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Home › NC › Charlotte › Everbrook Academy
16825 Marvin Road, Charlotte NC 28277 · License #60003902 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
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10A NCAC 09 .0701 · Violation
Name of Operation: EVERBROOK ACADEMY Facility ID: 60003902 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 3/31/2026 Number Present: 109 Completed Date: 3/31/2026 Age: From 1 To 5 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Five Star Rated License with an effective date of December 4, 2018. Upon arrival, I was greeted by Assistant Director, E. Raver. I stated the reason for the visit. The assistant Director stated the Director was on her way. Since the Assistant Director needed to be at the front entrance of the facility, I began the walk through of the facility and the Director joined me approximately fifteen minutes later. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, group time and transitions. Staff members were observed leading group time, supervising activities and assisting with personal care routines. The NC Secretary of State website was reviewed on March 30, 2026, and Tutor Time Learning Centers, LLC was listed as current- active. A sanitation inspection was completed December 15, 2025, with a “Superior” classification. The last fire inspection was received on May 25, 2025, and your facility was approved for daytime and night care only. The Emergency Drill Log was reviewed today. A lockdown drill was conducted on January 28, 2026. A monthly fire drill was conducted on February 13, 2026. The Director reported that a monthly fire drill would be conducted today. Playground safety checklists were also monitored and are occurring each month as required. Ten percent of children’s records were monitored. The Staff and Training Worksheets were not updated prior to today’s visit. The Director updated the worksheets during the visit and added the new employees. There have been two new employees hired and one staff member transferred from a sister school that is owned by the corporation. The worksheets were reviewed to confirm all staff had current criminal background qualification letters, First Aid and CPR training. Files for the new staff and ten percent of existing staff files were monitored. Three staff members’ criminal background qualification letters have expired. The qualification letter for H. Jacobs expired July 16, 2025. The qualification letter for E. Raver expired March 19, 2026. The qualification letter for S. Nayak expired November 4, 2025. Two of the three staff have completed and submitted paperwork however, additional information must be submitted before the process can be completed. Ms. Raver, Ms. Nayak, and Ms. Jacobs have fifteen days from today’s date to obtain a criminal background qualification letter. Since the staff have been qualified previously, they may remain on site, however, if their letter is not received or before April 15, 2026, they can no longer be on the premises until a qualification letter is received. The following violations were observed today. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4, the lesson plan posted was dated for the week of March 23, 2026. In space #6, the lesson plan posted was dated for the week of February 16, 2026. GS 110-91(12); .0508(a) 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 new staff member did not have a medical report on file. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff staff did not have an annual health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff did not have annual emergency information on file. .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 staff member did not complete and submit required forms to complete a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. Three employees did not have a current qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 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. One staff member did not have verification on file that The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy had been reviewed prior to carrying for children. .0608(d)(1-4) 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 April 15, 2026, I must receive the qualification letters for Ms. Raver, Jacobs and Nayak and a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that 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 The following technical assistance was provided: Clarification was provided to the Director regarding food allergies or special diets. Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. Clarification was also provided to the Director regarding new staff orientation. Six hours of orientation are required within the first two weeks of employment. A total of sixteen hours is required in the first two weeks of employment. A conversation was had with the Director regarding monitoring of staff files to ensure all documentation required annually is completed within the required timeframes. The staff and training worksheet can assist with tracking expiration dates for documentation and training requirements. The facility is working with the local resource and referral agency in preparation for the environment rating scale assessment. The Director reported that she is in the process of scheduling a meeting with the staff to begin the self-study process. Two of the classrooms participated in the outreach assessments were completed by NCRLAP. 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 questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov or Interim Supervisor, Amy Italiano at 704-936-6065 or by email at Amy.Italiano@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: EVERBROOK ACADEMY Facility ID: 60003902 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 3/31/2026 Number Present: 109 Completed Date: 3/31/2026 Age: From 1 To 5 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Five Star Rated License with an effective date of December 4, 2018. Upon arrival, I was greeted by Assistant Director, E. Raver. I stated the reason for the visit. The assistant Director stated the Director was on her way. Since the Assistant Director needed to be at the front entrance of the facility, I began the walk through of the facility and the Director joined me approximately fifteen minutes later. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, group time and transitions. Staff members were observed leading group time, supervising activities and assisting with personal care routines. The NC Secretary of State website was reviewed on March 30, 2026, and Tutor Time Learning Centers, LLC was listed as current- active. A sanitation inspection was completed December 15, 2025, with a “Superior” classification. The last fire inspection was received on May 25, 2025, and your facility was approved for daytime and night care only. The Emergency Drill Log was reviewed today. A lockdown drill was conducted on January 28, 2026. A monthly fire drill was conducted on February 13, 2026. The Director reported that a monthly fire drill would be conducted today. Playground safety checklists were also monitored and are occurring each month as required. Ten percent of children’s records were monitored. The Staff and Training Worksheets were not updated prior to today’s visit. The Director updated the worksheets during the visit and added the new employees. There have been two new employees hired and one staff member transferred from a sister school that is owned by the corporation. The worksheets were reviewed to confirm all staff had current criminal background qualification letters, First Aid and CPR training. Files for the new staff and ten percent of existing staff files were monitored. Three staff members’ criminal background qualification letters have expired. The qualification letter for H. Jacobs expired July 16, 2025. The qualification letter for E. Raver expired March 19, 2026. The qualification letter for S. Nayak expired November 4, 2025. Two of the three staff have completed and submitted paperwork however, additional information must be submitted before the process can be completed. Ms. Raver, Ms. Nayak, and Ms. Jacobs have fifteen days from today’s date to obtain a criminal background qualification letter. Since the staff have been qualified previously, they may remain on site, however, if their letter is not received or before April 15, 2026, they can no longer be on the premises until a qualification letter is received. The following violations were observed today. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4, the lesson plan posted was dated for the week of March 23, 2026. In space #6, the lesson plan posted was dated for the week of February 16, 2026. GS 110-91(12); .0508(a) 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 new staff member did not have a medical report on file. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff staff did not have an annual health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff did not have annual emergency information on file. .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 staff member did not complete and submit required forms to complete a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. Three employees did not have a current qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 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. One staff member did not have verification on file that The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy had been reviewed prior to carrying for children. .0608(d)(1-4) 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 April 15, 2026, I must receive the qualification letters for Ms. Raver, Jacobs and Nayak and a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that 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 The following technical assistance was provided: Clarification was provided to the Director regarding food allergies or special diets. Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. Clarification was also provided to the Director regarding new staff orientation. Six hours of orientation are required within the first two weeks of employment. A total of sixteen hours is required in the first two weeks of employment. A conversation was had with the Director regarding monitoring of staff files to ensure all documentation required annually is completed within the required timeframes. The staff and training worksheet can assist with tracking expiration dates for documentation and training requirements. The facility is working with the local resource and referral agency in preparation for the environment rating scale assessment. The Director reported that she is in the process of scheduling a meeting with the staff to begin the self-study process. Two of the classrooms participated in the outreach assessments were completed by NCRLAP. 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 questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov or Interim Supervisor, Amy Italiano at 704-936-6065 or by email at Amy.Italiano@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
GS 110-91 · Violation
Name of Operation: EVERBROOK ACADEMY Facility ID: 60003902 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 3/31/2026 Number Present: 109 Completed Date: 3/31/2026 Age: From 1 To 5 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Five Star Rated License with an effective date of December 4, 2018. Upon arrival, I was greeted by Assistant Director, E. Raver. I stated the reason for the visit. The assistant Director stated the Director was on her way. Since the Assistant Director needed to be at the front entrance of the facility, I began the walk through of the facility and the Director joined me approximately fifteen minutes later. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, group time and transitions. Staff members were observed leading group time, supervising activities and assisting with personal care routines. The NC Secretary of State website was reviewed on March 30, 2026, and Tutor Time Learning Centers, LLC was listed as current- active. A sanitation inspection was completed December 15, 2025, with a “Superior” classification. The last fire inspection was received on May 25, 2025, and your facility was approved for daytime and night care only. The Emergency Drill Log was reviewed today. A lockdown drill was conducted on January 28, 2026. A monthly fire drill was conducted on February 13, 2026. The Director reported that a monthly fire drill would be conducted today. Playground safety checklists were also monitored and are occurring each month as required. Ten percent of children’s records were monitored. The Staff and Training Worksheets were not updated prior to today’s visit. The Director updated the worksheets during the visit and added the new employees. There have been two new employees hired and one staff member transferred from a sister school that is owned by the corporation. The worksheets were reviewed to confirm all staff had current criminal background qualification letters, First Aid and CPR training. Files for the new staff and ten percent of existing staff files were monitored. Three staff members’ criminal background qualification letters have expired. The qualification letter for H. Jacobs expired July 16, 2025. The qualification letter for E. Raver expired March 19, 2026. The qualification letter for S. Nayak expired November 4, 2025. Two of the three staff have completed and submitted paperwork however, additional information must be submitted before the process can be completed. Ms. Raver, Ms. Nayak, and Ms. Jacobs have fifteen days from today’s date to obtain a criminal background qualification letter. Since the staff have been qualified previously, they may remain on site, however, if their letter is not received or before April 15, 2026, they can no longer be on the premises until a qualification letter is received. The following violations were observed today. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4, the lesson plan posted was dated for the week of March 23, 2026. In space #6, the lesson plan posted was dated for the week of February 16, 2026. GS 110-91(12); .0508(a) 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 new staff member did not have a medical report on file. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff staff did not have an annual health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff did not have annual emergency information on file. .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 staff member did not complete and submit required forms to complete a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. Three employees did not have a current qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 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. One staff member did not have verification on file that The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy had been reviewed prior to carrying for children. .0608(d)(1-4) 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 April 15, 2026, I must receive the qualification letters for Ms. Raver, Jacobs and Nayak and a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that 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 The following technical assistance was provided: Clarification was provided to the Director regarding food allergies or special diets. Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. Clarification was also provided to the Director regarding new staff orientation. Six hours of orientation are required within the first two weeks of employment. A total of sixteen hours is required in the first two weeks of employment. A conversation was had with the Director regarding monitoring of staff files to ensure all documentation required annually is completed within the required timeframes. The staff and training worksheet can assist with tracking expiration dates for documentation and training requirements. The facility is working with the local resource and referral agency in preparation for the environment rating scale assessment. The Director reported that she is in the process of scheduling a meeting with the staff to begin the self-study process. Two of the classrooms participated in the outreach assessments were completed by NCRLAP. 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 questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov or Interim Supervisor, Amy Italiano at 704-936-6065 or by email at Amy.Italiano@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: EVERBROOK ACADEMY Facility ID: 60003902 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 3/31/2026 Number Present: 109 Completed Date: 3/31/2026 Age: From 1 To 5 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Five Star Rated License with an effective date of December 4, 2018. Upon arrival, I was greeted by Assistant Director, E. Raver. I stated the reason for the visit. The assistant Director stated the Director was on her way. Since the Assistant Director needed to be at the front entrance of the facility, I began the walk through of the facility and the Director joined me approximately fifteen minutes later. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, group time and transitions. Staff members were observed leading group time, supervising activities and assisting with personal care routines. The NC Secretary of State website was reviewed on March 30, 2026, and Tutor Time Learning Centers, LLC was listed as current- active. A sanitation inspection was completed December 15, 2025, with a “Superior” classification. The last fire inspection was received on May 25, 2025, and your facility was approved for daytime and night care only. The Emergency Drill Log was reviewed today. A lockdown drill was conducted on January 28, 2026. A monthly fire drill was conducted on February 13, 2026. The Director reported that a monthly fire drill would be conducted today. Playground safety checklists were also monitored and are occurring each month as required. Ten percent of children’s records were monitored. The Staff and Training Worksheets were not updated prior to today’s visit. The Director updated the worksheets during the visit and added the new employees. There have been two new employees hired and one staff member transferred from a sister school that is owned by the corporation. The worksheets were reviewed to confirm all staff had current criminal background qualification letters, First Aid and CPR training. Files for the new staff and ten percent of existing staff files were monitored. Three staff members’ criminal background qualification letters have expired. The qualification letter for H. Jacobs expired July 16, 2025. The qualification letter for E. Raver expired March 19, 2026. The qualification letter for S. Nayak expired November 4, 2025. Two of the three staff have completed and submitted paperwork however, additional information must be submitted before the process can be completed. Ms. Raver, Ms. Nayak, and Ms. Jacobs have fifteen days from today’s date to obtain a criminal background qualification letter. Since the staff have been qualified previously, they may remain on site, however, if their letter is not received or before April 15, 2026, they can no longer be on the premises until a qualification letter is received. The following violations were observed today. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4, the lesson plan posted was dated for the week of March 23, 2026. In space #6, the lesson plan posted was dated for the week of February 16, 2026. GS 110-91(12); .0508(a) 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 new staff member did not have a medical report on file. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff staff did not have an annual health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff did not have annual emergency information on file. .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 staff member did not complete and submit required forms to complete a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. Three employees did not have a current qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 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. One staff member did not have verification on file that The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy had been reviewed prior to carrying for children. .0608(d)(1-4) 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 April 15, 2026, I must receive the qualification letters for Ms. Raver, Jacobs and Nayak and a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that 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 The following technical assistance was provided: Clarification was provided to the Director regarding food allergies or special diets. Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. Clarification was also provided to the Director regarding new staff orientation. Six hours of orientation are required within the first two weeks of employment. A total of sixteen hours is required in the first two weeks of employment. A conversation was had with the Director regarding monitoring of staff files to ensure all documentation required annually is completed within the required timeframes. The staff and training worksheet can assist with tracking expiration dates for documentation and training requirements. The facility is working with the local resource and referral agency in preparation for the environment rating scale assessment. The Director reported that she is in the process of scheduling a meeting with the staff to begin the self-study process. Two of the classrooms participated in the outreach assessments were completed by NCRLAP. 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 questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov or Interim Supervisor, Amy Italiano at 704-936-6065 or by email at Amy.Italiano@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0806 · Violation
Name of Operation: EVERBROOK ACADEMY Facility ID: 60003902 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 4/14/2025 Number Present: 97 Completed Date: 4/14/2025 Age: From 1 To 5 Total Minutes: 60 Time In: 09:50 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Announced The purpose of today’s announced visit was to monitor staff records. The Annual Compliance visit was conducted on April 8, 2025, however, the Staff and Training worksheets had not been completed prior to the visit. Upon arrival, I was greeted by the Director, C. Hammond and Assistant Director, V. Scott. I received a copy of the Staff and Training Worksheets today. Ten percent of the existing staff records were monitored. There has been one new employee hired since a routine unannounced visit was conducted on November 25, 2024. The file for the new employee was monitored today. There were no violations observed today. Violation Number Comment Rule 803 There were no clean clothes available for the children to wear when children's clothes became wet or soiled. 10A NCAC 09 .0806(b) Thank you for your time today. If you have any questions or concerns, please free to 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: ratio. Open / not marked corrected.
G.S. 110-91 · Violation
Name of Operation: EVERBROOK ACADEMY Facility ID: 60003902 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 4/8/2025 Number Present: 105 Completed Date: 4/8/2025 Age: From 1 To 5 Total Minutes: 330 Time In: 09:35 AM Time Out: 03:05 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 operates with a Five Star Rated License with an effective date of December 4, 2018. The program’s 18-month compliance history before today’s visit was 90%. Principal, C. Hammond assisted me with today’s visit. A walk through the facility was conducted with Ms. Hammond and the Assistant Director, V. Scott. Children were observed in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, group time and transitions. Staff members were observed leading group time, supervising activities and assisting with personal care routines. The NC Secretary of State website was reviewed on April 7, 2025, and Tutor Time Learning Centers, LLC was listed as current- active. A sanitation inspection was completed November 19, 2024, with a “Superior” classification. The last fire inspection was received on April 30, 2024, and your facility was approved for daytime care only. The Emergency Drill Log was reviewed today. A lockdown drill was conducted on March 4, 2025, and a lockdown drill on March 27, 2025. Playground safety checklists were also monitored and are occurring each month as required. Ten percent of children’s records were monitored. The Staff and Training Worksheets were not completed prior to today’s visit. An announced visit is scheduled for Monday, April 14, 2025, to review staff files. The following violations were observed today. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. On the toddler/two year old playground, the net on the basketball goal was partially attached causing a hazard. A large vinyl mat in the multi-purpose room had a hole in the top of mat. G.S. 110-91(6); .0601(b) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The toddler/two year old playground was not free of litter. There were used Kleenex located on a shelf connected to the climber. 15A NCAC 18A .2832(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Seven children did not have emergency medical care information updated annually. .0802(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on March 4, 2025 however, the pervious drill was conducted November 8. 2024 therefore a drill was not conducted every three months. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was updated November 2024 however, contact information for the current Child Care Consultant and Health Care Consultant was not updated. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two children's expiration date to administer emergency medication expired. One child's authorization expired October 2024. One child's authorization expired March 2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 April 22, 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 facility does not provide transportation, however, the Principal stated that field trips are planned for this summer for the children that are four years of age and older. The facility has two minibuses that will be used. Today, I monitored both buses. Insurance and inspections for both vans are current. The rearview mirror on one of the buses is broken and was on the dashboard. The mirror must be repaired before the children can be transported. A fire extinguisher, first aid kit and non-smoking/Tobacco restriction were located on both buses. Automated Background Check Management System (ABCMS)- We discussed the process of entering and linking staff information to the facility via ABCMS. The Principal stated she has not started the process yet but is aware and will begin working on it. Emergency Medications- Authorization to administer prescription or over-the-counter medication when needed for chronic medical conditions such as asthma, allergic reactions, etc. is good for up to six months. A suggestion was made to have classroom staff monitor medications monthly. Incident Logs- Clarification was provided for when an incident report should be documented in the incident log. The incident log must be completed each time an incident report is completed. Thank you for your time today. If you have 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.
NC GS 110-90 · Violation
Name of Operation: EVERBROOK ACADEMY Facility ID: 60003902 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 4/8/2025 Number Present: 105 Completed Date: 4/8/2025 Age: From 1 To 5 Total Minutes: 330 Time In: 09:35 AM Time Out: 03:05 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 operates with a Five Star Rated License with an effective date of December 4, 2018. The program’s 18-month compliance history before today’s visit was 90%. Principal, C. Hammond assisted me with today’s visit. A walk through the facility was conducted with Ms. Hammond and the Assistant Director, V. Scott. Children were observed in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, group time and transitions. Staff members were observed leading group time, supervising activities and assisting with personal care routines. The NC Secretary of State website was reviewed on April 7, 2025, and Tutor Time Learning Centers, LLC was listed as current- active. A sanitation inspection was completed November 19, 2024, with a “Superior” classification. The last fire inspection was received on April 30, 2024, and your facility was approved for daytime care only. The Emergency Drill Log was reviewed today. A lockdown drill was conducted on March 4, 2025, and a lockdown drill on March 27, 2025. Playground safety checklists were also monitored and are occurring each month as required. Ten percent of children’s records were monitored. The Staff and Training Worksheets were not completed prior to today’s visit. An announced visit is scheduled for Monday, April 14, 2025, to review staff files. The following violations were observed today. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. On the toddler/two year old playground, the net on the basketball goal was partially attached causing a hazard. A large vinyl mat in the multi-purpose room had a hole in the top of mat. G.S. 110-91(6); .0601(b) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The toddler/two year old playground was not free of litter. There were used Kleenex located on a shelf connected to the climber. 15A NCAC 18A .2832(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Seven children did not have emergency medical care information updated annually. .0802(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on March 4, 2025 however, the pervious drill was conducted November 8. 2024 therefore a drill was not conducted every three months. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was updated November 2024 however, contact information for the current Child Care Consultant and Health Care Consultant was not updated. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two children's expiration date to administer emergency medication expired. One child's authorization expired October 2024. One child's authorization expired March 2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 April 22, 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 facility does not provide transportation, however, the Principal stated that field trips are planned for this summer for the children that are four years of age and older. The facility has two minibuses that will be used. Today, I monitored both buses. Insurance and inspections for both vans are current. The rearview mirror on one of the buses is broken and was on the dashboard. The mirror must be repaired before the children can be transported. A fire extinguisher, first aid kit and non-smoking/Tobacco restriction were located on both buses. Automated Background Check Management System (ABCMS)- We discussed the process of entering and linking staff information to the facility via ABCMS. The Principal stated she has not started the process yet but is aware and will begin working on it. Emergency Medications- Authorization to administer prescription or over-the-counter medication when needed for chronic medical conditions such as asthma, allergic reactions, etc. is good for up to six months. A suggestion was made to have classroom staff monitor medications monthly. Incident Logs- Clarification was provided for when an incident report should be documented in the incident log. The incident log must be completed each time an incident report is completed. Thank you for your time today. If you have 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
10A NCAC 09 .0514 · Violation
Name of Operation: EVERBROOK ACADEMY Facility ID: 60003902 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 120 Completed Date: 4/16/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during the annual compliance visit. The 18 month compliance history, prior to today's visit was 94%. A checklist was used to monitor the facility. Upon my arrival I was greeted by Charmaine Hammond, Acting Principal. You informed me the Principal transferred within the company as of Friday, April 12, 2024 and you have stepped in during the interim. The last Principal is the staff that complete Emergency Preparedness and Response training. Someone on premise must complete the training within 4 months of April 12, 2024. Once that person completes the training you will update the current EPR plan and review the updated plan with all staff. The person who has completed the training will be the person that reviews your current EPR with all new hires during orientation and with all staff annually. You were able to accompany me on today's walkthrough of the facility. During the walkthrough we were observed to see large group time, center play, outdoor time and beginning of lunch. Supervision and enhanced staff child/ratio was observed with each group of children in care. I heard staff using nurturing tones as they greeted children, encouraged them to participate in activities and as they walked around monitoring play indoors and outdoors. Each classroom had a variety of material in each interest center that allow the current activity plans to be implemented. I did observed serval of the storage plastic wicker baskets unraveling in classrooms, I explained to staff why they were considered in poor repair and they could either be repaired or replaced. You all repaired them during the visit. Cleaning supplies were observed stored properly in each classroom. I did not observe any other hazards, other than the baskets that unraveled, in any of the classrooms. While in the toddler room I observed current feeding schedules for all children under 15 months of age. Information required to be posted was observed posted in each classrooms. Medications were monitored. They were observed stored properly with the current medical action plans, if applicable, and current permission to administer. While outdoors I observed on tricycle that had a seat broken, you removed it during the visit. Monthly playground inspections were reviewed and found meeting compliance. Program records were reviewed. The last fire inspection was conducted on 4/25/23. The emergency drill log was reviewed and found meeting compliance. The last sanitation inspection was conducted on 2/12/24. I reviewed the current incident log and found it meeting compliance. Information required to be posted was observed posted in the lobby of the facility. A sample of children's records were reviewed and found meeting compliance. Staff and Training Worksheets were reviewed against staff files. We discussed items that were not meeting compliance. Both buses were monitored today. All transportation requirements were observed meeting compliance. The following violations were cited during today's visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Indoors I observed several plastic wicker baskets that store center material on shelves accessible to children in Space 2, 4, and 5 unraveling leaving pointy edges. Outdoors on the preschool playground I observed one tricycle with a broken seat. G.S. 110-91(6); .0601(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Eight (8) staff's annual health questionnaires have not be updated since 3/6/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Eight (8) staff have not updated their emergency information since 3/6/23. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff's First Aid certification expired 1/31/2024, she completed recertification on 3/13/2024. .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. One staff's CPR certification expired 1/31/24. She received recertification on 3/13/24. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff hired 2/14/22 is required to obtain 10 hours annually, she completed 9.5 hours by 2/14/2024. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Sixteen (16) staff have not had an annual review and have not updated the staff development plan since 3/7/2023. 10A NCAC 09 .0514(f) Compliance Statement: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Charmaine Hammond, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before April 30, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Items in poor repair: I encourage you to talk to all staff about what to look for when we say poor repair. I gave examples of items broken, baskets unraveling, puzzles without the picture showing what the puzzle should look like when together, books missing pages or cover, interactive toys with dead batteries, etc. You stated staff have a daily checklist they use to ensure their room is ready for children each day, I encourage you to add a line item about material and equipment in poor repair. If something is in poor repair it needs to be removed from access to children immediately. If you can't remove the items make sure it is inaccessible to children in care until it can be removed, repaired or replaced. Staff files - I encourage you to use the staff and training worksheet as a running document. At least every month check the document to ensure nothing is expires. Your staff files are well organized and you are utilizing the staff file checklist. For new hires, once the staff file checklist is finished transcribe the information onto the staff and training worksheet. Rated License Reassessment: You are working on making sure all staff education is evaluated. Your facility is currently in the prep year. You will complete reassessment between July 1, 2024 and June 30, 2025. NCRLAP.org is the rated license assessment project website, there you will find additional notes on the scales and video. CCRI is also an available resources. If you have any questions please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 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: EVERBROOK ACADEMY Facility ID: 60003902 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 120 Completed Date: 4/16/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during the annual compliance visit. The 18 month compliance history, prior to today's visit was 94%. A checklist was used to monitor the facility. Upon my arrival I was greeted by Charmaine Hammond, Acting Principal. You informed me the Principal transferred within the company as of Friday, April 12, 2024 and you have stepped in during the interim. The last Principal is the staff that complete Emergency Preparedness and Response training. Someone on premise must complete the training within 4 months of April 12, 2024. Once that person completes the training you will update the current EPR plan and review the updated plan with all staff. The person who has completed the training will be the person that reviews your current EPR with all new hires during orientation and with all staff annually. You were able to accompany me on today's walkthrough of the facility. During the walkthrough we were observed to see large group time, center play, outdoor time and beginning of lunch. Supervision and enhanced staff child/ratio was observed with each group of children in care. I heard staff using nurturing tones as they greeted children, encouraged them to participate in activities and as they walked around monitoring play indoors and outdoors. Each classroom had a variety of material in each interest center that allow the current activity plans to be implemented. I did observed serval of the storage plastic wicker baskets unraveling in classrooms, I explained to staff why they were considered in poor repair and they could either be repaired or replaced. You all repaired them during the visit. Cleaning supplies were observed stored properly in each classroom. I did not observe any other hazards, other than the baskets that unraveled, in any of the classrooms. While in the toddler room I observed current feeding schedules for all children under 15 months of age. Information required to be posted was observed posted in each classrooms. Medications were monitored. They were observed stored properly with the current medical action plans, if applicable, and current permission to administer. While outdoors I observed on tricycle that had a seat broken, you removed it during the visit. Monthly playground inspections were reviewed and found meeting compliance. Program records were reviewed. The last fire inspection was conducted on 4/25/23. The emergency drill log was reviewed and found meeting compliance. The last sanitation inspection was conducted on 2/12/24. I reviewed the current incident log and found it meeting compliance. Information required to be posted was observed posted in the lobby of the facility. A sample of children's records were reviewed and found meeting compliance. Staff and Training Worksheets were reviewed against staff files. We discussed items that were not meeting compliance. Both buses were monitored today. All transportation requirements were observed meeting compliance. The following violations were cited during today's visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Indoors I observed several plastic wicker baskets that store center material on shelves accessible to children in Space 2, 4, and 5 unraveling leaving pointy edges. Outdoors on the preschool playground I observed one tricycle with a broken seat. G.S. 110-91(6); .0601(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Eight (8) staff's annual health questionnaires have not be updated since 3/6/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Eight (8) staff have not updated their emergency information since 3/6/23. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff's First Aid certification expired 1/31/2024, she completed recertification on 3/13/2024. .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. One staff's CPR certification expired 1/31/24. She received recertification on 3/13/24. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff hired 2/14/22 is required to obtain 10 hours annually, she completed 9.5 hours by 2/14/2024. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Sixteen (16) staff have not had an annual review and have not updated the staff development plan since 3/7/2023. 10A NCAC 09 .0514(f) Compliance Statement: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Charmaine Hammond, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before April 30, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Items in poor repair: I encourage you to talk to all staff about what to look for when we say poor repair. I gave examples of items broken, baskets unraveling, puzzles without the picture showing what the puzzle should look like when together, books missing pages or cover, interactive toys with dead batteries, etc. You stated staff have a daily checklist they use to ensure their room is ready for children each day, I encourage you to add a line item about material and equipment in poor repair. If something is in poor repair it needs to be removed from access to children immediately. If you can't remove the items make sure it is inaccessible to children in care until it can be removed, repaired or replaced. Staff files - I encourage you to use the staff and training worksheet as a running document. At least every month check the document to ensure nothing is expires. Your staff files are well organized and you are utilizing the staff file checklist. For new hires, once the staff file checklist is finished transcribe the information onto the staff and training worksheet. Rated License Reassessment: You are working on making sure all staff education is evaluated. Your facility is currently in the prep year. You will complete reassessment between July 1, 2024 and June 30, 2025. NCRLAP.org is the rated license assessment project website, there you will find additional notes on the scales and video. CCRI is also an available resources. If you have any questions please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0802 · Violation
Name of Operation: EVERBROOK ACADEMY Facility ID: 60003902 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 11/14/2023 Number Present: 103 Completed Date: 11/14/2023 Age: From 1 To 5 Total Minutes: 220 Time In: 09:20 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. The 18 month compliance history, prior to today’s visit was 96%. Upon my arrival I met with Ellen Spradlin, Principal and Charmaine Hammond, School Education Manager. I explained the purpose of today’s visit and you both were able to accompany me on the walkthrough of the facility. During the walkthrough I observed each classroom and outdoor environment. Supervision and enhanced ratios were observed meeting compliance. Each group was observed in approved licensed space. The current license was observed posted in the lobby of the facility and all permit restrictions were observed meeting compliance. Staff were observed engaging children in play. Staff were observed seated with children, using nurturing tones as they talked with children at their eye levels. Children were observed during teacher directed activities, group time, center play and outdoor play. While outdoors staff were observed moving about the outdoor environment encouraging children to use material as they played. While in Space 7, 6 and 5 I observed plastic storage baskets unraveling and are considered poor repair. Outlets were observed stored properly. Cleaning supplies were observed stored properly. The laundry closet and kitchen doors were locked during today's visit. Medications were monitored and found meeting compliance. Each had current permission to administer. Prescribed had pharmacy labels and current medical action plans on file. All medications were observed stored properly. Program records were reviewed. The last fire inspection was conducted on 4-25-23. The emergency drill log was reviewed and found meeting compliance. The last sanitation inspection was conducted on 7-6-23 with a Superior Rating. Monthly Playground inspections were reviewed and found meeting compliance. I reviewed the incident log; you have not been logging all incidents only incidents that required to be submitted to the consultant. The current EPR plan was reviewed. Staff files were reviewed today. I reviewed all new files and for existing staff I reviewed criminal records qualification and specialized training. One administrator has not completed Recognizing and Responding to Suspicions of Maltreatment within 5 years of last completion; she last completed the training on 5-14-18. The following violations were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Storage baskets stored on shelves accessible to children in Space 7, 6 and 5 were observed unraveling. G.S. 110-91(6); .0601(b) 853 Incident logs were not completed and maintained as required. Only incident reports required to be submitted to the DCDEE Child Care Consultant have been logged on the incident log. .0802(g)(1-6) 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 administrator completed Recognizing and Responding for Suspicions of Maltreatment last on 5-14-2018 and did not complete the training by 5-14-2023. .1103(b) Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Ellen Spradlin, Principal, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before November 27, 2023. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Rated License Assessment: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. Your facility is in cohort one. Beginning in July and throughout the next few months I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, I will align the reassessment with your annual compliance visit timeframe. 1)Make sure staff update WORKS accounts to reflect current completed coursework. 2) If you determine you want to have the ITERS-R and ECERS-R, begin requesting and obtaining technical assistance from your child care consultant, CCRI, and utilizing the NC Rated License Assessment Project Website (NCRLAP.org) for additional notes, videos and other resources. 3) Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways: ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality. If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment. Assessment scores can be saved to use during the reassessment year. Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0. Equipment in Poor Repair: I encourage you to ask all your staff to check all the storage baskets in their classroom to ensure they are not unraveling; if they are they can either try and repair them or exchange them from one that is in good repair. We discussed what poor repair could mean: Books: if covers are missing or torn and cannot be repaired, if pages are torn or drawn through and can't be read. If material cannot be used the way it's intended because something is missing (puzzle pieces, pretend kitchen sink, batteries for interactive toys) Incident Log: You stated that you remember discussing with your previous consultant that the incident log was to be completed when you submitted it to your consultant. I reviewed 10A NCAC 09 .0802(g) with you. All incidents must be signed and logged, once logged you will place in the child's file. You will still submit those that need medical attention outside the facility, to me within 7 days of notification. Your daily health checks do not need to be logged. Also, if a parent or child says they were injured on premise and you were not aware, look into the concern and complete and incident report based on what was reported to you and your knowledge of the incident. Health and Safety 5 year completion: You have a spreadsheet in your office you keep with deadlines, you have a tab for health and safety, I encourage you to add a tab for Recognizing and Responding to Suspicions of Maltreatment as that is a Health and Safety topic that must also be completed within 5 years of last completion. If you have any questions please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 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: EVERBROOK ACADEMY Facility ID: 60003902 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 11/14/2023 Number Present: 103 Completed Date: 11/14/2023 Age: From 1 To 5 Total Minutes: 220 Time In: 09:20 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. The 18 month compliance history, prior to today’s visit was 96%. Upon my arrival I met with Ellen Spradlin, Principal and Charmaine Hammond, School Education Manager. I explained the purpose of today’s visit and you both were able to accompany me on the walkthrough of the facility. During the walkthrough I observed each classroom and outdoor environment. Supervision and enhanced ratios were observed meeting compliance. Each group was observed in approved licensed space. The current license was observed posted in the lobby of the facility and all permit restrictions were observed meeting compliance. Staff were observed engaging children in play. Staff were observed seated with children, using nurturing tones as they talked with children at their eye levels. Children were observed during teacher directed activities, group time, center play and outdoor play. While outdoors staff were observed moving about the outdoor environment encouraging children to use material as they played. While in Space 7, 6 and 5 I observed plastic storage baskets unraveling and are considered poor repair. Outlets were observed stored properly. Cleaning supplies were observed stored properly. The laundry closet and kitchen doors were locked during today's visit. Medications were monitored and found meeting compliance. Each had current permission to administer. Prescribed had pharmacy labels and current medical action plans on file. All medications were observed stored properly. Program records were reviewed. The last fire inspection was conducted on 4-25-23. The emergency drill log was reviewed and found meeting compliance. The last sanitation inspection was conducted on 7-6-23 with a Superior Rating. Monthly Playground inspections were reviewed and found meeting compliance. I reviewed the incident log; you have not been logging all incidents only incidents that required to be submitted to the consultant. The current EPR plan was reviewed. Staff files were reviewed today. I reviewed all new files and for existing staff I reviewed criminal records qualification and specialized training. One administrator has not completed Recognizing and Responding to Suspicions of Maltreatment within 5 years of last completion; she last completed the training on 5-14-18. The following violations were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Storage baskets stored on shelves accessible to children in Space 7, 6 and 5 were observed unraveling. G.S. 110-91(6); .0601(b) 853 Incident logs were not completed and maintained as required. Only incident reports required to be submitted to the DCDEE Child Care Consultant have been logged on the incident log. .0802(g)(1-6) 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 administrator completed Recognizing and Responding for Suspicions of Maltreatment last on 5-14-2018 and did not complete the training by 5-14-2023. .1103(b) Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Ellen Spradlin, Principal, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before November 27, 2023. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Rated License Assessment: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. Your facility is in cohort one. Beginning in July and throughout the next few months I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, I will align the reassessment with your annual compliance visit timeframe. 1)Make sure staff update WORKS accounts to reflect current completed coursework. 2) If you determine you want to have the ITERS-R and ECERS-R, begin requesting and obtaining technical assistance from your child care consultant, CCRI, and utilizing the NC Rated License Assessment Project Website (NCRLAP.org) for additional notes, videos and other resources. 3) Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways: ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality. If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment. Assessment scores can be saved to use during the reassessment year. Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0. Equipment in Poor Repair: I encourage you to ask all your staff to check all the storage baskets in their classroom to ensure they are not unraveling; if they are they can either try and repair them or exchange them from one that is in good repair. We discussed what poor repair could mean: Books: if covers are missing or torn and cannot be repaired, if pages are torn or drawn through and can't be read. If material cannot be used the way it's intended because something is missing (puzzle pieces, pretend kitchen sink, batteries for interactive toys) Incident Log: You stated that you remember discussing with your previous consultant that the incident log was to be completed when you submitted it to your consultant. I reviewed 10A NCAC 09 .0802(g) with you. All incidents must be signed and logged, once logged you will place in the child's file. You will still submit those that need medical attention outside the facility, to me within 7 days of notification. Your daily health checks do not need to be logged. Also, if a parent or child says they were injured on premise and you were not aware, look into the concern and complete and incident report based on what was reported to you and your knowledge of the incident. Health and Safety 5 year completion: You have a spreadsheet in your office you keep with deadlines, you have a tab for health and safety, I encourage you to add a tab for Recognizing and Responding to Suspicions of Maltreatment as that is a Health and Safety topic that must also be completed within 5 years of last completion. If you have any questions please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 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.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.