the Medical Action Plan is a separate form completed by the parent and a doctor to be on file for the child. 2. Immunization Records - Mrs. Porter-Price asked about how to determine if immunization records from out of state met immunization requirements. I referred her to the Immunization Branch and explained to her that resources are available there for her to reference and that all immunization requirements are included on the annual immunization form completed by the center. - I referred Ms. Blevins to Child Care Rule .1005 regarding transportation as she prepared to schedule field trips for summer camp. Rule References: 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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 .1005 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/17/2024 Number Present: 83 Completed Date: 4/17/2024 Age: From 0 To 5 Total Minutes: 425 Time In: 10:40 AM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during an Administrative Action Follow-Up Visit. The last annual compliance visit was conducted on November 15, 2023. The center had a compliance history of 75% prior to today’s visit. The Provisional license was issued February 8, 2024. The following was monitored using the June 2022 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Ms. Lisa Eddins-Smith, Child Care Consultant, accompanied me today. Ms. Carrie Brunat, Children of America Executive Director of Independence Campus, was onsite during the visit. Upon arrival we were greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of our visit. The Provisional license was observed posted in the lobby. The administrative action and cover letter were observed posted in the vestibule where parents sign children in and out each day. Ms. Blevins was working with a potential hire when we arrived. Ms. Eddins-Smith and I walked to the main hallway while we waited for Ms. Blevins. I observed the door to Space 5 was not able to close completely and had to be forcefully pulled closed. It was explained that a repair ticket had been requested. There is a concern that children could get their fingers caught in the door. Ms. Blevins was asked to remind staff to completely close the door each time it was used. While standing outside Space 5 we heard a teacher in Space 8 using a harsh tone and raised voice. I walked to the window located in the hallway and observed a teacher standing at the bathroom door yelling at children across the room to sit down and go to the carpet now. Ms. Angie Foster, Program Coordinator, was standing at the door inside the classroom. I walked in and asked Ms. Foster if she would like to address the inappropriate tone or if she would like for me to address it with the teacher. She stated she wanted me to address it. I explained to the teacher that she was using an inappropriate tone with children and that her volume was way too loud. I explained that she should walk across the room and speak directly to children in a respectful tone when asking them to sit down or giving directions. She stated a child had wet the floor and their clothes and she was trying to help him and get the kids to sit down. I explained that as the teacher she had to maintain a calm emotional response and if she needed assistance she should ask administration and I pointed to Ms. Foster. She stated ok. The violation was cited and discussed with Ms. Blevins, Ms. Foster, Ms. Pride-Porter (Assistant Director) and Ms. Burnat. The teacher was a new teacher and I recommended that Admin spend time coaching her on appropriate tone, interactions, and volume in the classroom. Infants were observed sleeping, being diapered, and playing on the floor. Safe sleep checks were documented as required. It was explained that two (2) teachers called out today and additional staff were either sick or on leave, so the facility was short staffed. Children were moved throughout the building to maintain ratio during today’s visit. A one (1) year old child from Space 4 was moved to Space 5. The oldest child in Space 5 was three (3) years old. I explained to Ms. Blevins that one (1) year olds may not be combined with children three (3) years and older except for the first and last hour of the operating day. Children in Spaces 4- 6 were observed sitting at tables waiting for lunch. It was explained that the regular cook was not onsite today, and that lunch was running behind schedule. Children should not sit for extended periods without activities. It is recommended to create transition activities such as singing or reading stories to children while they waited. Three (3) toddlers were observed asleep while waiting and were laid down without lunch. They explained that lunch would be served to them when they woke up. In Space 6 a child who was transitioned from another classroom was documented as “two year old girl” on the head count sheet. I explained that anytime a child was moved staff in the new classroom should be given the child’s name and age and if they had allergies. I explained that if there was an emergency and they had to evacuate the building it was imperative that children be able to be identified or if someone came to pick up the child staff should know the child’s name and who was authorized to pick up. The air conditioning was not working in Space 10 or the foyer. It was reported that parts were ordered and repairs were expected for the end of the week. I requested Ms. Blevins or Ms. Pride-Porter to purchase a thermometer to place in Space 10 to ensure the temperature did not rise above 85 degrees. The outside temperature today was 82 degrees and was predicted to be 87 degrees tomorrow. Menus were observed posted outside of each classroom. Changes were documented on menus except for on the menu poste outside Space 8. It was documented that beef crumbles were served today, however I observed turkey crumbles served. It was previously recommended to post one (1) menu at the front of the facility for parents to view so that changes only had to be made to one (1) menu. Menus were changed to correspond with what was served during the visit. One (1) new staff was hired 3/25/24 and her file was reviewed today. It was noted on the orientation form that fifteen (15) hours of orientation was provided on 3/27/24. The orientation form was signed by Ms. Pride-Porter. We asked her to explain the documentation and if she did provide fifteen hours of orientation on 3/27/24. She stated she did not spend that much time with the new employee on that date. I explained that the amount of time documented had to be true and accurate and would be considered providing false information if it was not accurate. I reviewed two (2) additional employee files to review orientation documentation to see if all employee’s orientation was documented on one day. I observed one (1) employee hired 1/30/24 had sixteen (16) hours of orientation documented on 2/1/24. Another employee hired 8/31/23 had two (2) hours of orientation documented on 8/31/23, two (2) hours on 9/1/23, one (1) hour on 9/4/23, two (2) hours on 9/5/23, one (1) hour on 9/6/23, one (1) hour on 9/7/23, one (1) hour on 9/8/23, and five (5) hours on 9/11/24. Both were completed by Ms. Pride-Porter. I discussed the information with Michele Sullivan, Licensing Supervisor, and she confirmed that the violation should be cited. This is the third falsification violation cited since 2020. On 5/29/20 falsification was cited regarding falsified medical forms. On 4/17/23 falsification was cited regarding falsified fire drills, and today falsification was cited regarding falsified staff orientation documentation. Ms. Blevins submitted policies and procedures for stipulation #2 on 3/ 26 /24 and were reviewed with Ms. Blevins today. Additional information was requested to fully explain processes for maintaining staff, child and program records and who was responsible for those processes. Ms. Blevins will submit revisions for approval. Ms. Blevins should begin working on Stipulation #4. Violation Number Comment Rule 108 The operator made an effort to falsify information. The orientation for a new employee hired 3/25/24 signed by the assistant director stated fifteen (15) hours of orientation occured on 3/27/24. She stated she did not spend fifteen (15) hours with the new employee on 3/27/24. G.S. 110-91(14) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. A one (1) year old child from Space 4 was moved to Space 5. The oldest child in Space 5 was three (3) years old. 10A NCAC 09 .0713(a)(6) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. While standing outside Space 5 I heard a teacher in Space 8 using a harsh tone and raised voice. I walked to the window located in the hallway and observed a teacher standing at the bathroom door yelling at children across the room to sit down and go to the carpet now using an inappropriate tone. .1802 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus posted outside of all classrooms except Space 8 did not indicate the correct substitution made to today's menu. Space 8 did not have any substitutions documented. 10A NCAC 09 .0901(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. The laundry closet was observed unlocked. Bleaches, detergents and cleaners were observed stored inside. .2820(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation cannot be confirmed for an employee hired 1/30/24 based on the documentation provided. It was documented that the employee received 16 hours of orientation on 2/1/24. .1101(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, May 1, 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: The following was discussed during the visit: - The record retention information in DCDEE rule was emailed to Ms. Blevins. - Accurate documentation was discussed - Confirm the ages of all children in classrooms prior to moving children to different classrooms to ensure proper grouping of children. - We discussed proper documentation and clarification of the requirements for children’s records according to the children’s checklist. Mrs. Porter-Pride asked for clarification of the rules pertaining to the following items: 1. Emergency Medical Care Information/Medical Action Plan - I explained to Mrs. Porter-Pride that the emergency medical care information is included in the child’s application and the Medical Action Plan is only used if applicable to the child i.e. asthma, seizures, allergies. I explained that the Medical Action Plan is a separate form completed by the parent and a doctor to be on file for the child. 2. Immunization Records - Mrs. Porter-Price asked about how to determine if immunization records from out of state met immunization requirements. I referred her to the Immunization Branch and explained to her that resources are available there for her to reference and that all immunization requirements are included on the annual immunization form completed by the center. - I referred Ms. Blevins to Child Care Rule .1005 regarding transportation as she prepared to schedule field trips for summer camp. Rule References: 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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 .1401 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/17/2024 Number Present: 83 Completed Date: 4/17/2024 Age: From 0 To 5 Total Minutes: 425 Time In: 10:40 AM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during an Administrative Action Follow-Up Visit. The last annual compliance visit was conducted on November 15, 2023. The center had a compliance history of 75% prior to today’s visit. The Provisional license was issued February 8, 2024. The following was monitored using the June 2022 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Ms. Lisa Eddins-Smith, Child Care Consultant, accompanied me today. Ms. Carrie Brunat, Children of America Executive Director of Independence Campus, was onsite during the visit. Upon arrival we were greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of our visit. The Provisional license was observed posted in the lobby. The administrative action and cover letter were observed posted in the vestibule where parents sign children in and out each day. Ms. Blevins was working with a potential hire when we arrived. Ms. Eddins-Smith and I walked to the main hallway while we waited for Ms. Blevins. I observed the door to Space 5 was not able to close completely and had to be forcefully pulled closed. It was explained that a repair ticket had been requested. There is a concern that children could get their fingers caught in the door. Ms. Blevins was asked to remind staff to completely close the door each time it was used. While standing outside Space 5 we heard a teacher in Space 8 using a harsh tone and raised voice. I walked to the window located in the hallway and observed a teacher standing at the bathroom door yelling at children across the room to sit down and go to the carpet now. Ms. Angie Foster, Program Coordinator, was standing at the door inside the classroom. I walked in and asked Ms. Foster if she would like to address the inappropriate tone or if she would like for me to address it with the teacher. She stated she wanted me to address it. I explained to the teacher that she was using an inappropriate tone with children and that her volume was way too loud. I explained that she should walk across the room and speak directly to children in a respectful tone when asking them to sit down or giving directions. She stated a child had wet the floor and their clothes and she was trying to help him and get the kids to sit down. I explained that as the teacher she had to maintain a calm emotional response and if she needed assistance she should ask administration and I pointed to Ms. Foster. She stated ok. The violation was cited and discussed with Ms. Blevins, Ms. Foster, Ms. Pride-Porter (Assistant Director) and Ms. Burnat. The teacher was a new teacher and I recommended that Admin spend time coaching her on appropriate tone, interactions, and volume in the classroom. Infants were observed sleeping, being diapered, and playing on the floor. Safe sleep checks were documented as required. It was explained that two (2) teachers called out today and additional staff were either sick or on leave, so the facility was short staffed. Children were moved throughout the building to maintain ratio during today’s visit. A one (1) year old child from Space 4 was moved to Space 5. The oldest child in Space 5 was three (3) years old. I explained to Ms. Blevins that one (1) year olds may not be combined with children three (3) years and older except for the first and last hour of the operating day. Children in Spaces 4- 6 were observed sitting at tables waiting for lunch. It was explained that the regular cook was not onsite today, and that lunch was running behind schedule. Children should not sit for extended periods without activities. It is recommended to create transition activities such as singing or reading stories to children while they waited. Three (3) toddlers were observed asleep while waiting and were laid down without lunch. They explained that lunch would be served to them when they woke up. In Space 6 a child who was transitioned from another classroom was documented as “two year old girl” on the head count sheet. I explained that anytime a child was moved staff in the new classroom should be given the child’s name and age and if they had allergies. I explained that if there was an emergency and they had to evacuate the building it was imperative that children be able to be identified or if someone came to pick up the child staff should know the child’s name and who was authorized to pick up. The air conditioning was not working in Space 10 or the foyer. It was reported that parts were ordered and repairs were expected for the end of the week. I requested Ms. Blevins or Ms. Pride-Porter to purchase a thermometer to place in Space 10 to ensure the temperature did not rise above 85 degrees. The outside temperature today was 82 degrees and was predicted to be 87 degrees tomorrow. Menus were observed posted outside of each classroom. Changes were documented on menus except for on the menu poste outside Space 8. It was documented that beef crumbles were served today, however I observed turkey crumbles served. It was previously recommended to post one (1) menu at the front of the facility for parents to view so that changes only had to be made to one (1) menu. Menus were changed to correspond with what was served during the visit. One (1) new staff was hired 3/25/24 and her file was reviewed today. It was noted on the orientation form that fifteen (15) hours of orientation was provided on 3/27/24. The orientation form was signed by Ms. Pride-Porter. We asked her to explain the documentation and if she did provide fifteen hours of orientation on 3/27/24. She stated she did not spend that much time with the new employee on that date. I explained that the amount of time documented had to be true and accurate and would be considered providing false information if it was not accurate. I reviewed two (2) additional employee files to review orientation documentation to see if all employee’s orientation was documented on one day. I observed one (1) employee hired 1/30/24 had sixteen (16) hours of orientation documented on 2/1/24. Another employee hired 8/31/23 had two (2) hours of orientation documented on 8/31/23, two (2) hours on 9/1/23, one (1) hour on 9/4/23, two (2) hours on 9/5/23, one (1) hour on 9/6/23, one (1) hour on 9/7/23, one (1) hour on 9/8/23, and five (5) hours on 9/11/24. Both were completed by Ms. Pride-Porter. I discussed the information with Michele Sullivan, Licensing Supervisor, and she confirmed that the violation should be cited. This is the third falsification violation cited since 2020. On 5/29/20 falsification was cited regarding falsified medical forms. On 4/17/23 falsification was cited regarding falsified fire drills, and today falsification was cited regarding falsified staff orientation documentation. Ms. Blevins submitted policies and procedures for stipulation #2 on 3/ 26 /24 and were reviewed with Ms. Blevins today. Additional information was requested to fully explain processes for maintaining staff, child and program records and who was responsible for those processes. Ms. Blevins will submit revisions for approval. Ms. Blevins should begin working on Stipulation #4. Violation Number Comment Rule 108 The operator made an effort to falsify information. The orientation for a new employee hired 3/25/24 signed by the assistant director stated fifteen (15) hours of orientation occured on 3/27/24. She stated she did not spend fifteen (15) hours with the new employee on 3/27/24. G.S. 110-91(14) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. A one (1) year old child from Space 4 was moved to Space 5. The oldest child in Space 5 was three (3) years old. 10A NCAC 09 .0713(a)(6) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. While standing outside Space 5 I heard a teacher in Space 8 using a harsh tone and raised voice. I walked to the window located in the hallway and observed a teacher standing at the bathroom door yelling at children across the room to sit down and go to the carpet now using an inappropriate tone. .1802 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus posted outside of all classrooms except Space 8 did not indicate the correct substitution made to today's menu. Space 8 did not have any substitutions documented. 10A NCAC 09 .0901(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. The laundry closet was observed unlocked. Bleaches, detergents and cleaners were observed stored inside. .2820(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation cannot be confirmed for an employee hired 1/30/24 based on the documentation provided. It was documented that the employee received 16 hours of orientation on 2/1/24. .1101(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, May 1, 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: The following was discussed during the visit: - The record retention information in DCDEE rule was emailed to Ms. Blevins. - Accurate documentation was discussed - Confirm the ages of all children in classrooms prior to moving children to different classrooms to ensure proper grouping of children. - We discussed proper documentation and clarification of the requirements for children’s records according to the children’s checklist. Mrs. Porter-Pride asked for clarification of the rules pertaining to the following items: 1. Emergency Medical Care Information/Medical Action Plan - I explained to Mrs. Porter-Pride that the emergency medical care information is included in the child’s application and the Medical Action Plan is only used if applicable to the child i.e. asthma, seizures, allergies. I explained that the Medical Action Plan is a separate form completed by the parent and a doctor to be on file for the child. 2. Immunization Records - Mrs. Porter-Price asked about how to determine if immunization records from out of state met immunization requirements. I referred her to the Immunization Branch and explained to her that resources are available there for her to reference and that all immunization requirements are included on the annual immunization form completed by the center. - I referred Ms. Blevins to Child Care Rule .1005 regarding transportation as she prepared to schedule field trips for summer camp. Rule References: 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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 .1402 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/17/2024 Number Present: 83 Completed Date: 4/17/2024 Age: From 0 To 5 Total Minutes: 425 Time In: 10:40 AM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during an Administrative Action Follow-Up Visit. The last annual compliance visit was conducted on November 15, 2023. The center had a compliance history of 75% prior to today’s visit. The Provisional license was issued February 8, 2024. The following was monitored using the June 2022 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Ms. Lisa Eddins-Smith, Child Care Consultant, accompanied me today. Ms. Carrie Brunat, Children of America Executive Director of Independence Campus, was onsite during the visit. Upon arrival we were greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of our visit. The Provisional license was observed posted in the lobby. The administrative action and cover letter were observed posted in the vestibule where parents sign children in and out each day. Ms. Blevins was working with a potential hire when we arrived. Ms. Eddins-Smith and I walked to the main hallway while we waited for Ms. Blevins. I observed the door to Space 5 was not able to close completely and had to be forcefully pulled closed. It was explained that a repair ticket had been requested. There is a concern that children could get their fingers caught in the door. Ms. Blevins was asked to remind staff to completely close the door each time it was used. While standing outside Space 5 we heard a teacher in Space 8 using a harsh tone and raised voice. I walked to the window located in the hallway and observed a teacher standing at the bathroom door yelling at children across the room to sit down and go to the carpet now. Ms. Angie Foster, Program Coordinator, was standing at the door inside the classroom. I walked in and asked Ms. Foster if she would like to address the inappropriate tone or if she would like for me to address it with the teacher. She stated she wanted me to address it. I explained to the teacher that she was using an inappropriate tone with children and that her volume was way too loud. I explained that she should walk across the room and speak directly to children in a respectful tone when asking them to sit down or giving directions. She stated a child had wet the floor and their clothes and she was trying to help him and get the kids to sit down. I explained that as the teacher she had to maintain a calm emotional response and if she needed assistance she should ask administration and I pointed to Ms. Foster. She stated ok. The violation was cited and discussed with Ms. Blevins, Ms. Foster, Ms. Pride-Porter (Assistant Director) and Ms. Burnat. The teacher was a new teacher and I recommended that Admin spend time coaching her on appropriate tone, interactions, and volume in the classroom. Infants were observed sleeping, being diapered, and playing on the floor. Safe sleep checks were documented as required. It was explained that two (2) teachers called out today and additional staff were either sick or on leave, so the facility was short staffed. Children were moved throughout the building to maintain ratio during today’s visit. A one (1) year old child from Space 4 was moved to Space 5. The oldest child in Space 5 was three (3) years old. I explained to Ms. Blevins that one (1) year olds may not be combined with children three (3) years and older except for the first and last hour of the operating day. Children in Spaces 4- 6 were observed sitting at tables waiting for lunch. It was explained that the regular cook was not onsite today, and that lunch was running behind schedule. Children should not sit for extended periods without activities. It is recommended to create transition activities such as singing or reading stories to children while they waited. Three (3) toddlers were observed asleep while waiting and were laid down without lunch. They explained that lunch would be served to them when they woke up. In Space 6 a child who was transitioned from another classroom was documented as “two year old girl” on the head count sheet. I explained that anytime a child was moved staff in the new classroom should be given the child’s name and age and if they had allergies. I explained that if there was an emergency and they had to evacuate the building it was imperative that children be able to be identified or if someone came to pick up the child staff should know the child’s name and who was authorized to pick up. The air conditioning was not working in Space 10 or the foyer. It was reported that parts were ordered and repairs were expected for the end of the week. I requested Ms. Blevins or Ms. Pride-Porter to purchase a thermometer to place in Space 10 to ensure the temperature did not rise above 85 degrees. The outside temperature today was 82 degrees and was predicted to be 87 degrees tomorrow. Menus were observed posted outside of each classroom. Changes were documented on menus except for on the menu poste outside Space 8. It was documented that beef crumbles were served today, however I observed turkey crumbles served. It was previously recommended to post one (1) menu at the front of the facility for parents to view so that changes only had to be made to one (1) menu. Menus were changed to correspond with what was served during the visit. One (1) new staff was hired 3/25/24 and her file was reviewed today. It was noted on the orientation form that fifteen (15) hours of orientation was provided on 3/27/24. The orientation form was signed by Ms. Pride-Porter. We asked her to explain the documentation and if she did provide fifteen hours of orientation on 3/27/24. She stated she did not spend that much time with the new employee on that date. I explained that the amount of time documented had to be true and accurate and would be considered providing false information if it was not accurate. I reviewed two (2) additional employee files to review orientation documentation to see if all employee’s orientation was documented on one day. I observed one (1) employee hired 1/30/24 had sixteen (16) hours of orientation documented on 2/1/24. Another employee hired 8/31/23 had two (2) hours of orientation documented on 8/31/23, two (2) hours on 9/1/23, one (1) hour on 9/4/23, two (2) hours on 9/5/23, one (1) hour on 9/6/23, one (1) hour on 9/7/23, one (1) hour on 9/8/23, and five (5) hours on 9/11/24. Both were completed by Ms. Pride-Porter. I discussed the information with Michele Sullivan, Licensing Supervisor, and she confirmed that the violation should be cited. This is the third falsification violation cited since 2020. On 5/29/20 falsification was cited regarding falsified medical forms. On 4/17/23 falsification was cited regarding falsified fire drills, and today falsification was cited regarding falsified staff orientation documentation. Ms. Blevins submitted policies and procedures for stipulation #2 on 3/ 26 /24 and were reviewed with Ms. Blevins today. Additional information was requested to fully explain processes for maintaining staff, child and program records and who was responsible for those processes. Ms. Blevins will submit revisions for approval. Ms. Blevins should begin working on Stipulation #4. Violation Number Comment Rule 108 The operator made an effort to falsify information. The orientation for a new employee hired 3/25/24 signed by the assistant director stated fifteen (15) hours of orientation occured on 3/27/24. She stated she did not spend fifteen (15) hours with the new employee on 3/27/24. G.S. 110-91(14) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. A one (1) year old child from Space 4 was moved to Space 5. The oldest child in Space 5 was three (3) years old. 10A NCAC 09 .0713(a)(6) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. While standing outside Space 5 I heard a teacher in Space 8 using a harsh tone and raised voice. I walked to the window located in the hallway and observed a teacher standing at the bathroom door yelling at children across the room to sit down and go to the carpet now using an inappropriate tone. .1802 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus posted outside of all classrooms except Space 8 did not indicate the correct substitution made to today's menu. Space 8 did not have any substitutions documented. 10A NCAC 09 .0901(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. The laundry closet was observed unlocked. Bleaches, detergents and cleaners were observed stored inside. .2820(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation cannot be confirmed for an employee hired 1/30/24 based on the documentation provided. It was documented that the employee received 16 hours of orientation on 2/1/24. .1101(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, May 1, 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: The following was discussed during the visit: - The record retention information in DCDEE rule was emailed to Ms. Blevins. - Accurate documentation was discussed - Confirm the ages of all children in classrooms prior to moving children to different classrooms to ensure proper grouping of children. - We discussed proper documentation and clarification of the requirements for children’s records according to the children’s checklist. Mrs. Porter-Pride asked for clarification of the rules pertaining to the following items: 1. Emergency Medical Care Information/Medical Action Plan - I explained to Mrs. Porter-Pride that the emergency medical care information is included in the child’s application and the Medical Action Plan is only used if applicable to the child i.e. asthma, seizures, allergies. I explained that the Medical Action Plan is a separate form completed by the parent and a doctor to be on file for the child. 2. Immunization Records - Mrs. Porter-Price asked about how to determine if immunization records from out of state met immunization requirements. I referred her to the Immunization Branch and explained to her that resources are available there for her to reference and that all immunization requirements are included on the annual immunization form completed by the center. - I referred Ms. Blevins to Child Care Rule .1005 regarding transportation as she prepared to schedule field trips for summer camp. Rule References: 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/17/2024 Number Present: 83 Completed Date: 4/17/2024 Age: From 0 To 5 Total Minutes: 425 Time In: 10:40 AM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during an Administrative Action Follow-Up Visit. The last annual compliance visit was conducted on November 15, 2023. The center had a compliance history of 75% prior to today’s visit. The Provisional license was issued February 8, 2024. The following was monitored using the June 2022 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Ms. Lisa Eddins-Smith, Child Care Consultant, accompanied me today. Ms. Carrie Brunat, Children of America Executive Director of Independence Campus, was onsite during the visit. Upon arrival we were greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of our visit. The Provisional license was observed posted in the lobby. The administrative action and cover letter were observed posted in the vestibule where parents sign children in and out each day. Ms. Blevins was working with a potential hire when we arrived. Ms. Eddins-Smith and I walked to the main hallway while we waited for Ms. Blevins. I observed the door to Space 5 was not able to close completely and had to be forcefully pulled closed. It was explained that a repair ticket had been requested. There is a concern that children could get their fingers caught in the door. Ms. Blevins was asked to remind staff to completely close the door each time it was used. While standing outside Space 5 we heard a teacher in Space 8 using a harsh tone and raised voice. I walked to the window located in the hallway and observed a teacher standing at the bathroom door yelling at children across the room to sit down and go to the carpet now. Ms. Angie Foster, Program Coordinator, was standing at the door inside the classroom. I walked in and asked Ms. Foster if she would like to address the inappropriate tone or if she would like for me to address it with the teacher. She stated she wanted me to address it. I explained to the teacher that she was using an inappropriate tone with children and that her volume was way too loud. I explained that she should walk across the room and speak directly to children in a respectful tone when asking them to sit down or giving directions. She stated a child had wet the floor and their clothes and she was trying to help him and get the kids to sit down. I explained that as the teacher she had to maintain a calm emotional response and if she needed assistance she should ask administration and I pointed to Ms. Foster. She stated ok. The violation was cited and discussed with Ms. Blevins, Ms. Foster, Ms. Pride-Porter (Assistant Director) and Ms. Burnat. The teacher was a new teacher and I recommended that Admin spend time coaching her on appropriate tone, interactions, and volume in the classroom. Infants were observed sleeping, being diapered, and playing on the floor. Safe sleep checks were documented as required. It was explained that two (2) teachers called out today and additional staff were either sick or on leave, so the facility was short staffed. Children were moved throughout the building to maintain ratio during today’s visit. A one (1) year old child from Space 4 was moved to Space 5. The oldest child in Space 5 was three (3) years old. I explained to Ms. Blevins that one (1) year olds may not be combined with children three (3) years and older except for the first and last hour of the operating day. Children in Spaces 4- 6 were observed sitting at tables waiting for lunch. It was explained that the regular cook was not onsite today, and that lunch was running behind schedule. Children should not sit for extended periods without activities. It is recommended to create transition activities such as singing or reading stories to children while they waited. Three (3) toddlers were observed asleep while waiting and were laid down without lunch. They explained that lunch would be served to them when they woke up. In Space 6 a child who was transitioned from another classroom was documented as “two year old girl” on the head count sheet. I explained that anytime a child was moved staff in the new classroom should be given the child’s name and age and if they had allergies. I explained that if there was an emergency and they had to evacuate the building it was imperative that children be able to be identified or if someone came to pick up the child staff should know the child’s name and who was authorized to pick up. The air conditioning was not working in Space 10 or the foyer. It was reported that parts were ordered and repairs were expected for the end of the week. I requested Ms. Blevins or Ms. Pride-Porter to purchase a thermometer to place in Space 10 to ensure the temperature did not rise above 85 degrees. The outside temperature today was 82 degrees and was predicted to be 87 degrees tomorrow. Menus were observed posted outside of each classroom. Changes were documented on menus except for on the menu poste outside Space 8. It was documented that beef crumbles were served today, however I observed turkey crumbles served. It was previously recommended to post one (1) menu at the front of the facility for parents to view so that changes only had to be made to one (1) menu. Menus were changed to correspond with what was served during the visit. One (1) new staff was hired 3/25/24 and her file was reviewed today. It was noted on the orientation form that fifteen (15) hours of orientation was provided on 3/27/24. The orientation form was signed by Ms. Pride-Porter. We asked her to explain the documentation and if she did provide fifteen hours of orientation on 3/27/24. She stated she did not spend that much time with the new employee on that date. I explained that the amount of time documented had to be true and accurate and would be considered providing false information if it was not accurate. I reviewed two (2) additional employee files to review orientation documentation to see if all employee’s orientation was documented on one day. I observed one (1) employee hired 1/30/24 had sixteen (16) hours of orientation documented on 2/1/24. Another employee hired 8/31/23 had two (2) hours of orientation documented on 8/31/23, two (2) hours on 9/1/23, one (1) hour on 9/4/23, two (2) hours on 9/5/23, one (1) hour on 9/6/23, one (1) hour on 9/7/23, one (1) hour on 9/8/23, and five (5) hours on 9/11/24. Both were completed by Ms. Pride-Porter. I discussed the information with Michele Sullivan, Licensing Supervisor, and she confirmed that the violation should be cited. This is the third falsification violation cited since 2020. On 5/29/20 falsification was cited regarding falsified medical forms. On 4/17/23 falsification was cited regarding falsified fire drills, and today falsification was cited regarding falsified staff orientation documentation. Ms. Blevins submitted policies and procedures for stipulation #2 on 3/ 26 /24 and were reviewed with Ms. Blevins today. Additional information was requested to fully explain processes for maintaining staff, child and program records and who was responsible for those processes. Ms. Blevins will submit revisions for approval. Ms. Blevins should begin working on Stipulation #4. Violation Number Comment Rule 108 The operator made an effort to falsify information. The orientation for a new employee hired 3/25/24 signed by the assistant director stated fifteen (15) hours of orientation occured on 3/27/24. She stated she did not spend fifteen (15) hours with the new employee on 3/27/24. G.S. 110-91(14) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. A one (1) year old child from Space 4 was moved to Space 5. The oldest child in Space 5 was three (3) years old. 10A NCAC 09 .0713(a)(6) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. While standing outside Space 5 I heard a teacher in Space 8 using a harsh tone and raised voice. I walked to the window located in the hallway and observed a teacher standing at the bathroom door yelling at children across the room to sit down and go to the carpet now using an inappropriate tone. .1802 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus posted outside of all classrooms except Space 8 did not indicate the correct substitution made to today's menu. Space 8 did not have any substitutions documented. 10A NCAC 09 .0901(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. The laundry closet was observed unlocked. Bleaches, detergents and cleaners were observed stored inside. .2820(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation cannot be confirmed for an employee hired 1/30/24 based on the documentation provided. It was documented that the employee received 16 hours of orientation on 2/1/24. .1101(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, May 1, 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: The following was discussed during the visit: - The record retention information in DCDEE rule was emailed to Ms. Blevins. - Accurate documentation was discussed - Confirm the ages of all children in classrooms prior to moving children to different classrooms to ensure proper grouping of children. - We discussed proper documentation and clarification of the requirements for children’s records according to the children’s checklist. Mrs. Porter-Pride asked for clarification of the rules pertaining to the following items: 1. Emergency Medical Care Information/Medical Action Plan - I explained to Mrs. Porter-Pride that the emergency medical care information is included in the child’s application and the Medical Action Plan is only used if applicable to the child i.e. asthma, seizures, allergies. I explained that the Medical Action Plan is a separate form completed by the parent and a doctor to be on file for the child. 2. Immunization Records - Mrs. Porter-Price asked about how to determine if immunization records from out of state met immunization requirements. I referred her to the Immunization Branch and explained to her that resources are available there for her to reference and that all immunization requirements are included on the annual immunization form completed by the center. - I referred Ms. Blevins to Child Care Rule .1005 regarding transportation as she prepared to schedule field trips for summer camp. Rule References: 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/17/2024 Number Present: 83 Completed Date: 4/17/2024 Age: From 0 To 5 Total Minutes: 425 Time In: 10:40 AM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during an Administrative Action Follow-Up Visit. The last annual compliance visit was conducted on November 15, 2023. The center had a compliance history of 75% prior to today’s visit. The Provisional license was issued February 8, 2024. The following was monitored using the June 2022 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Ms. Lisa Eddins-Smith, Child Care Consultant, accompanied me today. Ms. Carrie Brunat, Children of America Executive Director of Independence Campus, was onsite during the visit. Upon arrival we were greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of our visit. The Provisional license was observed posted in the lobby. The administrative action and cover letter were observed posted in the vestibule where parents sign children in and out each day. Ms. Blevins was working with a potential hire when we arrived. Ms. Eddins-Smith and I walked to the main hallway while we waited for Ms. Blevins. I observed the door to Space 5 was not able to close completely and had to be forcefully pulled closed. It was explained that a repair ticket had been requested. There is a concern that children could get their fingers caught in the door. Ms. Blevins was asked to remind staff to completely close the door each time it was used. While standing outside Space 5 we heard a teacher in Space 8 using a harsh tone and raised voice. I walked to the window located in the hallway and observed a teacher standing at the bathroom door yelling at children across the room to sit down and go to the carpet now. Ms. Angie Foster, Program Coordinator, was standing at the door inside the classroom. I walked in and asked Ms. Foster if she would like to address the inappropriate tone or if she would like for me to address it with the teacher. She stated she wanted me to address it. I explained to the teacher that she was using an inappropriate tone with children and that her volume was way too loud. I explained that she should walk across the room and speak directly to children in a respectful tone when asking them to sit down or giving directions. She stated a child had wet the floor and their clothes and she was trying to help him and get the kids to sit down. I explained that as the teacher she had to maintain a calm emotional response and if she needed assistance she should ask administration and I pointed to Ms. Foster. She stated ok. The violation was cited and discussed with Ms. Blevins, Ms. Foster, Ms. Pride-Porter (Assistant Director) and Ms. Burnat. The teacher was a new teacher and I recommended that Admin spend time coaching her on appropriate tone, interactions, and volume in the classroom. Infants were observed sleeping, being diapered, and playing on the floor. Safe sleep checks were documented as required. It was explained that two (2) teachers called out today and additional staff were either sick or on leave, so the facility was short staffed. Children were moved throughout the building to maintain ratio during today’s visit. A one (1) year old child from Space 4 was moved to Space 5. The oldest child in Space 5 was three (3) years old. I explained to Ms. Blevins that one (1) year olds may not be combined with children three (3) years and older except for the first and last hour of the operating day. Children in Spaces 4- 6 were observed sitting at tables waiting for lunch. It was explained that the regular cook was not onsite today, and that lunch was running behind schedule. Children should not sit for extended periods without activities. It is recommended to create transition activities such as singing or reading stories to children while they waited. Three (3) toddlers were observed asleep while waiting and were laid down without lunch. They explained that lunch would be served to them when they woke up. In Space 6 a child who was transitioned from another classroom was documented as “two year old girl” on the head count sheet. I explained that anytime a child was moved staff in the new classroom should be given the child’s name and age and if they had allergies. I explained that if there was an emergency and they had to evacuate the building it was imperative that children be able to be identified or if someone came to pick up the child staff should know the child’s name and who was authorized to pick up. The air conditioning was not working in Space 10 or the foyer. It was reported that parts were ordered and repairs were expected for the end of the week. I requested Ms. Blevins or Ms. Pride-Porter to purchase a thermometer to place in Space 10 to ensure the temperature did not rise above 85 degrees. The outside temperature today was 82 degrees and was predicted to be 87 degrees tomorrow. Menus were observed posted outside of each classroom. Changes were documented on menus except for on the menu poste outside Space 8. It was documented that beef crumbles were served today, however I observed turkey crumbles served. It was previously recommended to post one (1) menu at the front of the facility for parents to view so that changes only had to be made to one (1) menu. Menus were changed to correspond with what was served during the visit. One (1) new staff was hired 3/25/24 and her file was reviewed today. It was noted on the orientation form that fifteen (15) hours of orientation was provided on 3/27/24. The orientation form was signed by Ms. Pride-Porter. We asked her to explain the documentation and if she did provide fifteen hours of orientation on 3/27/24. She stated she did not spend that much time with the new employee on that date. I explained that the amount of time documented had to be true and accurate and would be considered providing false information if it was not accurate. I reviewed two (2) additional employee files to review orientation documentation to see if all employee’s orientation was documented on one day. I observed one (1) employee hired 1/30/24 had sixteen (16) hours of orientation documented on 2/1/24. Another employee hired 8/31/23 had two (2) hours of orientation documented on 8/31/23, two (2) hours on 9/1/23, one (1) hour on 9/4/23, two (2) hours on 9/5/23, one (1) hour on 9/6/23, one (1) hour on 9/7/23, one (1) hour on 9/8/23, and five (5) hours on 9/11/24. Both were completed by Ms. Pride-Porter. I discussed the information with Michele Sullivan, Licensing Supervisor, and she confirmed that the violation should be cited. This is the third falsification violation cited since 2020. On 5/29/20 falsification was cited regarding falsified medical forms. On 4/17/23 falsification was cited regarding falsified fire drills, and today falsification was cited regarding falsified staff orientation documentation. Ms. Blevins submitted policies and procedures for stipulation #2 on 3/ 26 /24 and were reviewed with Ms. Blevins today. Additional information was requested to fully explain processes for maintaining staff, child and program records and who was responsible for those processes. Ms. Blevins will submit revisions for approval. Ms. Blevins should begin working on Stipulation #4. Violation Number Comment Rule 108 The operator made an effort to falsify information. The orientation for a new employee hired 3/25/24 signed by the assistant director stated fifteen (15) hours of orientation occured on 3/27/24. She stated she did not spend fifteen (15) hours with the new employee on 3/27/24. G.S. 110-91(14) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. A one (1) year old child from Space 4 was moved to Space 5. The oldest child in Space 5 was three (3) years old. 10A NCAC 09 .0713(a)(6) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. While standing outside Space 5 I heard a teacher in Space 8 using a harsh tone and raised voice. I walked to the window located in the hallway and observed a teacher standing at the bathroom door yelling at children across the room to sit down and go to the carpet now using an inappropriate tone. .1802 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus posted outside of all classrooms except Space 8 did not indicate the correct substitution made to today's menu. Space 8 did not have any substitutions documented. 10A NCAC 09 .0901(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. The laundry closet was observed unlocked. Bleaches, detergents and cleaners were observed stored inside. .2820(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation cannot be confirmed for an employee hired 1/30/24 based on the documentation provided. It was documented that the employee received 16 hours of orientation on 2/1/24. .1101(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, May 1, 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: The following was discussed during the visit: - The record retention information in DCDEE rule was emailed to Ms. Blevins. - Accurate documentation was discussed - Confirm the ages of all children in classrooms prior to moving children to different classrooms to ensure proper grouping of children. - We discussed proper documentation and clarification of the requirements for children’s records according to the children’s checklist. Mrs. Porter-Pride asked for clarification of the rules pertaining to the following items: 1. Emergency Medical Care Information/Medical Action Plan - I explained to Mrs. Porter-Pride that the emergency medical care information is included in the child’s application and the Medical Action Plan is only used if applicable to the child i.e. asthma, seizures, allergies. I explained that the Medical Action Plan is a separate form completed by the parent and a doctor to be on file for the child. 2. Immunization Records - Mrs. Porter-Price asked about how to determine if immunization records from out of state met immunization requirements. I referred her to the Immunization Branch and explained to her that resources are available there for her to reference and that all immunization requirements are included on the annual immunization form completed by the center. - I referred Ms. Blevins to Child Care Rule .1005 regarding transportation as she prepared to schedule field trips for summer camp. Rule References: 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/17/2024 Number Present: 83 Completed Date: 4/17/2024 Age: From 0 To 5 Total Minutes: 425 Time In: 10:40 AM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during an Administrative Action Follow-Up Visit. The last annual compliance visit was conducted on November 15, 2023. The center had a compliance history of 75% prior to today’s visit. The Provisional license was issued February 8, 2024. The following was monitored using the June 2022 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Ms. Lisa Eddins-Smith, Child Care Consultant, accompanied me today. Ms. Carrie Brunat, Children of America Executive Director of Independence Campus, was onsite during the visit. Upon arrival we were greeted by Ms. Stephanie Blevins, Director, and I explained the purpose of our visit. The Provisional license was observed posted in the lobby. The administrative action and cover letter were observed posted in the vestibule where parents sign children in and out each day. Ms. Blevins was working with a potential hire when we arrived. Ms. Eddins-Smith and I walked to the main hallway while we waited for Ms. Blevins. I observed the door to Space 5 was not able to close completely and had to be forcefully pulled closed. It was explained that a repair ticket had been requested. There is a concern that children could get their fingers caught in the door. Ms. Blevins was asked to remind staff to completely close the door each time it was used. While standing outside Space 5 we heard a teacher in Space 8 using a harsh tone and raised voice. I walked to the window located in the hallway and observed a teacher standing at the bathroom door yelling at children across the room to sit down and go to the carpet now. Ms. Angie Foster, Program Coordinator, was standing at the door inside the classroom. I walked in and asked Ms. Foster if she would like to address the inappropriate tone or if she would like for me to address it with the teacher. She stated she wanted me to address it. I explained to the teacher that she was using an inappropriate tone with children and that her volume was way too loud. I explained that she should walk across the room and speak directly to children in a respectful tone when asking them to sit down or giving directions. She stated a child had wet the floor and their clothes and she was trying to help him and get the kids to sit down. I explained that as the teacher she had to maintain a calm emotional response and if she needed assistance she should ask administration and I pointed to Ms. Foster. She stated ok. The violation was cited and discussed with Ms. Blevins, Ms. Foster, Ms. Pride-Porter (Assistant Director) and Ms. Burnat. The teacher was a new teacher and I recommended that Admin spend time coaching her on appropriate tone, interactions, and volume in the classroom. Infants were observed sleeping, being diapered, and playing on the floor. Safe sleep checks were documented as required. It was explained that two (2) teachers called out today and additional staff were either sick or on leave, so the facility was short staffed. Children were moved throughout the building to maintain ratio during today’s visit. A one (1) year old child from Space 4 was moved to Space 5. The oldest child in Space 5 was three (3) years old. I explained to Ms. Blevins that one (1) year olds may not be combined with children three (3) years and older except for the first and last hour of the operating day. Children in Spaces 4- 6 were observed sitting at tables waiting for lunch. It was explained that the regular cook was not onsite today, and that lunch was running behind schedule. Children should not sit for extended periods without activities. It is recommended to create transition activities such as singing or reading stories to children while they waited. Three (3) toddlers were observed asleep while waiting and were laid down without lunch. They explained that lunch would be served to them when they woke up. In Space 6 a child who was transitioned from another classroom was documented as “two year old girl” on the head count sheet. I explained that anytime a child was moved staff in the new classroom should be given the child’s name and age and if they had allergies. I explained that if there was an emergency and they had to evacuate the building it was imperative that children be able to be identified or if someone came to pick up the child staff should know the child’s name and who was authorized to pick up. The air conditioning was not working in Space 10 or the foyer. It was reported that parts were ordered and repairs were expected for the end of the week. I requested Ms. Blevins or Ms. Pride-Porter to purchase a thermometer to place in Space 10 to ensure the temperature did not rise above 85 degrees. The outside temperature today was 82 degrees and was predicted to be 87 degrees tomorrow. Menus were observed posted outside of each classroom. Changes were documented on menus except for on the menu poste outside Space 8. It was documented that beef crumbles were served today, however I observed turkey crumbles served. It was previously recommended to post one (1) menu at the front of the facility for parents to view so that changes only had to be made to one (1) menu. Menus were changed to correspond with what was served during the visit. One (1) new staff was hired 3/25/24 and her file was reviewed today. It was noted on the orientation form that fifteen (15) hours of orientation was provided on 3/27/24. The orientation form was signed by Ms. Pride-Porter. We asked her to explain the documentation and if she did provide fifteen hours of orientation on 3/27/24. She stated she did not spend that much time with the new employee on that date. I explained that the amount of time documented had to be true and accurate and would be considered providing false information if it was not accurate. I reviewed two (2) additional employee files to review orientation documentation to see if all employee’s orientation was documented on one day. I observed one (1) employee hired 1/30/24 had sixteen (16) hours of orientation documented on 2/1/24. Another employee hired 8/31/23 had two (2) hours of orientation documented on 8/31/23, two (2) hours on 9/1/23, one (1) hour on 9/4/23, two (2) hours on 9/5/23, one (1) hour on 9/6/23, one (1) hour on 9/7/23, one (1) hour on 9/8/23, and five (5) hours on 9/11/24. Both were completed by Ms. Pride-Porter. I discussed the information with Michele Sullivan, Licensing Supervisor, and she confirmed that the violation should be cited. This is the third falsification violation cited since 2020. On 5/29/20 falsification was cited regarding falsified medical forms. On 4/17/23 falsification was cited regarding falsified fire drills, and today falsification was cited regarding falsified staff orientation documentation. Ms. Blevins submitted policies and procedures for stipulation #2 on 3/ 26 /24 and were reviewed with Ms. Blevins today. Additional information was requested to fully explain processes for maintaining staff, child and program records and who was responsible for those processes. Ms. Blevins will submit revisions for approval. Ms. Blevins should begin working on Stipulation #4. Violation Number Comment Rule 108 The operator made an effort to falsify information. The orientation for a new employee hired 3/25/24 signed by the assistant director stated fifteen (15) hours of orientation occured on 3/27/24. She stated she did not spend fifteen (15) hours with the new employee on 3/27/24. G.S. 110-91(14) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. A one (1) year old child from Space 4 was moved to Space 5. The oldest child in Space 5 was three (3) years old. 10A NCAC 09 .0713(a)(6) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. While standing outside Space 5 I heard a teacher in Space 8 using a harsh tone and raised voice. I walked to the window located in the hallway and observed a teacher standing at the bathroom door yelling at children across the room to sit down and go to the carpet now using an inappropriate tone. .1802 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus posted outside of all classrooms except Space 8 did not indicate the correct substitution made to today's menu. Space 8 did not have any substitutions documented. 10A NCAC 09 .0901(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. The laundry closet was observed unlocked. Bleaches, detergents and cleaners were observed stored inside. .2820(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation cannot be confirmed for an employee hired 1/30/24 based on the documentation provided. It was documented that the employee received 16 hours of orientation on 2/1/24. .1101(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, May 1, 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: The following was discussed during the visit: - The record retention information in DCDEE rule was emailed to Ms. Blevins. - Accurate documentation was discussed - Confirm the ages of all children in classrooms prior to moving children to different classrooms to ensure proper grouping of children. - We discussed proper documentation and clarification of the requirements for children’s records according to the children’s checklist. Mrs. Porter-Pride asked for clarification of the rules pertaining to the following items: 1. Emergency Medical Care Information/Medical Action Plan - I explained to Mrs. Porter-Pride that the emergency medical care information is included in the child’s application and the Medical Action Plan is only used if applicable to the child i.e. asthma, seizures, allergies. I explained that the Medical Action Plan is a separate form completed by the parent and a doctor to be on file for the child. 2. Immunization Records - Mrs. Porter-Price asked about how to determine if immunization records from out of state met immunization requirements. I referred her to the Immunization Branch and explained to her that resources are available there for her to reference and that all immunization requirements are included on the annual immunization form completed by the center. - I referred Ms. Blevins to Child Care Rule .1005 regarding transportation as she prepared to schedule field trips for summer camp. Rule References: 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. 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: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: LEIGH BROOME Operation Type: Center Case Number: 1123-240A Visit Date: 11/27/2023 Number Present: 57 Completed Date: 11/27/2023 Age: From 0 To 4 Total Minutes: 169 Time In: 08:51 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Amber Pride-Porter, Administrator, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. Pride-Porter and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 903 Corporal punishment was used. On an unknown date, a staff member hit a child on the buttocks when the child did not comply with a directive to remain on a cot. GS 110-91(10); .1803(a) Violations must be corrected immediately. Within one week, December 18, 2023, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Leigh Broome, Investigations Consultant, Leigh.Broome@dhhs.nc.gov. You may contact me at Leigh Broome, 704-594-0146 or Veronica Grant, South Central Investigations Supervisor, Veronica.Grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0607 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 11/15/2023 Number Present: 56 Completed Date: 11/15/2023 Age: From 0 To 5 Total Minutes: 465 Time In: 10:00 AM Time Out: 05:45 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 for compliance with applicable child care requirements during the Annual Compliance Visit. Jennnifer Stansfield, Child Care Consultant accompanied me during the visit. Upon arrival at the center, we were greeted by the assistant administrator, Ms. Amber Pride-Porter. The administrator, Ms. Stephanie Blevins, was in her office talking to a staff person. The center was last issued a five-star rated license, June 18, 2018. The center continued to maintain enhanced space and ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. Spaces #1-11, kitchen and two buses were monitored for compliance with Ms. Stephanie and at times, with Ms. Pride-Porter. The outdoor learning environment was not monitored during the visit. The outdoor learning environment will be monitored during the next applicable visit conducted at the facility. Children were monitored eating their lunch of chicken nuggets, pineapple chunks, diced corn, wheat roll and milk. One toddler in space #3 was monitored with a ready-made formula bottle maintained in a thermal storage bag with cooling packs. The thermal bag was maintained in the child’s cubby. We discussed the sanitation requirements. Two recommendations were made regarding compliance and proper storage. Due to the child is one year of age, it was recommended to have the parent provide a sippy cup, labeled, and dated daily. The sippy cup could then be stored and maintained in the infant room refrigerators (next door to toddler space #3). Another suggested option would be for the parent to provide a container of desired milk on Monday’s. The container of milk may be stored in the center kitchen refrigerator. The container of milk must be returned to the parents on Friday of every week. The bottle was felt but we were not sure the exact temperature of the milk stored in the thermal bag, maintained in the child’s cubby. A violation was not cited. It was also recommended to discuss this topic with the assigned environmental health specialist. There are specific sanitation rules related to storage. Based on the child’s age and developmental stage, it was recommended to work with the parent in transitioning the child to a sippy cup, but to also confer with the child’s pediatrician whether the child should remain on formula or begin transition to whole milk. Books in poor repair were removed from book shelves in three spaces #4, 5 and 7. It was recommended to have the administration check each classroom before closing down the classroom for the day to ensure any books in poor repair are removed by the end of each day. The program continues to order and add additional materials to the classrooms. Ms. Blevins stated CCRI developed a list of materials to order for each applicable classroom. It will be vital to continue adding materials and maintaining the environments in each classroom. There were one hundred and two (102) children enrolled and fifty-six (56) children were present. Ten children’s files were monitored for compliance. One child was missing parental permission to play outside of the fenced area (monthly fire drills). The assistant administrator used the company discipline policy with enrolling families. The monitored document did not list the child’s date of enrollment. We recommended just adding a line item to the document and listing the child’s date of enrollment. Six children’s monitored discipline policy did not have the child’s date of enrollment listed. One child was missing all of the required information regarding an enrolling child’s fears, date of birth, any allergies or unique behavior characteristics. One child was missing emergency medical care information with the choice of health care professional. The center continues to work towards full implementation of COA’s Mind and Body Matters/High Scope curriculum to four-year-old children and the remaining other groups. Curriculum Teacher’s Guides were monitored in each room in a clear plastic folder. It was suggested to transition the curriculum from the folders to binders to make it more user-friendly for teaching staff. We discussed the use of the Foundations book when staff develop their lesson plans. Lesson plans were monitored posted, current, and developmentally appropriate. We suggested the staff list the Foundational goals/codes in the lesson plans. Child Care Resources, Inc has provided support to the previous administrator and current administrator since January of 2023. Ms. Blevins stated the organization has been on site approximately 2-3 times per month and they have worked to implement their recommendations related to the organization of paperwork and classroom development. Staff and Training worksheets were emailed to me prior to the visit. The last Routine Unannounced visit was conducted June 15, 2023. There were thirteen newly hired staff since the June 2023 review. Three new staff didn’t have the documentation of orientation completed correctly. Ms. Pride-Porter didn’t understand how the form should be completed. The orientation topics were reviewed with the new staff. Ms. Porter thought the topic areas were not completed until the staff completed the topics in the Moodle system related to health and safety training. Ms. Pride-Porter corrected the documentation immediately. Four staff’s presented CPR and FA documentation could not be accepted based on the certificate or card presented did not list all required training or the staff person failed to obtain the required training within their first ninety days of employment. CPR and FA training is scheduled for this coming Saturday, November 18, 2023. One staff person was hired July 10, 2023. The staff member presented a training certificate for Recognizing and Responding to Child Maltreatment with a date of November 22, 2021. At the time of hire, the person’s certificate was older than one year and no longer valid. The staff person should have completed the training over again and completed no later than ninety (90) days after employment at COA. The outdoor learning environment was not monitored for compliance. However, monthly outdoor inspections were monitored for compliance and found to meet child care requirements. Documentation for quarterly safety drills and monthly fire drills were monitored documented and current. The center’s EPR plan and Ready to Go File were monitored for compliance. We reminded Ms. Pride-Porter and Ms. Blevins that a child’s medical action plan should also be attached and maintained with the child’s first page of the application in the Ready to Go File in addition to the child’s center file. The kitchen was monitored for compliance with food stored properly and a posted current menu. A current posted allergy list was monitored in each classroom and kitchen. Written modifications to the posted menu were monitored in the hallway and kitchen menus. The center continued to provide daily/routine transportation to children. Two buses were monitored for compliance with current registration, safety inspections, transportation logs/rosters, children’s emergency contact information and a photograph of each child routinely transported. It was recommended to use wallet size photos and place the photos on the top right-hand side of the child’s emergency contact information/first page of child’s application. The last sanitation inspection was conducted January 6, 2023, with eleven (11) demerits cited, and a Superior Classification issued. It was recommended to reach out to EH staff to inquire about the next inspection. Child care centers are typically inspected two times per year. The center must obtain at least an approved inspection on or before January 6, 2024. The last annual fire inspection was completed April 17, 2023. It was highly recommended to begin the annual inspection process four to six weeks prior to expiration. The center’s last ERS was completed in 2019 prior to COVID. The RLA was not processed due to COVID-19 and no ERS could be completed during the pandemic. Based on DCDEE cohort plan model the center will be required to be reassessed any time between July 1, 2024, and June 30, 2025. It is highly recommended to begin a review of the last ERS summary results and any item that scored under a 5.0. Please review the provided link and utilize all RLA offered activities at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License It was emphasized with both center administrators of the need to have a printed DCDEE WORKS letter for each lead teacher, teacher, floater, and group leader. We discussed ensuring a potential employee brings their DCDEE WORKS letter to their interview and if they are hired without it, to ensure the process begins to establish an individual WORKS page during their orientation time period. After today’s visit the current 18-month compliance history was 71%. Licensed child care facilities must maintain at least a 75% compliance history. An administrative action will be proposed. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Books in Spaces 4, 5, and 7 were observed torn and in poor repair. .0601(c) 847 Parent's medication authorization did not include required information. A child's permission for Benadryl expired in May 2023. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were observed in a child's cubby in Space 5. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three (3) employees did not have a total of 16 hours of training within the first 6 weeks of employment. The assistant administrator corrected the missing data from the documentation of orientation worksheets during the visit. .1101(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. Four (4) staff did not have current First Aid training on file. .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. Four (4) employees did not have current CPR training. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Three (3) employees did not receive orientation on all required topics in the first two weeks of employment. The assistant administrator corrected the missing data from the documentation of orientation worksheet during the visit. .1101(a)(b) 1314 Emergency information did not name child's health care professional. One (1) child's emergency information did not include the health care professional. .0802(c)(2) 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. One (1) child did not have an off-premise permission 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. The date of enrollment was not listed on the signed discipline policy in six (6) children's files. .1804(b) 1329 Application for enrollment did not include all required information. One (1) child did not have all the information completed on the application. .0801(a)(1-7) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child with a diagnosed allergy did not have a medical action plan completed. .0801(b) Technical Assistance Provided and General Discussion: 1. Ms. Blevins provided a Preservice Form for the Center Administrator. The information will be keyed into the Regulatory system tomorrow. Ms. Blevins was in the process of obtaining her Administrative WORKS status evaluations. Her official transcripts were ordered. The center administrator and school age program coordinator were applied for via her WORKS page. DCDEE is waiting for receipt of Ms. Blevins official transcripts. 2. Permission to transport children were not maintained in the transportation binders maintained by staff. It is not required by child care rule to maintain them in the binder but was recommended by Ms. Stansfield. It was also recommended to print off the emailed insurance cards and maintain them in the glove compartment or transportation binder that is maintained in each approved vehicle. 3. We discussed the need for parents to sign their child’s infant feeding schedule. A parent of a one-year-old child, under fifteen months of age refused to sign the paperwork because she did not agree that her child should no longer use a bottle. 4. Glue sticks and liquid glues were monitored in all classrooms. We recommended inquiring with NCRLAP if glue sticks are preferred/recommended for use with toddlers vs. liquid glue. If there is a recommendation per ERS/NCRLAP, we recommend following the ERS standards. 5. Two hallway closet doors were monitored unlocked. There was one bottle of red glitter stored on a shelf that was at least five feet vertical from the ground. The utility closet stores the hot water heater and laundry machine and dryer. We discussed limiting the staff from access to the key to ensure the doors remain locked when an adult is not either in the room or closet. 6. After reviewing new staff medical files, each applicable staff person also had their emergency contact form stored with the medical information. The staff’s emergency form should be maintained in their appropriate staff file and not their health file as well as in the EPR Ready to Go File. 7. Staff to Child Ratio Worksheets must be current and posted inside of each operating classroom. Items were taken down from the wall in space #8 for scheduled painting last week. The employee was rescheduled to return this weekend to paint. The form was posted during the visit, but no violation was cited. 8. The center’s for-profit corporation (LLC) was listed as “current-active” by the NC Secretary of State’s office. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff, and the facility to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. SECTION .0900 - NUTRITION STANDARDS 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center with an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Wednesday, November 29, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 11/15/2023 Number Present: 56 Completed Date: 11/15/2023 Age: From 0 To 5 Total Minutes: 465 Time In: 10:00 AM Time Out: 05:45 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 for compliance with applicable child care requirements during the Annual Compliance Visit. Jennnifer Stansfield, Child Care Consultant accompanied me during the visit. Upon arrival at the center, we were greeted by the assistant administrator, Ms. Amber Pride-Porter. The administrator, Ms. Stephanie Blevins, was in her office talking to a staff person. The center was last issued a five-star rated license, June 18, 2018. The center continued to maintain enhanced space and ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. Spaces #1-11, kitchen and two buses were monitored for compliance with Ms. Stephanie and at times, with Ms. Pride-Porter. The outdoor learning environment was not monitored during the visit. The outdoor learning environment will be monitored during the next applicable visit conducted at the facility. Children were monitored eating their lunch of chicken nuggets, pineapple chunks, diced corn, wheat roll and milk. One toddler in space #3 was monitored with a ready-made formula bottle maintained in a thermal storage bag with cooling packs. The thermal bag was maintained in the child’s cubby. We discussed the sanitation requirements. Two recommendations were made regarding compliance and proper storage. Due to the child is one year of age, it was recommended to have the parent provide a sippy cup, labeled, and dated daily. The sippy cup could then be stored and maintained in the infant room refrigerators (next door to toddler space #3). Another suggested option would be for the parent to provide a container of desired milk on Monday’s. The container of milk may be stored in the center kitchen refrigerator. The container of milk must be returned to the parents on Friday of every week. The bottle was felt but we were not sure the exact temperature of the milk stored in the thermal bag, maintained in the child’s cubby. A violation was not cited. It was also recommended to discuss this topic with the assigned environmental health specialist. There are specific sanitation rules related to storage. Based on the child’s age and developmental stage, it was recommended to work with the parent in transitioning the child to a sippy cup, but to also confer with the child’s pediatrician whether the child should remain on formula or begin transition to whole milk. Books in poor repair were removed from book shelves in three spaces #4, 5 and 7. It was recommended to have the administration check each classroom before closing down the classroom for the day to ensure any books in poor repair are removed by the end of each day. The program continues to order and add additional materials to the classrooms. Ms. Blevins stated CCRI developed a list of materials to order for each applicable classroom. It will be vital to continue adding materials and maintaining the environments in each classroom. There were one hundred and two (102) children enrolled and fifty-six (56) children were present. Ten children’s files were monitored for compliance. One child was missing parental permission to play outside of the fenced area (monthly fire drills). The assistant administrator used the company discipline policy with enrolling families. The monitored document did not list the child’s date of enrollment. We recommended just adding a line item to the document and listing the child’s date of enrollment. Six children’s monitored discipline policy did not have the child’s date of enrollment listed. One child was missing all of the required information regarding an enrolling child’s fears, date of birth, any allergies or unique behavior characteristics. One child was missing emergency medical care information with the choice of health care professional. The center continues to work towards full implementation of COA’s Mind and Body Matters/High Scope curriculum to four-year-old children and the remaining other groups. Curriculum Teacher’s Guides were monitored in each room in a clear plastic folder. It was suggested to transition the curriculum from the folders to binders to make it more user-friendly for teaching staff. We discussed the use of the Foundations book when staff develop their lesson plans. Lesson plans were monitored posted, current, and developmentally appropriate. We suggested the staff list the Foundational goals/codes in the lesson plans. Child Care Resources, Inc has provided support to the previous administrator and current administrator since January of 2023. Ms. Blevins stated the organization has been on site approximately 2-3 times per month and they have worked to implement their recommendations related to the organization of paperwork and classroom development. Staff and Training worksheets were emailed to me prior to the visit. The last Routine Unannounced visit was conducted June 15, 2023. There were thirteen newly hired staff since the June 2023 review. Three new staff didn’t have the documentation of orientation completed correctly. Ms. Pride-Porter didn’t understand how the form should be completed. The orientation topics were reviewed with the new staff. Ms. Porter thought the topic areas were not completed until the staff completed the topics in the Moodle system related to health and safety training. Ms. Pride-Porter corrected the documentation immediately. Four staff’s presented CPR and FA documentation could not be accepted based on the certificate or card presented did not list all required training or the staff person failed to obtain the required training within their first ninety days of employment. CPR and FA training is scheduled for this coming Saturday, November 18, 2023. One staff person was hired July 10, 2023. The staff member presented a training certificate for Recognizing and Responding to Child Maltreatment with a date of November 22, 2021. At the time of hire, the person’s certificate was older than one year and no longer valid. The staff person should have completed the training over again and completed no later than ninety (90) days after employment at COA. The outdoor learning environment was not monitored for compliance. However, monthly outdoor inspections were monitored for compliance and found to meet child care requirements. Documentation for quarterly safety drills and monthly fire drills were monitored documented and current. The center’s EPR plan and Ready to Go File were monitored for compliance. We reminded Ms. Pride-Porter and Ms. Blevins that a child’s medical action plan should also be attached and maintained with the child’s first page of the application in the Ready to Go File in addition to the child’s center file. The kitchen was monitored for compliance with food stored properly and a posted current menu. A current posted allergy list was monitored in each classroom and kitchen. Written modifications to the posted menu were monitored in the hallway and kitchen menus. The center continued to provide daily/routine transportation to children. Two buses were monitored for compliance with current registration, safety inspections, transportation logs/rosters, children’s emergency contact information and a photograph of each child routinely transported. It was recommended to use wallet size photos and place the photos on the top right-hand side of the child’s emergency contact information/first page of child’s application. The last sanitation inspection was conducted January 6, 2023, with eleven (11) demerits cited, and a Superior Classification issued. It was recommended to reach out to EH staff to inquire about the next inspection. Child care centers are typically inspected two times per year. The center must obtain at least an approved inspection on or before January 6, 2024. The last annual fire inspection was completed April 17, 2023. It was highly recommended to begin the annual inspection process four to six weeks prior to expiration. The center’s last ERS was completed in 2019 prior to COVID. The RLA was not processed due to COVID-19 and no ERS could be completed during the pandemic. Based on DCDEE cohort plan model the center will be required to be reassessed any time between July 1, 2024, and June 30, 2025. It is highly recommended to begin a review of the last ERS summary results and any item that scored under a 5.0. Please review the provided link and utilize all RLA offered activities at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License It was emphasized with both center administrators of the need to have a printed DCDEE WORKS letter for each lead teacher, teacher, floater, and group leader. We discussed ensuring a potential employee brings their DCDEE WORKS letter to their interview and if they are hired without it, to ensure the process begins to establish an individual WORKS page during their orientation time period. After today’s visit the current 18-month compliance history was 71%. Licensed child care facilities must maintain at least a 75% compliance history. An administrative action will be proposed. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Books in Spaces 4, 5, and 7 were observed torn and in poor repair. .0601(c) 847 Parent's medication authorization did not include required information. A child's permission for Benadryl expired in May 2023. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were observed in a child's cubby in Space 5. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three (3) employees did not have a total of 16 hours of training within the first 6 weeks of employment. The assistant administrator corrected the missing data from the documentation of orientation worksheets during the visit. .1101(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. Four (4) staff did not have current First Aid training on file. .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. Four (4) employees did not have current CPR training. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Three (3) employees did not receive orientation on all required topics in the first two weeks of employment. The assistant administrator corrected the missing data from the documentation of orientation worksheet during the visit. .1101(a)(b) 1314 Emergency information did not name child's health care professional. One (1) child's emergency information did not include the health care professional. .0802(c)(2) 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. One (1) child did not have an off-premise permission 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. The date of enrollment was not listed on the signed discipline policy in six (6) children's files. .1804(b) 1329 Application for enrollment did not include all required information. One (1) child did not have all the information completed on the application. .0801(a)(1-7) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child with a diagnosed allergy did not have a medical action plan completed. .0801(b) Technical Assistance Provided and General Discussion: 1. Ms. Blevins provided a Preservice Form for the Center Administrator. The information will be keyed into the Regulatory system tomorrow. Ms. Blevins was in the process of obtaining her Administrative WORKS status evaluations. Her official transcripts were ordered. The center administrator and school age program coordinator were applied for via her WORKS page. DCDEE is waiting for receipt of Ms. Blevins official transcripts. 2. Permission to transport children were not maintained in the transportation binders maintained by staff. It is not required by child care rule to maintain them in the binder but was recommended by Ms. Stansfield. It was also recommended to print off the emailed insurance cards and maintain them in the glove compartment or transportation binder that is maintained in each approved vehicle. 3. We discussed the need for parents to sign their child’s infant feeding schedule. A parent of a one-year-old child, under fifteen months of age refused to sign the paperwork because she did not agree that her child should no longer use a bottle. 4. Glue sticks and liquid glues were monitored in all classrooms. We recommended inquiring with NCRLAP if glue sticks are preferred/recommended for use with toddlers vs. liquid glue. If there is a recommendation per ERS/NCRLAP, we recommend following the ERS standards. 5. Two hallway closet doors were monitored unlocked. There was one bottle of red glitter stored on a shelf that was at least five feet vertical from the ground. The utility closet stores the hot water heater and laundry machine and dryer. We discussed limiting the staff from access to the key to ensure the doors remain locked when an adult is not either in the room or closet. 6. After reviewing new staff medical files, each applicable staff person also had their emergency contact form stored with the medical information. The staff’s emergency form should be maintained in their appropriate staff file and not their health file as well as in the EPR Ready to Go File. 7. Staff to Child Ratio Worksheets must be current and posted inside of each operating classroom. Items were taken down from the wall in space #8 for scheduled painting last week. The employee was rescheduled to return this weekend to paint. The form was posted during the visit, but no violation was cited. 8. The center’s for-profit corporation (LLC) was listed as “current-active” by the NC Secretary of State’s office. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff, and the facility to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. SECTION .0900 - NUTRITION STANDARDS 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center with an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Wednesday, November 29, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 11/15/2023 Number Present: 56 Completed Date: 11/15/2023 Age: From 0 To 5 Total Minutes: 465 Time In: 10:00 AM Time Out: 05:45 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 for compliance with applicable child care requirements during the Annual Compliance Visit. Jennnifer Stansfield, Child Care Consultant accompanied me during the visit. Upon arrival at the center, we were greeted by the assistant administrator, Ms. Amber Pride-Porter. The administrator, Ms. Stephanie Blevins, was in her office talking to a staff person. The center was last issued a five-star rated license, June 18, 2018. The center continued to maintain enhanced space and ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. Spaces #1-11, kitchen and two buses were monitored for compliance with Ms. Stephanie and at times, with Ms. Pride-Porter. The outdoor learning environment was not monitored during the visit. The outdoor learning environment will be monitored during the next applicable visit conducted at the facility. Children were monitored eating their lunch of chicken nuggets, pineapple chunks, diced corn, wheat roll and milk. One toddler in space #3 was monitored with a ready-made formula bottle maintained in a thermal storage bag with cooling packs. The thermal bag was maintained in the child’s cubby. We discussed the sanitation requirements. Two recommendations were made regarding compliance and proper storage. Due to the child is one year of age, it was recommended to have the parent provide a sippy cup, labeled, and dated daily. The sippy cup could then be stored and maintained in the infant room refrigerators (next door to toddler space #3). Another suggested option would be for the parent to provide a container of desired milk on Monday’s. The container of milk may be stored in the center kitchen refrigerator. The container of milk must be returned to the parents on Friday of every week. The bottle was felt but we were not sure the exact temperature of the milk stored in the thermal bag, maintained in the child’s cubby. A violation was not cited. It was also recommended to discuss this topic with the assigned environmental health specialist. There are specific sanitation rules related to storage. Based on the child’s age and developmental stage, it was recommended to work with the parent in transitioning the child to a sippy cup, but to also confer with the child’s pediatrician whether the child should remain on formula or begin transition to whole milk. Books in poor repair were removed from book shelves in three spaces #4, 5 and 7. It was recommended to have the administration check each classroom before closing down the classroom for the day to ensure any books in poor repair are removed by the end of each day. The program continues to order and add additional materials to the classrooms. Ms. Blevins stated CCRI developed a list of materials to order for each applicable classroom. It will be vital to continue adding materials and maintaining the environments in each classroom. There were one hundred and two (102) children enrolled and fifty-six (56) children were present. Ten children’s files were monitored for compliance. One child was missing parental permission to play outside of the fenced area (monthly fire drills). The assistant administrator used the company discipline policy with enrolling families. The monitored document did not list the child’s date of enrollment. We recommended just adding a line item to the document and listing the child’s date of enrollment. Six children’s monitored discipline policy did not have the child’s date of enrollment listed. One child was missing all of the required information regarding an enrolling child’s fears, date of birth, any allergies or unique behavior characteristics. One child was missing emergency medical care information with the choice of health care professional. The center continues to work towards full implementation of COA’s Mind and Body Matters/High Scope curriculum to four-year-old children and the remaining other groups. Curriculum Teacher’s Guides were monitored in each room in a clear plastic folder. It was suggested to transition the curriculum from the folders to binders to make it more user-friendly for teaching staff. We discussed the use of the Foundations book when staff develop their lesson plans. Lesson plans were monitored posted, current, and developmentally appropriate. We suggested the staff list the Foundational goals/codes in the lesson plans. Child Care Resources, Inc has provided support to the previous administrator and current administrator since January of 2023. Ms. Blevins stated the organization has been on site approximately 2-3 times per month and they have worked to implement their recommendations related to the organization of paperwork and classroom development. Staff and Training worksheets were emailed to me prior to the visit. The last Routine Unannounced visit was conducted June 15, 2023. There were thirteen newly hired staff since the June 2023 review. Three new staff didn’t have the documentation of orientation completed correctly. Ms. Pride-Porter didn’t understand how the form should be completed. The orientation topics were reviewed with the new staff. Ms. Porter thought the topic areas were not completed until the staff completed the topics in the Moodle system related to health and safety training. Ms. Pride-Porter corrected the documentation immediately. Four staff’s presented CPR and FA documentation could not be accepted based on the certificate or card presented did not list all required training or the staff person failed to obtain the required training within their first ninety days of employment. CPR and FA training is scheduled for this coming Saturday, November 18, 2023. One staff person was hired July 10, 2023. The staff member presented a training certificate for Recognizing and Responding to Child Maltreatment with a date of November 22, 2021. At the time of hire, the person’s certificate was older than one year and no longer valid. The staff person should have completed the training over again and completed no later than ninety (90) days after employment at COA. The outdoor learning environment was not monitored for compliance. However, monthly outdoor inspections were monitored for compliance and found to meet child care requirements. Documentation for quarterly safety drills and monthly fire drills were monitored documented and current. The center’s EPR plan and Ready to Go File were monitored for compliance. We reminded Ms. Pride-Porter and Ms. Blevins that a child’s medical action plan should also be attached and maintained with the child’s first page of the application in the Ready to Go File in addition to the child’s center file. The kitchen was monitored for compliance with food stored properly and a posted current menu. A current posted allergy list was monitored in each classroom and kitchen. Written modifications to the posted menu were monitored in the hallway and kitchen menus. The center continued to provide daily/routine transportation to children. Two buses were monitored for compliance with current registration, safety inspections, transportation logs/rosters, children’s emergency contact information and a photograph of each child routinely transported. It was recommended to use wallet size photos and place the photos on the top right-hand side of the child’s emergency contact information/first page of child’s application. The last sanitation inspection was conducted January 6, 2023, with eleven (11) demerits cited, and a Superior Classification issued. It was recommended to reach out to EH staff to inquire about the next inspection. Child care centers are typically inspected two times per year. The center must obtain at least an approved inspection on or before January 6, 2024. The last annual fire inspection was completed April 17, 2023. It was highly recommended to begin the annual inspection process four to six weeks prior to expiration. The center’s last ERS was completed in 2019 prior to COVID. The RLA was not processed due to COVID-19 and no ERS could be completed during the pandemic. Based on DCDEE cohort plan model the center will be required to be reassessed any time between July 1, 2024, and June 30, 2025. It is highly recommended to begin a review of the last ERS summary results and any item that scored under a 5.0. Please review the provided link and utilize all RLA offered activities at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License It was emphasized with both center administrators of the need to have a printed DCDEE WORKS letter for each lead teacher, teacher, floater, and group leader. We discussed ensuring a potential employee brings their DCDEE WORKS letter to their interview and if they are hired without it, to ensure the process begins to establish an individual WORKS page during their orientation time period. After today’s visit the current 18-month compliance history was 71%. Licensed child care facilities must maintain at least a 75% compliance history. An administrative action will be proposed. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Books in Spaces 4, 5, and 7 were observed torn and in poor repair. .0601(c) 847 Parent's medication authorization did not include required information. A child's permission for Benadryl expired in May 2023. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were observed in a child's cubby in Space 5. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three (3) employees did not have a total of 16 hours of training within the first 6 weeks of employment. The assistant administrator corrected the missing data from the documentation of orientation worksheets during the visit. .1101(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. Four (4) staff did not have current First Aid training on file. .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. Four (4) employees did not have current CPR training. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Three (3) employees did not receive orientation on all required topics in the first two weeks of employment. The assistant administrator corrected the missing data from the documentation of orientation worksheet during the visit. .1101(a)(b) 1314 Emergency information did not name child's health care professional. One (1) child's emergency information did not include the health care professional. .0802(c)(2) 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. One (1) child did not have an off-premise permission 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. The date of enrollment was not listed on the signed discipline policy in six (6) children's files. .1804(b) 1329 Application for enrollment did not include all required information. One (1) child did not have all the information completed on the application. .0801(a)(1-7) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child with a diagnosed allergy did not have a medical action plan completed. .0801(b) Technical Assistance Provided and General Discussion: 1. Ms. Blevins provided a Preservice Form for the Center Administrator. The information will be keyed into the Regulatory system tomorrow. Ms. Blevins was in the process of obtaining her Administrative WORKS status evaluations. Her official transcripts were ordered. The center administrator and school age program coordinator were applied for via her WORKS page. DCDEE is waiting for receipt of Ms. Blevins official transcripts. 2. Permission to transport children were not maintained in the transportation binders maintained by staff. It is not required by child care rule to maintain them in the binder but was recommended by Ms. Stansfield. It was also recommended to print off the emailed insurance cards and maintain them in the glove compartment or transportation binder that is maintained in each approved vehicle. 3. We discussed the need for parents to sign their child’s infant feeding schedule. A parent of a one-year-old child, under fifteen months of age refused to sign the paperwork because she did not agree that her child should no longer use a bottle. 4. Glue sticks and liquid glues were monitored in all classrooms. We recommended inquiring with NCRLAP if glue sticks are preferred/recommended for use with toddlers vs. liquid glue. If there is a recommendation per ERS/NCRLAP, we recommend following the ERS standards. 5. Two hallway closet doors were monitored unlocked. There was one bottle of red glitter stored on a shelf that was at least five feet vertical from the ground. The utility closet stores the hot water heater and laundry machine and dryer. We discussed limiting the staff from access to the key to ensure the doors remain locked when an adult is not either in the room or closet. 6. After reviewing new staff medical files, each applicable staff person also had their emergency contact form stored with the medical information. The staff’s emergency form should be maintained in their appropriate staff file and not their health file as well as in the EPR Ready to Go File. 7. Staff to Child Ratio Worksheets must be current and posted inside of each operating classroom. Items were taken down from the wall in space #8 for scheduled painting last week. The employee was rescheduled to return this weekend to paint. The form was posted during the visit, but no violation was cited. 8. The center’s for-profit corporation (LLC) was listed as “current-active” by the NC Secretary of State’s office. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff, and the facility to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. SECTION .0900 - NUTRITION STANDARDS 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center with an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Wednesday, November 29, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 11/15/2023 Number Present: 56 Completed Date: 11/15/2023 Age: From 0 To 5 Total Minutes: 465 Time In: 10:00 AM Time Out: 05:45 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 for compliance with applicable child care requirements during the Annual Compliance Visit. Jennnifer Stansfield, Child Care Consultant accompanied me during the visit. Upon arrival at the center, we were greeted by the assistant administrator, Ms. Amber Pride-Porter. The administrator, Ms. Stephanie Blevins, was in her office talking to a staff person. The center was last issued a five-star rated license, June 18, 2018. The center continued to maintain enhanced space and ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. Spaces #1-11, kitchen and two buses were monitored for compliance with Ms. Stephanie and at times, with Ms. Pride-Porter. The outdoor learning environment was not monitored during the visit. The outdoor learning environment will be monitored during the next applicable visit conducted at the facility. Children were monitored eating their lunch of chicken nuggets, pineapple chunks, diced corn, wheat roll and milk. One toddler in space #3 was monitored with a ready-made formula bottle maintained in a thermal storage bag with cooling packs. The thermal bag was maintained in the child’s cubby. We discussed the sanitation requirements. Two recommendations were made regarding compliance and proper storage. Due to the child is one year of age, it was recommended to have the parent provide a sippy cup, labeled, and dated daily. The sippy cup could then be stored and maintained in the infant room refrigerators (next door to toddler space #3). Another suggested option would be for the parent to provide a container of desired milk on Monday’s. The container of milk may be stored in the center kitchen refrigerator. The container of milk must be returned to the parents on Friday of every week. The bottle was felt but we were not sure the exact temperature of the milk stored in the thermal bag, maintained in the child’s cubby. A violation was not cited. It was also recommended to discuss this topic with the assigned environmental health specialist. There are specific sanitation rules related to storage. Based on the child’s age and developmental stage, it was recommended to work with the parent in transitioning the child to a sippy cup, but to also confer with the child’s pediatrician whether the child should remain on formula or begin transition to whole milk. Books in poor repair were removed from book shelves in three spaces #4, 5 and 7. It was recommended to have the administration check each classroom before closing down the classroom for the day to ensure any books in poor repair are removed by the end of each day. The program continues to order and add additional materials to the classrooms. Ms. Blevins stated CCRI developed a list of materials to order for each applicable classroom. It will be vital to continue adding materials and maintaining the environments in each classroom. There were one hundred and two (102) children enrolled and fifty-six (56) children were present. Ten children’s files were monitored for compliance. One child was missing parental permission to play outside of the fenced area (monthly fire drills). The assistant administrator used the company discipline policy with enrolling families. The monitored document did not list the child’s date of enrollment. We recommended just adding a line item to the document and listing the child’s date of enrollment. Six children’s monitored discipline policy did not have the child’s date of enrollment listed. One child was missing all of the required information regarding an enrolling child’s fears, date of birth, any allergies or unique behavior characteristics. One child was missing emergency medical care information with the choice of health care professional. The center continues to work towards full implementation of COA’s Mind and Body Matters/High Scope curriculum to four-year-old children and the remaining other groups. Curriculum Teacher’s Guides were monitored in each room in a clear plastic folder. It was suggested to transition the curriculum from the folders to binders to make it more user-friendly for teaching staff. We discussed the use of the Foundations book when staff develop their lesson plans. Lesson plans were monitored posted, current, and developmentally appropriate. We suggested the staff list the Foundational goals/codes in the lesson plans. Child Care Resources, Inc has provided support to the previous administrator and current administrator since January of 2023. Ms. Blevins stated the organization has been on site approximately 2-3 times per month and they have worked to implement their recommendations related to the organization of paperwork and classroom development. Staff and Training worksheets were emailed to me prior to the visit. The last Routine Unannounced visit was conducted June 15, 2023. There were thirteen newly hired staff since the June 2023 review. Three new staff didn’t have the documentation of orientation completed correctly. Ms. Pride-Porter didn’t understand how the form should be completed. The orientation topics were reviewed with the new staff. Ms. Porter thought the topic areas were not completed until the staff completed the topics in the Moodle system related to health and safety training. Ms. Pride-Porter corrected the documentation immediately. Four staff’s presented CPR and FA documentation could not be accepted based on the certificate or card presented did not list all required training or the staff person failed to obtain the required training within their first ninety days of employment. CPR and FA training is scheduled for this coming Saturday, November 18, 2023. One staff person was hired July 10, 2023. The staff member presented a training certificate for Recognizing and Responding to Child Maltreatment with a date of November 22, 2021. At the time of hire, the person’s certificate was older than one year and no longer valid. The staff person should have completed the training over again and completed no later than ninety (90) days after employment at COA. The outdoor learning environment was not monitored for compliance. However, monthly outdoor inspections were monitored for compliance and found to meet child care requirements. Documentation for quarterly safety drills and monthly fire drills were monitored documented and current. The center’s EPR plan and Ready to Go File were monitored for compliance. We reminded Ms. Pride-Porter and Ms. Blevins that a child’s medical action plan should also be attached and maintained with the child’s first page of the application in the Ready to Go File in addition to the child’s center file. The kitchen was monitored for compliance with food stored properly and a posted current menu. A current posted allergy list was monitored in each classroom and kitchen. Written modifications to the posted menu were monitored in the hallway and kitchen menus. The center continued to provide daily/routine transportation to children. Two buses were monitored for compliance with current registration, safety inspections, transportation logs/rosters, children’s emergency contact information and a photograph of each child routinely transported. It was recommended to use wallet size photos and place the photos on the top right-hand side of the child’s emergency contact information/first page of child’s application. The last sanitation inspection was conducted January 6, 2023, with eleven (11) demerits cited, and a Superior Classification issued. It was recommended to reach out to EH staff to inquire about the next inspection. Child care centers are typically inspected two times per year. The center must obtain at least an approved inspection on or before January 6, 2024. The last annual fire inspection was completed April 17, 2023. It was highly recommended to begin the annual inspection process four to six weeks prior to expiration. The center’s last ERS was completed in 2019 prior to COVID. The RLA was not processed due to COVID-19 and no ERS could be completed during the pandemic. Based on DCDEE cohort plan model the center will be required to be reassessed any time between July 1, 2024, and June 30, 2025. It is highly recommended to begin a review of the last ERS summary results and any item that scored under a 5.0. Please review the provided link and utilize all RLA offered activities at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License It was emphasized with both center administrators of the need to have a printed DCDEE WORKS letter for each lead teacher, teacher, floater, and group leader. We discussed ensuring a potential employee brings their DCDEE WORKS letter to their interview and if they are hired without it, to ensure the process begins to establish an individual WORKS page during their orientation time period. After today’s visit the current 18-month compliance history was 71%. Licensed child care facilities must maintain at least a 75% compliance history. An administrative action will be proposed. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Books in Spaces 4, 5, and 7 were observed torn and in poor repair. .0601(c) 847 Parent's medication authorization did not include required information. A child's permission for Benadryl expired in May 2023. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were observed in a child's cubby in Space 5. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three (3) employees did not have a total of 16 hours of training within the first 6 weeks of employment. The assistant administrator corrected the missing data from the documentation of orientation worksheets during the visit. .1101(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. Four (4) staff did not have current First Aid training on file. .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. Four (4) employees did not have current CPR training. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Three (3) employees did not receive orientation on all required topics in the first two weeks of employment. The assistant administrator corrected the missing data from the documentation of orientation worksheet during the visit. .1101(a)(b) 1314 Emergency information did not name child's health care professional. One (1) child's emergency information did not include the health care professional. .0802(c)(2) 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. One (1) child did not have an off-premise permission 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. The date of enrollment was not listed on the signed discipline policy in six (6) children's files. .1804(b) 1329 Application for enrollment did not include all required information. One (1) child did not have all the information completed on the application. .0801(a)(1-7) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child with a diagnosed allergy did not have a medical action plan completed. .0801(b) Technical Assistance Provided and General Discussion: 1. Ms. Blevins provided a Preservice Form for the Center Administrator. The information will be keyed into the Regulatory system tomorrow. Ms. Blevins was in the process of obtaining her Administrative WORKS status evaluations. Her official transcripts were ordered. The center administrator and school age program coordinator were applied for via her WORKS page. DCDEE is waiting for receipt of Ms. Blevins official transcripts. 2. Permission to transport children were not maintained in the transportation binders maintained by staff. It is not required by child care rule to maintain them in the binder but was recommended by Ms. Stansfield. It was also recommended to print off the emailed insurance cards and maintain them in the glove compartment or transportation binder that is maintained in each approved vehicle. 3. We discussed the need for parents to sign their child’s infant feeding schedule. A parent of a one-year-old child, under fifteen months of age refused to sign the paperwork because she did not agree that her child should no longer use a bottle. 4. Glue sticks and liquid glues were monitored in all classrooms. We recommended inquiring with NCRLAP if glue sticks are preferred/recommended for use with toddlers vs. liquid glue. If there is a recommendation per ERS/NCRLAP, we recommend following the ERS standards. 5. Two hallway closet doors were monitored unlocked. There was one bottle of red glitter stored on a shelf that was at least five feet vertical from the ground. The utility closet stores the hot water heater and laundry machine and dryer. We discussed limiting the staff from access to the key to ensure the doors remain locked when an adult is not either in the room or closet. 6. After reviewing new staff medical files, each applicable staff person also had their emergency contact form stored with the medical information. The staff’s emergency form should be maintained in their appropriate staff file and not their health file as well as in the EPR Ready to Go File. 7. Staff to Child Ratio Worksheets must be current and posted inside of each operating classroom. Items were taken down from the wall in space #8 for scheduled painting last week. The employee was rescheduled to return this weekend to paint. The form was posted during the visit, but no violation was cited. 8. The center’s for-profit corporation (LLC) was listed as “current-active” by the NC Secretary of State’s office. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff, and the facility to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. SECTION .0900 - NUTRITION STANDARDS 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center with an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Wednesday, November 29, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 11/15/2023 Number Present: 56 Completed Date: 11/15/2023 Age: From 0 To 5 Total Minutes: 465 Time In: 10:00 AM Time Out: 05:45 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 for compliance with applicable child care requirements during the Annual Compliance Visit. Jennnifer Stansfield, Child Care Consultant accompanied me during the visit. Upon arrival at the center, we were greeted by the assistant administrator, Ms. Amber Pride-Porter. The administrator, Ms. Stephanie Blevins, was in her office talking to a staff person. The center was last issued a five-star rated license, June 18, 2018. The center continued to maintain enhanced space and ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. Spaces #1-11, kitchen and two buses were monitored for compliance with Ms. Stephanie and at times, with Ms. Pride-Porter. The outdoor learning environment was not monitored during the visit. The outdoor learning environment will be monitored during the next applicable visit conducted at the facility. Children were monitored eating their lunch of chicken nuggets, pineapple chunks, diced corn, wheat roll and milk. One toddler in space #3 was monitored with a ready-made formula bottle maintained in a thermal storage bag with cooling packs. The thermal bag was maintained in the child’s cubby. We discussed the sanitation requirements. Two recommendations were made regarding compliance and proper storage. Due to the child is one year of age, it was recommended to have the parent provide a sippy cup, labeled, and dated daily. The sippy cup could then be stored and maintained in the infant room refrigerators (next door to toddler space #3). Another suggested option would be for the parent to provide a container of desired milk on Monday’s. The container of milk may be stored in the center kitchen refrigerator. The container of milk must be returned to the parents on Friday of every week. The bottle was felt but we were not sure the exact temperature of the milk stored in the thermal bag, maintained in the child’s cubby. A violation was not cited. It was also recommended to discuss this topic with the assigned environmental health specialist. There are specific sanitation rules related to storage. Based on the child’s age and developmental stage, it was recommended to work with the parent in transitioning the child to a sippy cup, but to also confer with the child’s pediatrician whether the child should remain on formula or begin transition to whole milk. Books in poor repair were removed from book shelves in three spaces #4, 5 and 7. It was recommended to have the administration check each classroom before closing down the classroom for the day to ensure any books in poor repair are removed by the end of each day. The program continues to order and add additional materials to the classrooms. Ms. Blevins stated CCRI developed a list of materials to order for each applicable classroom. It will be vital to continue adding materials and maintaining the environments in each classroom. There were one hundred and two (102) children enrolled and fifty-six (56) children were present. Ten children’s files were monitored for compliance. One child was missing parental permission to play outside of the fenced area (monthly fire drills). The assistant administrator used the company discipline policy with enrolling families. The monitored document did not list the child’s date of enrollment. We recommended just adding a line item to the document and listing the child’s date of enrollment. Six children’s monitored discipline policy did not have the child’s date of enrollment listed. One child was missing all of the required information regarding an enrolling child’s fears, date of birth, any allergies or unique behavior characteristics. One child was missing emergency medical care information with the choice of health care professional. The center continues to work towards full implementation of COA’s Mind and Body Matters/High Scope curriculum to four-year-old children and the remaining other groups. Curriculum Teacher’s Guides were monitored in each room in a clear plastic folder. It was suggested to transition the curriculum from the folders to binders to make it more user-friendly for teaching staff. We discussed the use of the Foundations book when staff develop their lesson plans. Lesson plans were monitored posted, current, and developmentally appropriate. We suggested the staff list the Foundational goals/codes in the lesson plans. Child Care Resources, Inc has provided support to the previous administrator and current administrator since January of 2023. Ms. Blevins stated the organization has been on site approximately 2-3 times per month and they have worked to implement their recommendations related to the organization of paperwork and classroom development. Staff and Training worksheets were emailed to me prior to the visit. The last Routine Unannounced visit was conducted June 15, 2023. There were thirteen newly hired staff since the June 2023 review. Three new staff didn’t have the documentation of orientation completed correctly. Ms. Pride-Porter didn’t understand how the form should be completed. The orientation topics were reviewed with the new staff. Ms. Porter thought the topic areas were not completed until the staff completed the topics in the Moodle system related to health and safety training. Ms. Pride-Porter corrected the documentation immediately. Four staff’s presented CPR and FA documentation could not be accepted based on the certificate or card presented did not list all required training or the staff person failed to obtain the required training within their first ninety days of employment. CPR and FA training is scheduled for this coming Saturday, November 18, 2023. One staff person was hired July 10, 2023. The staff member presented a training certificate for Recognizing and Responding to Child Maltreatment with a date of November 22, 2021. At the time of hire, the person’s certificate was older than one year and no longer valid. The staff person should have completed the training over again and completed no later than ninety (90) days after employment at COA. The outdoor learning environment was not monitored for compliance. However, monthly outdoor inspections were monitored for compliance and found to meet child care requirements. Documentation for quarterly safety drills and monthly fire drills were monitored documented and current. The center’s EPR plan and Ready to Go File were monitored for compliance. We reminded Ms. Pride-Porter and Ms. Blevins that a child’s medical action plan should also be attached and maintained with the child’s first page of the application in the Ready to Go File in addition to the child’s center file. The kitchen was monitored for compliance with food stored properly and a posted current menu. A current posted allergy list was monitored in each classroom and kitchen. Written modifications to the posted menu were monitored in the hallway and kitchen menus. The center continued to provide daily/routine transportation to children. Two buses were monitored for compliance with current registration, safety inspections, transportation logs/rosters, children’s emergency contact information and a photograph of each child routinely transported. It was recommended to use wallet size photos and place the photos on the top right-hand side of the child’s emergency contact information/first page of child’s application. The last sanitation inspection was conducted January 6, 2023, with eleven (11) demerits cited, and a Superior Classification issued. It was recommended to reach out to EH staff to inquire about the next inspection. Child care centers are typically inspected two times per year. The center must obtain at least an approved inspection on or before January 6, 2024. The last annual fire inspection was completed April 17, 2023. It was highly recommended to begin the annual inspection process four to six weeks prior to expiration. The center’s last ERS was completed in 2019 prior to COVID. The RLA was not processed due to COVID-19 and no ERS could be completed during the pandemic. Based on DCDEE cohort plan model the center will be required to be reassessed any time between July 1, 2024, and June 30, 2025. It is highly recommended to begin a review of the last ERS summary results and any item that scored under a 5.0. Please review the provided link and utilize all RLA offered activities at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License It was emphasized with both center administrators of the need to have a printed DCDEE WORKS letter for each lead teacher, teacher, floater, and group leader. We discussed ensuring a potential employee brings their DCDEE WORKS letter to their interview and if they are hired without it, to ensure the process begins to establish an individual WORKS page during their orientation time period. After today’s visit the current 18-month compliance history was 71%. Licensed child care facilities must maintain at least a 75% compliance history. An administrative action will be proposed. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Books in Spaces 4, 5, and 7 were observed torn and in poor repair. .0601(c) 847 Parent's medication authorization did not include required information. A child's permission for Benadryl expired in May 2023. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were observed in a child's cubby in Space 5. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three (3) employees did not have a total of 16 hours of training within the first 6 weeks of employment. The assistant administrator corrected the missing data from the documentation of orientation worksheets during the visit. .1101(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. Four (4) staff did not have current First Aid training on file. .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. Four (4) employees did not have current CPR training. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Three (3) employees did not receive orientation on all required topics in the first two weeks of employment. The assistant administrator corrected the missing data from the documentation of orientation worksheet during the visit. .1101(a)(b) 1314 Emergency information did not name child's health care professional. One (1) child's emergency information did not include the health care professional. .0802(c)(2) 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. One (1) child did not have an off-premise permission 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. The date of enrollment was not listed on the signed discipline policy in six (6) children's files. .1804(b) 1329 Application for enrollment did not include all required information. One (1) child did not have all the information completed on the application. .0801(a)(1-7) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child with a diagnosed allergy did not have a medical action plan completed. .0801(b) Technical Assistance Provided and General Discussion: 1. Ms. Blevins provided a Preservice Form for the Center Administrator. The information will be keyed into the Regulatory system tomorrow. Ms. Blevins was in the process of obtaining her Administrative WORKS status evaluations. Her official transcripts were ordered. The center administrator and school age program coordinator were applied for via her WORKS page. DCDEE is waiting for receipt of Ms. Blevins official transcripts. 2. Permission to transport children were not maintained in the transportation binders maintained by staff. It is not required by child care rule to maintain them in the binder but was recommended by Ms. Stansfield. It was also recommended to print off the emailed insurance cards and maintain them in the glove compartment or transportation binder that is maintained in each approved vehicle. 3. We discussed the need for parents to sign their child’s infant feeding schedule. A parent of a one-year-old child, under fifteen months of age refused to sign the paperwork because she did not agree that her child should no longer use a bottle. 4. Glue sticks and liquid glues were monitored in all classrooms. We recommended inquiring with NCRLAP if glue sticks are preferred/recommended for use with toddlers vs. liquid glue. If there is a recommendation per ERS/NCRLAP, we recommend following the ERS standards. 5. Two hallway closet doors were monitored unlocked. There was one bottle of red glitter stored on a shelf that was at least five feet vertical from the ground. The utility closet stores the hot water heater and laundry machine and dryer. We discussed limiting the staff from access to the key to ensure the doors remain locked when an adult is not either in the room or closet. 6. After reviewing new staff medical files, each applicable staff person also had their emergency contact form stored with the medical information. The staff’s emergency form should be maintained in their appropriate staff file and not their health file as well as in the EPR Ready to Go File. 7. Staff to Child Ratio Worksheets must be current and posted inside of each operating classroom. Items were taken down from the wall in space #8 for scheduled painting last week. The employee was rescheduled to return this weekend to paint. The form was posted during the visit, but no violation was cited. 8. The center’s for-profit corporation (LLC) was listed as “current-active” by the NC Secretary of State’s office. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff, and the facility to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. SECTION .0900 - NUTRITION STANDARDS 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center with an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Wednesday, November 29, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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 .2509 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: MARA BRINTON Operation Type: Center Case Number: 0623-163L Visit Date: 7/12/2023 Number Present: 83 Completed Date: 7/12/2023 Age: From 0 To 5 Total Minutes: 180 Time In: 12:00 PM Time Out: 03:00 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 investigate allegations of violation of child care requirements during a Complaint Visit. Upon arrival to the center, I was greeted by the interim administrator, Ms. Blevins. Some staff were preparing to have ITS-SIDS training completed. The school age room/space #8. Mrs. Blevins stated the school age children were off site attending a movie. A schedule of off premises activities for school age children were given to parents previously. Signage was monitored posted at the front entrance indicating where, when, at what time, who is in charge and their contact information regarding the off-premise activity taking place. The allegations were read aloud to Ms. Blevins and Ms. Angie as followed: There are concerns that: June 29, 2023, a child was assigned to the front office for the day because there was not classroom for the child. This was not an appropriate space/setting for the child to spend the day. A current school age lesson plan was monitored posted and current. The posted lesson plan was monitored with four activity categories/offerings for each day of the week. The activities listed were developmentally appropriate for school age children. There was a current and posted daily schedule with adequate blocks of time designated for arrival, departure, eating of meals three meals per day: breakfast, lunch and PM snack, rest time and/or quiet activities, outdoor play, large group activity, reading and small group activities. The schedule was determined developmentally appropriate and meeting child care requirements. Ms. Stephanie stated she was on vacation when this situation occurred, but provided the names of staff who were present. Ms. Carrie Brunat from the corporate office was present. Today, Ms. Brunat was on vacation and unavailable to interview. One other staff person was identified and present at the front desk. The identified staff person was interviewed. The allegations were read aloud to the staff person. The identified staff stated a school age child with some behavior challenges has been sent home or stayed out from daily care due to behavior issues. A day before the scheduled field trip the school age child stayed out from care due to an incident. Ms. Stephanie informed staff the child could go on the field trip scheduled for Thursday. The school age child arrived at the center the day of the field trip but had additional behavior issues that morning. Ms. Brunat and staff determined it was not appropriate for the child to attend the field trip due to concerns related to children’s safety. The parent was contacted. The parent returned a call to the center and Ms. Angie spoke directly to the parent. The parent stated a family member was on their way to come and pick up the child. The school age children were transitioning onto the buses to go on the field trip and the staff person told the child to wait with her up front because the parent was on their way. Ms. Angie stated the child was upfront with her for only five minutes. I inquired if the parent hadn’t stated someone was in route to pick up the child, where would the child be cared for in the center. Ms. Angie stated the child would have been transitioned to the Pre-K room, next door. Based on observations and discussion with two staff the allegation of a child being assigned to the front office for the day was UNSUBSTANTIATED. The parent indicated they were on their way to pick up their child from the center. The school age children were transitioning to off-premises activity and the staff had the school age child wait for a couple of minutes up front until the child was picked up from care. The staff person knew and understood if the child was not being picked up and could not go on the field trip, the child would be shifted down to the next class for care. The center staff know they can transition children up or down based on needs or maintaining required staff to child ratios. Based on observations and discussion with two staff the allegation of the school age class is not following an activity plan or the day lack’s structure was UNSUBSTANTIATED. The posted lesson plan was current and developmentally appropriate. The posted daily schedule was monitored developmentally appropriate and being followed by center staff. The schedule is structured but offers the children free choice to select what materials or activities they choose to engage in or not. Violation Number Comment Rule 468 When three-year-old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. There were fourteen (14) empty baskets stored within each offered activity center in the school age classroom. All offered activity centers are in need of variety and multiples of the same materials for school age children. .0510(d)(1) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Broken crayons and chalk were monitored in the art center. .0601(d) Technical Assistance Provided and General Discussion: 1. There were fourteen (14) empty storage containers monitored stored empty on the offered storage shelfs in the school age room. There are not sufficient quantities or varieties of any offered materials to support the lesson plan. 2. There is not an art easel. There were not any scissors present, but an empty scissors stand. The science center, board games, manipulatives, dramatic play, blocks are missing quantities and variety within each required center. Ms. Stephanie stated some items were ordered and as they arrive are placed. The concern is that it was reiterated to Ms. Brunat and Ms. Blevins that the school age room needed to be organized and materials ordered before summer camp began. A few materials were monitored “new”. Many more materials are needed. Crayons were monitored in pieces, markers without caps and only five markers visible, colored pencils not sharpened. Only two types of blocks offered, virtually no science or math materials. Only a CD player with a few CD's. It was recommended to develop prop boxes for school age children, and they rotate the boxes periodically. Ms. Blevins stated a new and experienced group leader will begin working in the classroom, this coming Monday. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (school-age) (a) The requirements of this Rule and Section .1000 of this Chapter shall apply when activities for school-age children are conducted outdoors or off the premises for 75 percent of each day. (b) The facility shall develop a plan of activities which is posted in a place in the home base or given to the parents. The plan shall include the location, purpose, time and date, person in charge, and telephone number or method for contacting the person in charge. (c) Activities shall be planned to accommodate a variety of individual interests and shall provide opportunities for choice. (d) Written permission from parents shall be obtained before transporting children on off-premises activities. (e) Blanket permissions from parents for off-premises activities shall be acceptable only when a plan of activities to be conducted off the premises is posted in a place for review by parents and staff in advance on a weekly basis. History Note: Authority G.S. 110-91(6),(12); 143B-168.3; Eff. July 1, 1988; Amended Eff. September 1, 1990; Readopted Eff. October 1, 2017; Amended Eff. February 1, 2021. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Wednesday, July 26, 2023. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: CHILDREN OF AMERICA CHARLOTTE, LLC Facility ID: 60003189 Consultant: MARA BRINTON Operation Type: Center Case Number: 0623-163L Visit Date: 7/12/2023 Number Present: 83 Completed Date: 7/12/2023 Age: From 0 To 5 Total Minutes: 180 Time In: 12:00 PM Time Out: 03:00 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 investigate allegations of violation of child care requirements during a Complaint Visit. Upon arrival to the center, I was greeted by the interim administrator, Ms. Blevins. Some staff were preparing to have ITS-SIDS training completed. The school age room/space #8. Mrs. Blevins stated the school age children were off site attending a movie. A schedule of off premises activities for school age children were given to parents previously. Signage was monitored posted at the front entrance indicating where, when, at what time, who is in charge and their contact information regarding the off-premise activity taking place. The allegations were read aloud to Ms. Blevins and Ms. Angie as followed: There are concerns that: June 29, 2023, a child was assigned to the front office for the day because there was not classroom for the child. This was not an appropriate space/setting for the child to spend the day. A current school age lesson plan was monitored posted and current. The posted lesson plan was monitored with four activity categories/offerings for each day of the week. The activities listed were developmentally appropriate for school age children. There was a current and posted daily schedule with adequate blocks of time designated for arrival, departure, eating of meals three meals per day: breakfast, lunch and PM snack, rest time and/or quiet activities, outdoor play, large group activity, reading and small group activities. The schedule was determined developmentally appropriate and meeting child care requirements. Ms. Stephanie stated she was on vacation when this situation occurred, but provided the names of staff who were present. Ms. Carrie Brunat from the corporate office was present. Today, Ms. Brunat was on vacation and unavailable to interview. One other staff person was identified and present at the front desk. The identified staff person was interviewed. The allegations were read aloud to the staff person. The identified staff stated a school age child with some behavior challenges has been sent home or stayed out from daily care due to behavior issues. A day before the scheduled field trip the school age child stayed out from care due to an incident. Ms. Stephanie informed staff the child could go on the field trip scheduled for Thursday. The school age child arrived at the center the day of the field trip but had additional behavior issues that morning. Ms. Brunat and staff determined it was not appropriate for the child to attend the field trip due to concerns related to children’s safety. The parent was contacted. The parent returned a call to the center and Ms. Angie spoke directly to the parent. The parent stated a family member was on their way to come and pick up the child. The school age children were transitioning onto the buses to go on the field trip and the staff person told the child to wait with her up front because the parent was on their way. Ms. Angie stated the child was upfront with her for only five minutes. I inquired if the parent hadn’t stated someone was in route to pick up the child, where would the child be cared for in the center. Ms. Angie stated the child would have been transitioned to the Pre-K room, next door. Based on observations and discussion with two staff the allegation of a child being assigned to the front office for the day was UNSUBSTANTIATED. The parent indicated they were on their way to pick up their child from the center. The school age children were transitioning to off-premises activity and the staff had the school age child wait for a couple of minutes up front until the child was picked up from care. The staff person knew and understood if the child was not being picked up and could not go on the field trip, the child would be shifted down to the next class for care. The center staff know they can transition children up or down based on needs or maintaining required staff to child ratios. Based on observations and discussion with two staff the allegation of the school age class is not following an activity plan or the day lack’s structure was UNSUBSTANTIATED. The posted lesson plan was current and developmentally appropriate. The posted daily schedule was monitored developmentally appropriate and being followed by center staff. The schedule is structured but offers the children free choice to select what materials or activities they choose to engage in or not. Violation Number Comment Rule 468 When three-year-old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. There were fourteen (14) empty baskets stored within each offered activity center in the school age classroom. All offered activity centers are in need of variety and multiples of the same materials for school age children. .0510(d)(1) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Broken crayons and chalk were monitored in the art center. .0601(d) Technical Assistance Provided and General Discussion: 1. There were fourteen (14) empty storage containers monitored stored empty on the offered storage shelfs in the school age room. There are not sufficient quantities or varieties of any offered materials to support the lesson plan. 2. There is not an art easel. There were not any scissors present, but an empty scissors stand. The science center, board games, manipulatives, dramatic play, blocks are missing quantities and variety within each required center. Ms. Stephanie stated some items were ordered and as they arrive are placed. The concern is that it was reiterated to Ms. Brunat and Ms. Blevins that the school age room needed to be organized and materials ordered before summer camp began. A few materials were monitored “new”. Many more materials are needed. Crayons were monitored in pieces, markers without caps and only five markers visible, colored pencils not sharpened. Only two types of blocks offered, virtually no science or math materials. Only a CD player with a few CD's. It was recommended to develop prop boxes for school age children, and they rotate the boxes periodically. Ms. Blevins stated a new and experienced group leader will begin working in the classroom, this coming Monday. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (school-age) (a) The requirements of this Rule and Section .1000 of this Chapter shall apply when activities for school-age children are conducted outdoors or off the premises for 75 percent of each day. (b) The facility shall develop a plan of activities which is posted in a place in the home base or given to the parents. The plan shall include the location, purpose, time and date, person in charge, and telephone number or method for contacting the person in charge. (c) Activities shall be planned to accommodate a variety of individual interests and shall provide opportunities for choice. (d) Written permission from parents shall be obtained before transporting children on off-premises activities. (e) Blanket permissions from parents for off-premises activities shall be acceptable only when a plan of activities to be conducted off the premises is posted in a place for review by parents and staff in advance on a weekly basis. History Note: Authority G.S. 110-91(6),(12); 143B-168.3; Eff. July 1, 1988; Amended Eff. September 1, 1990; Readopted Eff. October 1, 2017; Amended Eff. February 1, 2021. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Wednesday, July 26, 2023. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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