10A NCAC 09 .0802 · Violation

Name of Operation: Endhaven Elementary School ASEP Facility ID: 60004366 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 9/22/2025 Number Present: 50 Completed Date: 9/22/2025 Age: From 5 To 10 Total Minutes: 135 Time In: 02:00 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates with a Five Star Rated License with an effective date of March 7. 2025. Program Coordinator, T. Merritt assisted me with today’s visit. The children use the cafeteria as their primary space. Activity areas set up for the children today included reading, writing, math, science, art, global world studies, homework activities and career development. Today, I observed the children participating in arrival procedures, personal care routines, and transitions. A shelter-in-place drill was conducted August 29, 2025, and the last fire drill was conducted on September 12, 2025. Public School Off-Site Records Verification forms for staff and children for the 2025-2026 school year were reviewed today. The Staff and Training Worksheet was received. One new employee has been hired since the last temporary time period visit conducted on February 10, 2025. The new employee’s file was monitored and 10% of existing staff. A substitute was present today. Required documentation was on file for the substitute. The following violations were observed. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file that the EMC plan had been reviewed annually with staff. 10A NCAC 09 .0802(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. Verification was not on file that the new staff member had completed First Aid training. .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. Verification was not on file that the new staff member had completed CPR training. .1102(d) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. Verification was not on file that the new staff member completed orientation. 10A NCAC 09 .2510(i)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Documentation was not on file that the School Risk Management plan had been reviewed annually with staff. .0607(e) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before October 6, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov Technical Assistance/General Information: The Emergency Medical Care Plan (EMC) and the School Risk Management plan must be reviewed with staff upon hire during orientation, reviewed with existing staff annually and when the plan is revised. DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2510 · Violation

Name of Operation: Endhaven Elementary School ASEP Facility ID: 60004366 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 9/22/2025 Number Present: 50 Completed Date: 9/22/2025 Age: From 5 To 10 Total Minutes: 135 Time In: 02:00 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates with a Five Star Rated License with an effective date of March 7. 2025. Program Coordinator, T. Merritt assisted me with today’s visit. The children use the cafeteria as their primary space. Activity areas set up for the children today included reading, writing, math, science, art, global world studies, homework activities and career development. Today, I observed the children participating in arrival procedures, personal care routines, and transitions. A shelter-in-place drill was conducted August 29, 2025, and the last fire drill was conducted on September 12, 2025. Public School Off-Site Records Verification forms for staff and children for the 2025-2026 school year were reviewed today. The Staff and Training Worksheet was received. One new employee has been hired since the last temporary time period visit conducted on February 10, 2025. The new employee’s file was monitored and 10% of existing staff. A substitute was present today. Required documentation was on file for the substitute. The following violations were observed. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file that the EMC plan had been reviewed annually with staff. 10A NCAC 09 .0802(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. Verification was not on file that the new staff member had completed First Aid training. .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. Verification was not on file that the new staff member had completed CPR training. .1102(d) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. Verification was not on file that the new staff member completed orientation. 10A NCAC 09 .2510(i)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Documentation was not on file that the School Risk Management plan had been reviewed annually with staff. .0607(e) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before October 6, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov Technical Assistance/General Information: The Emergency Medical Care Plan (EMC) and the School Risk Management plan must be reviewed with staff upon hire during orientation, reviewed with existing staff annually and when the plan is revised. DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Endhaven Elementary School ASEP Facility ID: 60004366 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 9/22/2025 Number Present: 50 Completed Date: 9/22/2025 Age: From 5 To 10 Total Minutes: 135 Time In: 02:00 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates with a Five Star Rated License with an effective date of March 7. 2025. Program Coordinator, T. Merritt assisted me with today’s visit. The children use the cafeteria as their primary space. Activity areas set up for the children today included reading, writing, math, science, art, global world studies, homework activities and career development. Today, I observed the children participating in arrival procedures, personal care routines, and transitions. A shelter-in-place drill was conducted August 29, 2025, and the last fire drill was conducted on September 12, 2025. Public School Off-Site Records Verification forms for staff and children for the 2025-2026 school year were reviewed today. The Staff and Training Worksheet was received. One new employee has been hired since the last temporary time period visit conducted on February 10, 2025. The new employee’s file was monitored and 10% of existing staff. A substitute was present today. Required documentation was on file for the substitute. The following violations were observed. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file that the EMC plan had been reviewed annually with staff. 10A NCAC 09 .0802(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. Verification was not on file that the new staff member had completed First Aid training. .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. Verification was not on file that the new staff member had completed CPR training. .1102(d) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. Verification was not on file that the new staff member completed orientation. 10A NCAC 09 .2510(i)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Documentation was not on file that the School Risk Management plan had been reviewed annually with staff. .0607(e) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before October 6, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov Technical Assistance/General Information: The Emergency Medical Care Plan (EMC) and the School Risk Management plan must be reviewed with staff upon hire during orientation, reviewed with existing staff annually and when the plan is revised. DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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