10A NCAC 09 .0302 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0426-352L Visit Date: 4/28/2026 Number Present: 79 Completed Date: 4/28/2026 Age: From 4 To 5 Total Minutes: 287 Time In: 08:43 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding allegations of violations of child care requirements. Concerns were related to staff/child ratio. Upon arrival I signed in at the main office and walked unaccompanied to B-hall. I arrived to B-Hall at 8:45 am. All five (5) classrooms had no children or teachers present. I walked back towards the cafeteria and observed the TA for Space B10 returning from the cafeteria. She was supervising fourteen (14) children, and the Lead teacher was not present today. I continued to walk towards the cafeteria and observed the lead teacher for Space 13 supervising ten (10) children. She stated her TA was absent today. I observed eighteen (18) children present with the Lead and TA for Space B11. The lead teacher stated the children from B9 and B12 were still in the cafeteria. I walked to the cafeteria and observed twenty (20) children present with the lead teacher and TA for Space B9 and one (1) lead teacher present with ten (10) children from Space B12. I explained the purpose of the visit with Ms. Simmons, Lead Teacher for Space B9 and walked with her back to B-Hall. I discussed the concerns with Ms. Simmons and Ms. Mveng-Magana, Administrator. Ms. Kennedy, Literacy Coach, was onsite for part of the visit. I completed a walkthrough unaccompanied and requested arrival/departure sheets for each classroom for the week of 4/13/26 and 4/20/26. The following was observed for each classroom: Space B9 – During the walkthrough I observed twenty-one (21) children present. The maximum group size was over by one (1) child. Ms. Kennedy moved one (1) child to Space B13. On 4/24/26 the lead teacher was not onsite. Arrival and departure documentation indicated there were thirteen (13) children present with one (1) teacher. The TA confirmed that she was over ratio by three (3) children on Friday, 4/24/26. She stated there were three (3) teachers absent on 4/24/26 and she could not move any children to other classrooms. Arrival/departure forms indicated Space B10 met ratio requirements for the week of 4/13/26 – 4/17/26. Space B10 – Fourteen (14) children were present with one (1) teacher at 8:47 am when the class transitioned from the cafeteria to the classroom. Four (4) children were moved to other classrooms during the visit to maintain 1:10 ratio. The arrival/departure form was not completed for today or 4/27/26. The lead teacher was not present 4/27/26 or 4/28/26 and it was reported that she would not return for six (6) weeks. It was reported there was no established substitute for her absence. The TA stated she had eleven (11) children by herself on 4/27/26. On 4/20/26 there were sixteen (16) children present with one (1) teacher from 1:30 pm – 3:00 pm. It was reported the lead teacher left campus at 12:00 pm on 4/20/26 during rest time and did not return for the remainder of the day. Children could not be moved to other classrooms for the afternoon due to staff absences. Arrival/departure forms indicated Space B10 met ratio requirements for the week of 4/13/26 – 4/17/26. Space B11 – Eighteen (18) children were present with two (2) teachers as they transitioned from the cafeteria to the classroom. Twenty (20) children were present with two (2) teachers during the walk through. On 4/24/26 the arrival/departure form indicated twenty (20) children were present with two (2) teachers. Space B11 met ratio requirements today and for the weeks of 4/13/26 and 4/20/26. Space B12 – Ten (10) children were present with one (1) teacher in the cafeteria. The lead teacher stated the TA was absent yesterday and today and would return 5/4/26. She stated there was no established substitute for her this week. On 4/20/26 arrival and departure forms indicated twenty-one (21) children were present with two (2) teachers. Space B12 exceeded maximum group size by one (1) child. Spac3 B13 – Ten (10) children were present with one (1) teacher as children transitioned from the cafeteria to the classroom. During the walkthrough there were fourteen (14) children present with two (2) teachers. It was reported that the TA separated employment last week. On 4/24/26 both the lead teacher and TA were not onsite and children were dispersed to other classrooms. Based on observations and interviews the concern that classrooms were operating out of ratio was confirmed. The following was observed during the visit unrelated to the complaint allegation: Two (2) children were transitioned from other classrooms to Space B11. As children were lining up to go to the cafeteria for lunch a child asked me if I had his lunchbox in the tutor room where I was working. He leaned his head into the tutor room to ask me. I got up and asked him if he brought his lunch from home today. He stated yes but he didn’t have his bookbag. The teacher stated his and another child’s bookbags were not sent with them when they transitioned to the classroom and the other classes had already left for the cafeteria. She stated classrooms were locked and each room had their own key. She stated she would make sure the children ate the school provided lunch. I confirmed children were provided lunch when they returned from the cafeteria. I also asked the teacher to make accommodations for the two (2) children to eat the lunch sent from home if the children wanted it. I confirmed that each child did not have a nutrition opt out form completed and neither child had food allergies. I reviewed each class schedule. Each schedule stated arrival routines/interest areas/centers from 7:30 am – 8:10 am and breakfast from 8:10 am – 8:30 am. Per the approved corrective action plan for stipulation 3 of the administrative action all children were taken to the cafeteria before going to their class each morning to maintain ratio. Classes were not following the posted schedule. Three (3) violations were cited today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented for 4/27/26 or 4/28/26 in Space B10. 10A NCAC 09 .0302(d)(4) 415 A current schedule was not posted for each group of children for reference. . Each schedule stated arrival routines/interest areas/centers from 7:30 am – 8:10 am and breakfast from 8:10 am – 8:30 am. Per the approved corrective action plan for stipulation 3 of the administrative action all children were taken to the cafeteria before going to their class each morning to maintain ratio. Classes were not following the posted schedule. GS 110-91(12);.0508(a) 1775 NC Pre-K program staff/child ratios and group sizes were not met. During today's visit Space B9 had twenty-one (21) children present. Space B10 had fourteen (14) children present with one (1) teacher as they transitioned from the cafeteria to their classroom. On 4/27/26 it was reported that there were eleven (11) children present with one (1) teacher. Based on interviews and review of arrival and departure sheets it was determined that on Friday, 4/24/26 the ratio for Space B9 was 1:13. The ratio in Space B10 was 1:16 from 1:30 pm - 3:00 pm and the group size for Space B12 was twenty-one (21). .3009 Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, May 12, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - I discussed the approved policies and procedures for Stipulation #3 of the corrective action plan for the administrative action with Ms. Simmons and Ms. Mveng-Magana. Both expressed concerns about the amount of time children were spending in the cafeteria at arrival and how much classroom time they were missing first thing in the morning. I agreed after today’s visit and observing the procedures for morning arrival that the approved policies and procedures were not correcting staff/child ratio issues and that the amount of time sitting at tables in the cafeteria was not developmentally appropriate. I agreed that changes should be made to the CAP addressing stipulation #3. Changes should be submitted to me for approval. - I recommend adding a space on the arrival/departure time log for staff to sign in and out so that it is clearly documented on the form how many teachers are present in the classroom. - A sample head count sheet was emailed. - Children’s belongings should follow them when they are transitioned for the day to maintain ratio to include lunches, bookbags and jackets. - I recommend adding a space for each day on the head count sheet for transitions. Currently there is only one (1) column for transitions for the entire week. - Thank you for your time today. If you have any questions, please contact me at jennifer.stansfield@dhhs.nc.gov 704-956-1648 or Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0426-352L Visit Date: 4/28/2026 Number Present: 79 Completed Date: 4/28/2026 Age: From 4 To 5 Total Minutes: 287 Time In: 08:43 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding allegations of violations of child care requirements. Concerns were related to staff/child ratio. Upon arrival I signed in at the main office and walked unaccompanied to B-hall. I arrived to B-Hall at 8:45 am. All five (5) classrooms had no children or teachers present. I walked back towards the cafeteria and observed the TA for Space B10 returning from the cafeteria. She was supervising fourteen (14) children, and the Lead teacher was not present today. I continued to walk towards the cafeteria and observed the lead teacher for Space 13 supervising ten (10) children. She stated her TA was absent today. I observed eighteen (18) children present with the Lead and TA for Space B11. The lead teacher stated the children from B9 and B12 were still in the cafeteria. I walked to the cafeteria and observed twenty (20) children present with the lead teacher and TA for Space B9 and one (1) lead teacher present with ten (10) children from Space B12. I explained the purpose of the visit with Ms. Simmons, Lead Teacher for Space B9 and walked with her back to B-Hall. I discussed the concerns with Ms. Simmons and Ms. Mveng-Magana, Administrator. Ms. Kennedy, Literacy Coach, was onsite for part of the visit. I completed a walkthrough unaccompanied and requested arrival/departure sheets for each classroom for the week of 4/13/26 and 4/20/26. The following was observed for each classroom: Space B9 – During the walkthrough I observed twenty-one (21) children present. The maximum group size was over by one (1) child. Ms. Kennedy moved one (1) child to Space B13. On 4/24/26 the lead teacher was not onsite. Arrival and departure documentation indicated there were thirteen (13) children present with one (1) teacher. The TA confirmed that she was over ratio by three (3) children on Friday, 4/24/26. She stated there were three (3) teachers absent on 4/24/26 and she could not move any children to other classrooms. Arrival/departure forms indicated Space B10 met ratio requirements for the week of 4/13/26 – 4/17/26. Space B10 – Fourteen (14) children were present with one (1) teacher at 8:47 am when the class transitioned from the cafeteria to the classroom. Four (4) children were moved to other classrooms during the visit to maintain 1:10 ratio. The arrival/departure form was not completed for today or 4/27/26. The lead teacher was not present 4/27/26 or 4/28/26 and it was reported that she would not return for six (6) weeks. It was reported there was no established substitute for her absence. The TA stated she had eleven (11) children by herself on 4/27/26. On 4/20/26 there were sixteen (16) children present with one (1) teacher from 1:30 pm – 3:00 pm. It was reported the lead teacher left campus at 12:00 pm on 4/20/26 during rest time and did not return for the remainder of the day. Children could not be moved to other classrooms for the afternoon due to staff absences. Arrival/departure forms indicated Space B10 met ratio requirements for the week of 4/13/26 – 4/17/26. Space B11 – Eighteen (18) children were present with two (2) teachers as they transitioned from the cafeteria to the classroom. Twenty (20) children were present with two (2) teachers during the walk through. On 4/24/26 the arrival/departure form indicated twenty (20) children were present with two (2) teachers. Space B11 met ratio requirements today and for the weeks of 4/13/26 and 4/20/26. Space B12 – Ten (10) children were present with one (1) teacher in the cafeteria. The lead teacher stated the TA was absent yesterday and today and would return 5/4/26. She stated there was no established substitute for her this week. On 4/20/26 arrival and departure forms indicated twenty-one (21) children were present with two (2) teachers. Space B12 exceeded maximum group size by one (1) child. Spac3 B13 – Ten (10) children were present with one (1) teacher as children transitioned from the cafeteria to the classroom. During the walkthrough there were fourteen (14) children present with two (2) teachers. It was reported that the TA separated employment last week. On 4/24/26 both the lead teacher and TA were not onsite and children were dispersed to other classrooms. Based on observations and interviews the concern that classrooms were operating out of ratio was confirmed. The following was observed during the visit unrelated to the complaint allegation: Two (2) children were transitioned from other classrooms to Space B11. As children were lining up to go to the cafeteria for lunch a child asked me if I had his lunchbox in the tutor room where I was working. He leaned his head into the tutor room to ask me. I got up and asked him if he brought his lunch from home today. He stated yes but he didn’t have his bookbag. The teacher stated his and another child’s bookbags were not sent with them when they transitioned to the classroom and the other classes had already left for the cafeteria. She stated classrooms were locked and each room had their own key. She stated she would make sure the children ate the school provided lunch. I confirmed children were provided lunch when they returned from the cafeteria. I also asked the teacher to make accommodations for the two (2) children to eat the lunch sent from home if the children wanted it. I confirmed that each child did not have a nutrition opt out form completed and neither child had food allergies. I reviewed each class schedule. Each schedule stated arrival routines/interest areas/centers from 7:30 am – 8:10 am and breakfast from 8:10 am – 8:30 am. Per the approved corrective action plan for stipulation 3 of the administrative action all children were taken to the cafeteria before going to their class each morning to maintain ratio. Classes were not following the posted schedule. Three (3) violations were cited today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented for 4/27/26 or 4/28/26 in Space B10. 10A NCAC 09 .0302(d)(4) 415 A current schedule was not posted for each group of children for reference. . Each schedule stated arrival routines/interest areas/centers from 7:30 am – 8:10 am and breakfast from 8:10 am – 8:30 am. Per the approved corrective action plan for stipulation 3 of the administrative action all children were taken to the cafeteria before going to their class each morning to maintain ratio. Classes were not following the posted schedule. GS 110-91(12);.0508(a) 1775 NC Pre-K program staff/child ratios and group sizes were not met. During today's visit Space B9 had twenty-one (21) children present. Space B10 had fourteen (14) children present with one (1) teacher as they transitioned from the cafeteria to their classroom. On 4/27/26 it was reported that there were eleven (11) children present with one (1) teacher. Based on interviews and review of arrival and departure sheets it was determined that on Friday, 4/24/26 the ratio for Space B9 was 1:13. The ratio in Space B10 was 1:16 from 1:30 pm - 3:00 pm and the group size for Space B12 was twenty-one (21). .3009 Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, May 12, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - I discussed the approved policies and procedures for Stipulation #3 of the corrective action plan for the administrative action with Ms. Simmons and Ms. Mveng-Magana. Both expressed concerns about the amount of time children were spending in the cafeteria at arrival and how much classroom time they were missing first thing in the morning. I agreed after today’s visit and observing the procedures for morning arrival that the approved policies and procedures were not correcting staff/child ratio issues and that the amount of time sitting at tables in the cafeteria was not developmentally appropriate. I agreed that changes should be made to the CAP addressing stipulation #3. Changes should be submitted to me for approval. - I recommend adding a space on the arrival/departure time log for staff to sign in and out so that it is clearly documented on the form how many teachers are present in the classroom. - A sample head count sheet was emailed. - Children’s belongings should follow them when they are transitioned for the day to maintain ratio to include lunches, bookbags and jackets. - I recommend adding a space for each day on the head count sheet for transitions. Currently there is only one (1) column for transitions for the entire week. - Thank you for your time today. If you have any questions, please contact me at jennifer.stansfield@dhhs.nc.gov 704-956-1648 or Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 0426-352L Visit Date: 4/28/2026 Number Present: 79 Completed Date: 4/28/2026 Age: From 4 To 5 Total Minutes: 287 Time In: 08:43 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding allegations of violations of child care requirements. Concerns were related to staff/child ratio. Upon arrival I signed in at the main office and walked unaccompanied to B-hall. I arrived to B-Hall at 8:45 am. All five (5) classrooms had no children or teachers present. I walked back towards the cafeteria and observed the TA for Space B10 returning from the cafeteria. She was supervising fourteen (14) children, and the Lead teacher was not present today. I continued to walk towards the cafeteria and observed the lead teacher for Space 13 supervising ten (10) children. She stated her TA was absent today. I observed eighteen (18) children present with the Lead and TA for Space B11. The lead teacher stated the children from B9 and B12 were still in the cafeteria. I walked to the cafeteria and observed twenty (20) children present with the lead teacher and TA for Space B9 and one (1) lead teacher present with ten (10) children from Space B12. I explained the purpose of the visit with Ms. Simmons, Lead Teacher for Space B9 and walked with her back to B-Hall. I discussed the concerns with Ms. Simmons and Ms. Mveng-Magana, Administrator. Ms. Kennedy, Literacy Coach, was onsite for part of the visit. I completed a walkthrough unaccompanied and requested arrival/departure sheets for each classroom for the week of 4/13/26 and 4/20/26. The following was observed for each classroom: Space B9 – During the walkthrough I observed twenty-one (21) children present. The maximum group size was over by one (1) child. Ms. Kennedy moved one (1) child to Space B13. On 4/24/26 the lead teacher was not onsite. Arrival and departure documentation indicated there were thirteen (13) children present with one (1) teacher. The TA confirmed that she was over ratio by three (3) children on Friday, 4/24/26. She stated there were three (3) teachers absent on 4/24/26 and she could not move any children to other classrooms. Arrival/departure forms indicated Space B10 met ratio requirements for the week of 4/13/26 – 4/17/26. Space B10 – Fourteen (14) children were present with one (1) teacher at 8:47 am when the class transitioned from the cafeteria to the classroom. Four (4) children were moved to other classrooms during the visit to maintain 1:10 ratio. The arrival/departure form was not completed for today or 4/27/26. The lead teacher was not present 4/27/26 or 4/28/26 and it was reported that she would not return for six (6) weeks. It was reported there was no established substitute for her absence. The TA stated she had eleven (11) children by herself on 4/27/26. On 4/20/26 there were sixteen (16) children present with one (1) teacher from 1:30 pm – 3:00 pm. It was reported the lead teacher left campus at 12:00 pm on 4/20/26 during rest time and did not return for the remainder of the day. Children could not be moved to other classrooms for the afternoon due to staff absences. Arrival/departure forms indicated Space B10 met ratio requirements for the week of 4/13/26 – 4/17/26. Space B11 – Eighteen (18) children were present with two (2) teachers as they transitioned from the cafeteria to the classroom. Twenty (20) children were present with two (2) teachers during the walk through. On 4/24/26 the arrival/departure form indicated twenty (20) children were present with two (2) teachers. Space B11 met ratio requirements today and for the weeks of 4/13/26 and 4/20/26. Space B12 – Ten (10) children were present with one (1) teacher in the cafeteria. The lead teacher stated the TA was absent yesterday and today and would return 5/4/26. She stated there was no established substitute for her this week. On 4/20/26 arrival and departure forms indicated twenty-one (21) children were present with two (2) teachers. Space B12 exceeded maximum group size by one (1) child. Spac3 B13 – Ten (10) children were present with one (1) teacher as children transitioned from the cafeteria to the classroom. During the walkthrough there were fourteen (14) children present with two (2) teachers. It was reported that the TA separated employment last week. On 4/24/26 both the lead teacher and TA were not onsite and children were dispersed to other classrooms. Based on observations and interviews the concern that classrooms were operating out of ratio was confirmed. The following was observed during the visit unrelated to the complaint allegation: Two (2) children were transitioned from other classrooms to Space B11. As children were lining up to go to the cafeteria for lunch a child asked me if I had his lunchbox in the tutor room where I was working. He leaned his head into the tutor room to ask me. I got up and asked him if he brought his lunch from home today. He stated yes but he didn’t have his bookbag. The teacher stated his and another child’s bookbags were not sent with them when they transitioned to the classroom and the other classes had already left for the cafeteria. She stated classrooms were locked and each room had their own key. She stated she would make sure the children ate the school provided lunch. I confirmed children were provided lunch when they returned from the cafeteria. I also asked the teacher to make accommodations for the two (2) children to eat the lunch sent from home if the children wanted it. I confirmed that each child did not have a nutrition opt out form completed and neither child had food allergies. I reviewed each class schedule. Each schedule stated arrival routines/interest areas/centers from 7:30 am – 8:10 am and breakfast from 8:10 am – 8:30 am. Per the approved corrective action plan for stipulation 3 of the administrative action all children were taken to the cafeteria before going to their class each morning to maintain ratio. Classes were not following the posted schedule. Three (3) violations were cited today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented for 4/27/26 or 4/28/26 in Space B10. 10A NCAC 09 .0302(d)(4) 415 A current schedule was not posted for each group of children for reference. . Each schedule stated arrival routines/interest areas/centers from 7:30 am – 8:10 am and breakfast from 8:10 am – 8:30 am. Per the approved corrective action plan for stipulation 3 of the administrative action all children were taken to the cafeteria before going to their class each morning to maintain ratio. Classes were not following the posted schedule. GS 110-91(12);.0508(a) 1775 NC Pre-K program staff/child ratios and group sizes were not met. During today's visit Space B9 had twenty-one (21) children present. Space B10 had fourteen (14) children present with one (1) teacher as they transitioned from the cafeteria to their classroom. On 4/27/26 it was reported that there were eleven (11) children present with one (1) teacher. Based on interviews and review of arrival and departure sheets it was determined that on Friday, 4/24/26 the ratio for Space B9 was 1:13. The ratio in Space B10 was 1:16 from 1:30 pm - 3:00 pm and the group size for Space B12 was twenty-one (21). .3009 Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, May 12, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - I discussed the approved policies and procedures for Stipulation #3 of the corrective action plan for the administrative action with Ms. Simmons and Ms. Mveng-Magana. Both expressed concerns about the amount of time children were spending in the cafeteria at arrival and how much classroom time they were missing first thing in the morning. I agreed after today’s visit and observing the procedures for morning arrival that the approved policies and procedures were not correcting staff/child ratio issues and that the amount of time sitting at tables in the cafeteria was not developmentally appropriate. I agreed that changes should be made to the CAP addressing stipulation #3. Changes should be submitted to me for approval. - I recommend adding a space on the arrival/departure time log for staff to sign in and out so that it is clearly documented on the form how many teachers are present in the classroom. - A sample head count sheet was emailed. - Children’s belongings should follow them when they are transitioned for the day to maintain ratio to include lunches, bookbags and jackets. - I recommend adding a space for each day on the head count sheet for transitions. Currently there is only one (1) column for transitions for the entire week. - Thank you for your time today. If you have any questions, please contact me at jennifer.stansfield@dhhs.nc.gov 704-956-1648 or Amy Italiano, Licensing Supervisor, at amy.italiano@dhhs.nc.gov or 704-936-6065. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/18/2026 Number Present: 66 Completed Date: 2/18/2026 Age: From 4 To 5 Total Minutes: 365 Time In: 10:00 AM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with a Provisional license issued on January 29. 2026. The facility had an eighteen (18) month compliance history score of 73% prior to today’s visit. The last annual compliance visit was conducted 3/12/25. The April 2025 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I checked in at the school office and walked unaccompanied to B Hall. I met Ms. C. Simmons, Lead Teacher, and I explained the purpose of the visit. Ms. Mveng-Magana, Administrator, met with us briefly as well. We discussed the administrative action that was delivered on 2/5/26. Ms. Mveng-Magana was unaware of the action. The action was delivered to the address listed with DCDEE. I reviewed the action with both Ms. Magana and Ms. Simmons and Ms. Magana made a copy of the action today. I explained that the Provisional license and the administrative action must be posted where visible to parents. The facility operated five (5) NC Pre-K classrooms. All classrooms went to lunch after my arrival. I monitored each classroom unaccompanied while classes were in the cafeteria. All assigned teachers were present today and verified in the NC Pre-K plan. Materials were observed in good repair and plentiful in all classrooms. Evidence of the posted lesson was observed in each classroom. The program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. A sampling of children’s files were monitored for completed health assessments and developmental screenings in the main office. All children were listed on the DPI form. Arrival and departure times were monitored. Staff were listed on the DPI form and trainings were monitored today. The facility used the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. Parent conferences were held quarterly. Class DoJo app was used to communicate with parents. In addition, a daily report was sent home to the parents which included any information about the child’s day and any reminders. Ms. Simmons stated the playground was not being used due to inadequate amounts of mulch underneath climbing structures. She stated children played in the field and each class took out gross motor materials. Playground inspections were completed by an individual with playground safety training. Fire and emergency drills were completed as required. The sanitation inspection was completed 9/25/25 and received a “Superior” classification. The last fire inspection was conducted 9/5/24. The program was operated by the Charlotte-Mecklenburg School District. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted 9/4/2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented for February in Space B13. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Ceiling tiles were damaged/water stained in Spaces B12 and B9. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlets did not have safety plugs in Spaces B12, B9, and B10. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Clorox wipes were stored in an unlocked closet in Space B12. Aerosol disinfectants were stored in an unlocked cabinet in Space B10. Clorox wipes were stored on top of a cabinet in Space B13. .2820(b) 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 (1) employee (C.E.) hired 8/18/25 did not have 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. One (1) employee (C.E) hired 8/18/25 did not have CPR training. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee (T.M.) hired 10/8/25 did not complete child maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee (C.O.)did not complete health and safety trainings within one year of employment. Trainings were due August 2024. .1102(a) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, March 4, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Another visit will be conducted in the near future to verify compliance with staff/child ratio requirements. Email the information to: jennifer.stansfield@dhhs.nc.gov Technical assistance: - Health and safety trainings are due every 5 years including child maltreatment. - I recommend creating a child file in each classroom that contains all required documents. I emailed the child file checklist today. - For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/18/2026 Number Present: 66 Completed Date: 2/18/2026 Age: From 4 To 5 Total Minutes: 365 Time In: 10:00 AM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with a Provisional license issued on January 29. 2026. The facility had an eighteen (18) month compliance history score of 73% prior to today’s visit. The last annual compliance visit was conducted 3/12/25. The April 2025 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I checked in at the school office and walked unaccompanied to B Hall. I met Ms. C. Simmons, Lead Teacher, and I explained the purpose of the visit. Ms. Mveng-Magana, Administrator, met with us briefly as well. We discussed the administrative action that was delivered on 2/5/26. Ms. Mveng-Magana was unaware of the action. The action was delivered to the address listed with DCDEE. I reviewed the action with both Ms. Magana and Ms. Simmons and Ms. Magana made a copy of the action today. I explained that the Provisional license and the administrative action must be posted where visible to parents. The facility operated five (5) NC Pre-K classrooms. All classrooms went to lunch after my arrival. I monitored each classroom unaccompanied while classes were in the cafeteria. All assigned teachers were present today and verified in the NC Pre-K plan. Materials were observed in good repair and plentiful in all classrooms. Evidence of the posted lesson was observed in each classroom. The program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. A sampling of children’s files were monitored for completed health assessments and developmental screenings in the main office. All children were listed on the DPI form. Arrival and departure times were monitored. Staff were listed on the DPI form and trainings were monitored today. The facility used the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. Parent conferences were held quarterly. Class DoJo app was used to communicate with parents. In addition, a daily report was sent home to the parents which included any information about the child’s day and any reminders. Ms. Simmons stated the playground was not being used due to inadequate amounts of mulch underneath climbing structures. She stated children played in the field and each class took out gross motor materials. Playground inspections were completed by an individual with playground safety training. Fire and emergency drills were completed as required. The sanitation inspection was completed 9/25/25 and received a “Superior” classification. The last fire inspection was conducted 9/5/24. The program was operated by the Charlotte-Mecklenburg School District. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted 9/4/2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented for February in Space B13. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Ceiling tiles were damaged/water stained in Spaces B12 and B9. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlets did not have safety plugs in Spaces B12, B9, and B10. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Clorox wipes were stored in an unlocked closet in Space B12. Aerosol disinfectants were stored in an unlocked cabinet in Space B10. Clorox wipes were stored on top of a cabinet in Space B13. .2820(b) 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 (1) employee (C.E.) hired 8/18/25 did not have 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. One (1) employee (C.E) hired 8/18/25 did not have CPR training. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee (T.M.) hired 10/8/25 did not complete child maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee (C.O.)did not complete health and safety trainings within one year of employment. Trainings were due August 2024. .1102(a) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, March 4, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Another visit will be conducted in the near future to verify compliance with staff/child ratio requirements. Email the information to: jennifer.stansfield@dhhs.nc.gov Technical assistance: - Health and safety trainings are due every 5 years including child maltreatment. - I recommend creating a child file in each classroom that contains all required documents. I emailed the child file checklist today. - For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/18/2026 Number Present: 66 Completed Date: 2/18/2026 Age: From 4 To 5 Total Minutes: 365 Time In: 10:00 AM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with a Provisional license issued on January 29. 2026. The facility had an eighteen (18) month compliance history score of 73% prior to today’s visit. The last annual compliance visit was conducted 3/12/25. The April 2025 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I checked in at the school office and walked unaccompanied to B Hall. I met Ms. C. Simmons, Lead Teacher, and I explained the purpose of the visit. Ms. Mveng-Magana, Administrator, met with us briefly as well. We discussed the administrative action that was delivered on 2/5/26. Ms. Mveng-Magana was unaware of the action. The action was delivered to the address listed with DCDEE. I reviewed the action with both Ms. Magana and Ms. Simmons and Ms. Magana made a copy of the action today. I explained that the Provisional license and the administrative action must be posted where visible to parents. The facility operated five (5) NC Pre-K classrooms. All classrooms went to lunch after my arrival. I monitored each classroom unaccompanied while classes were in the cafeteria. All assigned teachers were present today and verified in the NC Pre-K plan. Materials were observed in good repair and plentiful in all classrooms. Evidence of the posted lesson was observed in each classroom. The program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. A sampling of children’s files were monitored for completed health assessments and developmental screenings in the main office. All children were listed on the DPI form. Arrival and departure times were monitored. Staff were listed on the DPI form and trainings were monitored today. The facility used the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. Parent conferences were held quarterly. Class DoJo app was used to communicate with parents. In addition, a daily report was sent home to the parents which included any information about the child’s day and any reminders. Ms. Simmons stated the playground was not being used due to inadequate amounts of mulch underneath climbing structures. She stated children played in the field and each class took out gross motor materials. Playground inspections were completed by an individual with playground safety training. Fire and emergency drills were completed as required. The sanitation inspection was completed 9/25/25 and received a “Superior” classification. The last fire inspection was conducted 9/5/24. The program was operated by the Charlotte-Mecklenburg School District. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted 9/4/2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented for February in Space B13. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Ceiling tiles were damaged/water stained in Spaces B12 and B9. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlets did not have safety plugs in Spaces B12, B9, and B10. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Clorox wipes were stored in an unlocked closet in Space B12. Aerosol disinfectants were stored in an unlocked cabinet in Space B10. Clorox wipes were stored on top of a cabinet in Space B13. .2820(b) 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 (1) employee (C.E.) hired 8/18/25 did not have 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. One (1) employee (C.E) hired 8/18/25 did not have CPR training. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee (T.M.) hired 10/8/25 did not complete child maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee (C.O.)did not complete health and safety trainings within one year of employment. Trainings were due August 2024. .1102(a) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, March 4, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Another visit will be conducted in the near future to verify compliance with staff/child ratio requirements. Email the information to: jennifer.stansfield@dhhs.nc.gov Technical assistance: - Health and safety trainings are due every 5 years including child maltreatment. - I recommend creating a child file in each classroom that contains all required documents. I emailed the child file checklist today. - For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 2/18/2026 Number Present: 66 Completed Date: 2/18/2026 Age: From 4 To 5 Total Minutes: 365 Time In: 10:00 AM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with a Provisional license issued on January 29. 2026. The facility had an eighteen (18) month compliance history score of 73% prior to today’s visit. The last annual compliance visit was conducted 3/12/25. The April 2025 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I checked in at the school office and walked unaccompanied to B Hall. I met Ms. C. Simmons, Lead Teacher, and I explained the purpose of the visit. Ms. Mveng-Magana, Administrator, met with us briefly as well. We discussed the administrative action that was delivered on 2/5/26. Ms. Mveng-Magana was unaware of the action. The action was delivered to the address listed with DCDEE. I reviewed the action with both Ms. Magana and Ms. Simmons and Ms. Magana made a copy of the action today. I explained that the Provisional license and the administrative action must be posted where visible to parents. The facility operated five (5) NC Pre-K classrooms. All classrooms went to lunch after my arrival. I monitored each classroom unaccompanied while classes were in the cafeteria. All assigned teachers were present today and verified in the NC Pre-K plan. Materials were observed in good repair and plentiful in all classrooms. Evidence of the posted lesson was observed in each classroom. The program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. A sampling of children’s files were monitored for completed health assessments and developmental screenings in the main office. All children were listed on the DPI form. Arrival and departure times were monitored. Staff were listed on the DPI form and trainings were monitored today. The facility used the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. Parent conferences were held quarterly. Class DoJo app was used to communicate with parents. In addition, a daily report was sent home to the parents which included any information about the child’s day and any reminders. Ms. Simmons stated the playground was not being used due to inadequate amounts of mulch underneath climbing structures. She stated children played in the field and each class took out gross motor materials. Playground inspections were completed by an individual with playground safety training. Fire and emergency drills were completed as required. The sanitation inspection was completed 9/25/25 and received a “Superior” classification. The last fire inspection was conducted 9/5/24. The program was operated by the Charlotte-Mecklenburg School District. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted 9/4/2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented for February in Space B13. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Ceiling tiles were damaged/water stained in Spaces B12 and B9. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlets did not have safety plugs in Spaces B12, B9, and B10. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Clorox wipes were stored in an unlocked closet in Space B12. Aerosol disinfectants were stored in an unlocked cabinet in Space B10. Clorox wipes were stored on top of a cabinet in Space B13. .2820(b) 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 (1) employee (C.E.) hired 8/18/25 did not have 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. One (1) employee (C.E) hired 8/18/25 did not have CPR training. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee (T.M.) hired 10/8/25 did not complete child maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee (C.O.)did not complete health and safety trainings within one year of employment. Trainings were due August 2024. .1102(a) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, March 4, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Another visit will be conducted in the near future to verify compliance with staff/child ratio requirements. Email the information to: jennifer.stansfield@dhhs.nc.gov Technical assistance: - Health and safety trainings are due every 5 years including child maltreatment. - I recommend creating a child file in each classroom that contains all required documents. I emailed the child file checklist today. - For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. Contact me at Jennifer Stansfield, Child Care Consultant, jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan@dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 72 Completed Date: 12/16/2025 Age: From 4 To 5 Total Minutes: 217 Time In: 09:43 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance of applicable child care requirements during an Unannounced Follow-Up Visit. The last annual compliance visit was conducted on March 12, 2025. The center had a compliance history of 74% prior to today’s visit. The following was monitored using the April 2025 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Upon arrival I signed in at the main office and walked unaccompanied to the B Hall. I was greeted by Ms. C. Simmons, lead teacher, and I explained the purpose of the visit. Ms. Simmons stated she had not received a copy of the proposed administrative action and was unaware of the pending provisional permit. The school was closed for Thanksgiving on the attempted delivery date. A copy of the proposed action was provided and reviewed with Ms. Simmons and Ms. M. Mveng-Magana, administrator. I visited all five (5) classrooms today. It was reported that children were dispersed from Space B12 to each of the other four (4) classrooms. The permanently assigned Instructional Assistant (IA) for classroom B12, E. Alvarenga, was absent today leaving the classroom out of ratio until 9:00 am when children were dispersed. There were seventeen (17) children present with one (1) teacher until 9:00 am in B12. Children were observed participating in large group instructional time, free play activities, and in the hallway lining up to use the restrooms. Staff provided adequate supervision and developmentally appropriate interactions were observed. Two (2) new staff files were reviewed. One (1) teacher was listed on the DPI form and had the required forms on file for review as well as current CPR/First Aid training. The second teacher was not listed on the DPI form. I was able to verify a current CBC qualification in the ABCMS portal. While reviewing files I observed a teacher from classroom B13 walk across the hall to Space B10 to speak with the teacher. She left the lead teacher with nineteen (19) children when she walked across the hall. Four (4) violations were cited today. Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. One (1) new employee was not listed on the DPI form and did not have the required paperwork on file for review. G.S. 110-91( 9) 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. Two (2) teachers First Aid expired at the end of October 2025. .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. Two (2) teachers CPR training expired at the end of October 2025. .1102(d) 1775 NC Pre-K program staff/child ratios and group sizes were not met. Seventeen (17) children were present with one (1) teacher until 9:00 am when children were dispersed to other classrooms. I observed a teacher from classroom B13 walk across the hall to Space B10 to speak with that teacher. She left the lead teacher in B13 alone with nineteen (19) children when she walked across the hall. .3009 Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, January 6, 2026 due to the school closing for winter break beginning 12/19/25 and returning 1/5/26. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - It was explained that IA’s were assigned to morning drop-off and brought children to their assigned classrooms. I recommended adding a small white board outside of each classroom and listing the number of children present on the board each time a child arrived so staff would know when the classroom was at ratio. - Ratio must be maintained at all times. As soon as staff exit a classroom ratio for one (1) staff member must be maintained. I recommend taking enough children when possible with the staff member or calling for assistance. - Ms. Mveng-Magana stated she was going to respond to the proposed action and submit revised policies and procedures to DCDEE Licensing Enforcement. The response deadline is January 7, 2026. - All assigned staff and substitutes should be listed on the DPI form indicating CMS HR had all required pre-employment paperwork. All other forms should be available for DCDEE review including but not limited to staff emergency information, shaken baby and abusive head trauma policy, and trainings. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 72 Completed Date: 12/16/2025 Age: From 4 To 5 Total Minutes: 217 Time In: 09:43 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance of applicable child care requirements during an Unannounced Follow-Up Visit. The last annual compliance visit was conducted on March 12, 2025. The center had a compliance history of 74% prior to today’s visit. The following was monitored using the April 2025 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Upon arrival I signed in at the main office and walked unaccompanied to the B Hall. I was greeted by Ms. C. Simmons, lead teacher, and I explained the purpose of the visit. Ms. Simmons stated she had not received a copy of the proposed administrative action and was unaware of the pending provisional permit. The school was closed for Thanksgiving on the attempted delivery date. A copy of the proposed action was provided and reviewed with Ms. Simmons and Ms. M. Mveng-Magana, administrator. I visited all five (5) classrooms today. It was reported that children were dispersed from Space B12 to each of the other four (4) classrooms. The permanently assigned Instructional Assistant (IA) for classroom B12, E. Alvarenga, was absent today leaving the classroom out of ratio until 9:00 am when children were dispersed. There were seventeen (17) children present with one (1) teacher until 9:00 am in B12. Children were observed participating in large group instructional time, free play activities, and in the hallway lining up to use the restrooms. Staff provided adequate supervision and developmentally appropriate interactions were observed. Two (2) new staff files were reviewed. One (1) teacher was listed on the DPI form and had the required forms on file for review as well as current CPR/First Aid training. The second teacher was not listed on the DPI form. I was able to verify a current CBC qualification in the ABCMS portal. While reviewing files I observed a teacher from classroom B13 walk across the hall to Space B10 to speak with the teacher. She left the lead teacher with nineteen (19) children when she walked across the hall. Four (4) violations were cited today. Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. One (1) new employee was not listed on the DPI form and did not have the required paperwork on file for review. G.S. 110-91( 9) 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. Two (2) teachers First Aid expired at the end of October 2025. .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. Two (2) teachers CPR training expired at the end of October 2025. .1102(d) 1775 NC Pre-K program staff/child ratios and group sizes were not met. Seventeen (17) children were present with one (1) teacher until 9:00 am when children were dispersed to other classrooms. I observed a teacher from classroom B13 walk across the hall to Space B10 to speak with that teacher. She left the lead teacher in B13 alone with nineteen (19) children when she walked across the hall. .3009 Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, January 6, 2026 due to the school closing for winter break beginning 12/19/25 and returning 1/5/26. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - It was explained that IA’s were assigned to morning drop-off and brought children to their assigned classrooms. I recommended adding a small white board outside of each classroom and listing the number of children present on the board each time a child arrived so staff would know when the classroom was at ratio. - Ratio must be maintained at all times. As soon as staff exit a classroom ratio for one (1) staff member must be maintained. I recommend taking enough children when possible with the staff member or calling for assistance. - Ms. Mveng-Magana stated she was going to respond to the proposed action and submit revised policies and procedures to DCDEE Licensing Enforcement. The response deadline is January 7, 2026. - All assigned staff and substitutes should be listed on the DPI form indicating CMS HR had all required pre-employment paperwork. All other forms should be available for DCDEE review including but not limited to staff emergency information, shaken baby and abusive head trauma policy, and trainings. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 72 Completed Date: 12/16/2025 Age: From 4 To 5 Total Minutes: 217 Time In: 09:43 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance of applicable child care requirements during an Unannounced Follow-Up Visit. The last annual compliance visit was conducted on March 12, 2025. The center had a compliance history of 74% prior to today’s visit. The following was monitored using the April 2025 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Upon arrival I signed in at the main office and walked unaccompanied to the B Hall. I was greeted by Ms. C. Simmons, lead teacher, and I explained the purpose of the visit. Ms. Simmons stated she had not received a copy of the proposed administrative action and was unaware of the pending provisional permit. The school was closed for Thanksgiving on the attempted delivery date. A copy of the proposed action was provided and reviewed with Ms. Simmons and Ms. M. Mveng-Magana, administrator. I visited all five (5) classrooms today. It was reported that children were dispersed from Space B12 to each of the other four (4) classrooms. The permanently assigned Instructional Assistant (IA) for classroom B12, E. Alvarenga, was absent today leaving the classroom out of ratio until 9:00 am when children were dispersed. There were seventeen (17) children present with one (1) teacher until 9:00 am in B12. Children were observed participating in large group instructional time, free play activities, and in the hallway lining up to use the restrooms. Staff provided adequate supervision and developmentally appropriate interactions were observed. Two (2) new staff files were reviewed. One (1) teacher was listed on the DPI form and had the required forms on file for review as well as current CPR/First Aid training. The second teacher was not listed on the DPI form. I was able to verify a current CBC qualification in the ABCMS portal. While reviewing files I observed a teacher from classroom B13 walk across the hall to Space B10 to speak with the teacher. She left the lead teacher with nineteen (19) children when she walked across the hall. Four (4) violations were cited today. Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. One (1) new employee was not listed on the DPI form and did not have the required paperwork on file for review. G.S. 110-91( 9) 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. Two (2) teachers First Aid expired at the end of October 2025. .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. Two (2) teachers CPR training expired at the end of October 2025. .1102(d) 1775 NC Pre-K program staff/child ratios and group sizes were not met. Seventeen (17) children were present with one (1) teacher until 9:00 am when children were dispersed to other classrooms. I observed a teacher from classroom B13 walk across the hall to Space B10 to speak with that teacher. She left the lead teacher in B13 alone with nineteen (19) children when she walked across the hall. .3009 Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, January 6, 2026 due to the school closing for winter break beginning 12/19/25 and returning 1/5/26. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Jennifer Stansfield, Child Care Consultant Jennifer.stansfield@dhhs.nc.gov The emailed compliance letter must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/General Comments: - It was explained that IA’s were assigned to morning drop-off and brought children to their assigned classrooms. I recommended adding a small white board outside of each classroom and listing the number of children present on the board each time a child arrived so staff would know when the classroom was at ratio. - Ratio must be maintained at all times. As soon as staff exit a classroom ratio for one (1) staff member must be maintained. I recommend taking enough children when possible with the staff member or calling for assistance. - Ms. Mveng-Magana stated she was going to respond to the proposed action and submit revised policies and procedures to DCDEE Licensing Enforcement. The response deadline is January 7, 2026. - All assigned staff and substitutes should be listed on the DPI form indicating CMS HR had all required pre-employment paperwork. All other forms should be available for DCDEE review including but not limited to staff emergency information, shaken baby and abusive head trauma policy, and trainings. Thank you for your time today. Please contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 51 Completed Date: 10/1/2025 Age: From 4 To 5 Total Minutes: 160 Time In: 10:00 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Four Star Rated License issued June 19, 2019. The license and NC child care law summary were posted. The following was monitored using the April 2025 Master Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I signed in at the main office and walked unaccompanied to B-Hall. Today was an early release for Charlotte-Mecklenburg Schools. I was greeted by Ms. C. Simmons, Lead Teacher, and explained the purpose of the visit. I visited five (5) classrooms. All classrooms were observed meeting staff/child ratio requirements and adequate supervision met compliance. Children were observed eating lunch in their classrooms today. I observed a child in Space B11 eating whole grapes. Even though the child was four years old, I recommended the teacher check lunches as they were served for potential choking hazards to ensure adequate supervision was provided during lunch. Classrooms were organized and materials were observed in good repair. Teachers were engaged with children as they ate. Emergency medications were monitored. It was explained that medications were stored in the nurses office and that the nurse was onsite five days/week. I monitored medications with the nurse today and explained DCDEE medication requirements. We discussed NC Pre-K staff obtaining emergency medication administration certification with Ms. M. Magana, Dean of Students, to keep medications in the classrooms instead of the office. The nurse explained that the principal would be required to register staff for the training and then she would be able to certify staff after training. Ms. Magana stated she would work with the principal on registering staff for the next teacher workday. A substitute teacher was present in Space B12. Ms. Cassaundra Cooper did not have a DCDEE criminal background check completed per information reviewed in the ABCMS portal. She may not be used as a substitute in NC PreK until she receives her CBC qualification letter. The program was operated by CMS Pre-K Department as listed on the permit. The last sanitation inspection was 9/25/25 and received a Superior rating. Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. One (1) substitute, C. Cooper, in Space B12 did not have a completed DCDEE CBC background check completed. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) substitute, C. Cooper, in Space B12 was not listed on the DPI form and did not have a DCDEE CBC background check onsite for review. G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child with a chronic condition did not have a completed medical action plan onsite for review. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child's medical action plan contained dosage information that conflicted with the prescription. The medical action plan indicated .15 mg for dosage and the prescription on the medication indicated .3 mg. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One (1) child with medication for a chronic condition did not have authorization completed for the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, October 15, 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 will be conducted. Email the information to Jennifer.stansfield@dhhs.nc.gov The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments/Technical Assistance: - I recommend creating a list of approved substitutes for NC PreK who meet DCDEE requirements. - I am forwarding DCDEE medical action plans and medication permission forms to the school nurse in order for her to keep up to date information on children with medications. An administrative action was recommended in May 2025 and held due to school being out for summer break. The facility’s compliance history is 73% after today’s visit. The administrative action will be resubmitted due to the compliance history falling below 75% and repeated violations regarding criminal background check qualifications. - For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 51 Completed Date: 10/1/2025 Age: From 4 To 5 Total Minutes: 160 Time In: 10:00 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Four Star Rated License issued June 19, 2019. The license and NC child care law summary were posted. The following was monitored using the April 2025 Master Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I signed in at the main office and walked unaccompanied to B-Hall. Today was an early release for Charlotte-Mecklenburg Schools. I was greeted by Ms. C. Simmons, Lead Teacher, and explained the purpose of the visit. I visited five (5) classrooms. All classrooms were observed meeting staff/child ratio requirements and adequate supervision met compliance. Children were observed eating lunch in their classrooms today. I observed a child in Space B11 eating whole grapes. Even though the child was four years old, I recommended the teacher check lunches as they were served for potential choking hazards to ensure adequate supervision was provided during lunch. Classrooms were organized and materials were observed in good repair. Teachers were engaged with children as they ate. Emergency medications were monitored. It was explained that medications were stored in the nurses office and that the nurse was onsite five days/week. I monitored medications with the nurse today and explained DCDEE medication requirements. We discussed NC Pre-K staff obtaining emergency medication administration certification with Ms. M. Magana, Dean of Students, to keep medications in the classrooms instead of the office. The nurse explained that the principal would be required to register staff for the training and then she would be able to certify staff after training. Ms. Magana stated she would work with the principal on registering staff for the next teacher workday. A substitute teacher was present in Space B12. Ms. Cassaundra Cooper did not have a DCDEE criminal background check completed per information reviewed in the ABCMS portal. She may not be used as a substitute in NC PreK until she receives her CBC qualification letter. The program was operated by CMS Pre-K Department as listed on the permit. The last sanitation inspection was 9/25/25 and received a Superior rating. Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. One (1) substitute, C. Cooper, in Space B12 did not have a completed DCDEE CBC background check completed. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) substitute, C. Cooper, in Space B12 was not listed on the DPI form and did not have a DCDEE CBC background check onsite for review. G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child with a chronic condition did not have a completed medical action plan onsite for review. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child's medical action plan contained dosage information that conflicted with the prescription. The medical action plan indicated .15 mg for dosage and the prescription on the medication indicated .3 mg. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One (1) child with medication for a chronic condition did not have authorization completed for the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, October 15, 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 will be conducted. Email the information to Jennifer.stansfield@dhhs.nc.gov The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. General Comments/Technical Assistance: - I recommend creating a list of approved substitutes for NC PreK who meet DCDEE requirements. - I am forwarding DCDEE medical action plans and medication permission forms to the school nurse in order for her to keep up to date information on children with medications. An administrative action was recommended in May 2025 and held due to school being out for summer break. The facility’s compliance history is 73% after today’s visit. The administrative action will be resubmitted due to the compliance history falling below 75% and repeated violations regarding criminal background check qualifications. - For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/13/2025 Number Present: 81 Completed Date: 5/13/2025 Age: From 4 To 5 Total Minutes: 70 Time In: 10:50 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an unannounced follow-up visit to verify correction of violations cited during follow-up visits conducted on 4/2/25, 4/25/25, and 5/6/25 when NC Pre-K staff/child ratios was cited. Upon arrival I checked in at the main office and walked unaccompanied to B-hall. I observed a substitute teacher in the hallway outside of Space B9 standing between child restrooms. I walked into Space B9 and observed one (1) teacher present with fourteen (14) children. The assistant teacher stated she understood they were out of ratio. I explained that the substitute should have taken enough students with her in the hallway to maintain ratio with one (1) teacher. I visited five (5) classrooms. Classes were preparing to go to cafeteria for lunch. A permanent substitute was placed in Space 10 per the correction letter received on 5/12/25. She was observed in the classroom today. Four (4) classrooms were observed meeting staff/child ratio requirements today. One (1) classroom was observed out of compliance. The following violations were observed corrected: Item #1044 regarding expired CBC qualification letter. Per the correction letter, the Instructional Assistant, L.G. who had an expired qualification letter was not going to be placed in NC Pre-K until she had a current letter. Two (2) substitutes were present today and each had valid qualification letters. The following violation was not corrected but an extension was granted until Tuesday, May 20, 2025 was granted. Item # 1882 regarding medication authorization. Per the correction letter a new authorization letter was sent home for renewal on 5/6/25. The following was a repeat violation: Item #1775 regarding NC Pre-K staff/child ratios. Space B9 was out of ratio. One (1) teacher was present with fourteen (14) children. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A child from Space B13 walked unaccompanied to the restroom located in the hallway. The teacher was observed standing in the threshold of her classroom looking down the hall towards the restrooms. .1801(a)(1-5) 1775 NC Pre-K program staff/child ratios and group sizes were not met. Fourteen (14) children were present with one (1) teacher in Space B9. Repeat violation .3009 Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Tuesday, May 27, 2025 to the email address listed below. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Rule Clarification: 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. The rule was revised in 2023 to state E. Staff-to-Child Ratio and Class Size *REVISED* The classroom shall not exceed a maximum staff-to-child ratio of one to 10 with a maximum class size of 20 children, with at least one teacher and one teacher assistant per classroom. A classroom of 10 children or less shall have at least one teacher. This has not been updated in rule. As a licensed program, all child care requirements must be followed. New staff and substitute staff should be trained in staff/child ratio requirements prior to being placed in NC Pre-K. One way to maintain ratio requirements is for staff to take enough children with them to the restroom or other areas of the school to allow for the 1:10 ratio requirement. Veteran staff should communicate ratio requirements with new staff and substitutes to remind them of the rule prior to leaving the classroom. If only one (1) teacher is available for the day children can be dispersed to other NC Pre-K classrooms to maintain ratio. However, the maximum group size for each classroom must also be maintained. The maximum group size is twenty (20) children. Ideally, children should remain with their assigned teachers. I recommend creating a pool of substitutes who are trained on NC Pre-K requirements for CMS sites to prevent repeat violations. These substitutes should also meet CBC qualification requirements. Another unannounced visit will be made in the near future to verify compliance with NC Pre-K ratio requirements. The 1:10 ratio requirement was discussed with Ms. Jackson, Lead Teacher, today. As I was leaving the visit after reviewing the visit summary with Ms. Jackson, I observed a teacher from Space B13 standing in the threshold of her classroom looking down the hall towards the restrooms. I asked if she had children at the restroom. She stated yes and that she did not want to leave the classroom out of ratio. I explained that she had to accompany children to the restroom to provide adequate supervision and that next time she should take the number of children with her to maintain compliance with one (1) teacher. Ms. Jackson was standing in the hallway and heard my conversation with the teacher. The violation was added to the visit summary upon return to the office. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. The teacher was unable to see or hear the child in the restroom from where she was standing. The teacher was too far from the child to render immediate assistance if needed. Best practice would be for staff to check the restroom prior to children using it to ensure that restroom is safe. Thank you for your time today. Please contact me with any questions at Jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .3009 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/13/2025 Number Present: 81 Completed Date: 5/13/2025 Age: From 4 To 5 Total Minutes: 70 Time In: 10:50 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an unannounced follow-up visit to verify correction of violations cited during follow-up visits conducted on 4/2/25, 4/25/25, and 5/6/25 when NC Pre-K staff/child ratios was cited. Upon arrival I checked in at the main office and walked unaccompanied to B-hall. I observed a substitute teacher in the hallway outside of Space B9 standing between child restrooms. I walked into Space B9 and observed one (1) teacher present with fourteen (14) children. The assistant teacher stated she understood they were out of ratio. I explained that the substitute should have taken enough students with her in the hallway to maintain ratio with one (1) teacher. I visited five (5) classrooms. Classes were preparing to go to cafeteria for lunch. A permanent substitute was placed in Space 10 per the correction letter received on 5/12/25. She was observed in the classroom today. Four (4) classrooms were observed meeting staff/child ratio requirements today. One (1) classroom was observed out of compliance. The following violations were observed corrected: Item #1044 regarding expired CBC qualification letter. Per the correction letter, the Instructional Assistant, L.G. who had an expired qualification letter was not going to be placed in NC Pre-K until she had a current letter. Two (2) substitutes were present today and each had valid qualification letters. The following violation was not corrected but an extension was granted until Tuesday, May 20, 2025 was granted. Item # 1882 regarding medication authorization. Per the correction letter a new authorization letter was sent home for renewal on 5/6/25. The following was a repeat violation: Item #1775 regarding NC Pre-K staff/child ratios. Space B9 was out of ratio. One (1) teacher was present with fourteen (14) children. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A child from Space B13 walked unaccompanied to the restroom located in the hallway. The teacher was observed standing in the threshold of her classroom looking down the hall towards the restrooms. .1801(a)(1-5) 1775 NC Pre-K program staff/child ratios and group sizes were not met. Fourteen (14) children were present with one (1) teacher in Space B9. Repeat violation .3009 Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Tuesday, May 27, 2025 to the email address listed below. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Rule Clarification: 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. The rule was revised in 2023 to state E. Staff-to-Child Ratio and Class Size *REVISED* The classroom shall not exceed a maximum staff-to-child ratio of one to 10 with a maximum class size of 20 children, with at least one teacher and one teacher assistant per classroom. A classroom of 10 children or less shall have at least one teacher. This has not been updated in rule. As a licensed program, all child care requirements must be followed. New staff and substitute staff should be trained in staff/child ratio requirements prior to being placed in NC Pre-K. One way to maintain ratio requirements is for staff to take enough children with them to the restroom or other areas of the school to allow for the 1:10 ratio requirement. Veteran staff should communicate ratio requirements with new staff and substitutes to remind them of the rule prior to leaving the classroom. If only one (1) teacher is available for the day children can be dispersed to other NC Pre-K classrooms to maintain ratio. However, the maximum group size for each classroom must also be maintained. The maximum group size is twenty (20) children. Ideally, children should remain with their assigned teachers. I recommend creating a pool of substitutes who are trained on NC Pre-K requirements for CMS sites to prevent repeat violations. These substitutes should also meet CBC qualification requirements. Another unannounced visit will be made in the near future to verify compliance with NC Pre-K ratio requirements. The 1:10 ratio requirement was discussed with Ms. Jackson, Lead Teacher, today. As I was leaving the visit after reviewing the visit summary with Ms. Jackson, I observed a teacher from Space B13 standing in the threshold of her classroom looking down the hall towards the restrooms. I asked if she had children at the restroom. She stated yes and that she did not want to leave the classroom out of ratio. I explained that she had to accompany children to the restroom to provide adequate supervision and that next time she should take the number of children with her to maintain compliance with one (1) teacher. Ms. Jackson was standing in the hallway and heard my conversation with the teacher. The violation was added to the visit summary upon return to the office. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. The teacher was unable to see or hear the child in the restroom from where she was standing. The teacher was too far from the child to render immediate assistance if needed. Best practice would be for staff to check the restroom prior to children using it to ensure that restroom is safe. Thank you for your time today. Please contact me with any questions at Jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/6/2025 Number Present: 81 Completed Date: 5/6/2025 Age: From 4 To 5 Total Minutes: 109 Time In: 10:26 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an unannounced follow-up visit to verify correction of violations cited during the annual compliance and annual compliance follow-up visits conducted on 3/12/25, 4/2/25, and 4/25/25. Upon arrival I checked in at the main office and walked unaccompanied to B-hall. I visited five (5) classrooms and reviewed emergency medication permissions in the nurses office. The following violations were observed corrected: Item #125 regarding daily arrival/departure times. Classes documented arrival and departure times as they occurred. Item #325 regarding positive staff/child interactions. All teachers were observed interacting positively with children and providing a nurturing learning environment. Item #840 regarding hazardous product storage. No hazardous products were observed accessible to children. The following were repeat violations: Item #1775 regarding NC Pre-K staff/child ratios. One (1) teacher was present with fifteen (15) children in Space B10. She reported the assigned substitute, L. Goe, stepped out of the classroom to get her lunch to take to the cafeteria with the children. I explained that anytime a teacher leaves the classroom, ratio must be maintained. Item #1882 regarding medication authorization. The medication authorization for a child with a diagnosed chronic condition expired 2/25/25. Child Care Rule 10A NCAC 09 .0803(6) was outlined in the 4/25/25 visit and discussed with staff during prior visits. I spoke with the school nurse during the visit and explained the requirement. She stated CMS medication forms were valid 12 months. I showed her the requirement and explained that because NC Pre-K was a licensed program they were required to follow DCDEE rules. I recommended that NC Pre-K staff maintain DCDEE required paperwork and renewals in the classroom. Two (2) repeat violations were cited and one (1) new violation was cited regarding valid CBC qualification letters. The correction letter for the visit conducted on 4/25/25 was received 5/1/25 stating a deadline of 5/9/25 was given to parents whose children were missing the dental screening. The violation was not cited again today. Confirmation of the dental screening should be sent to me once completed. Violation Number Comment Rule 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). The assigned substitute in Space B10, L.G., had an expired CBC qualification. The qualification expired 10/10/24. G.S. 110-90.2(b) & .2703(n)&(o) 1775 NC Pre-K program staff/child ratios and group sizes were not met. Fifteen (15) children were present with one (1) teacher in Space B10. Repeat violation .3009 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication permission for a chronic condition expired 2/25/25. Repeat violation .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Tuesday, May 20, 2025 to the email address listed below understanding the letter of compliance should be delivered not submitted by the due date. A follow-up visit will be conducted in the near future to monitor compliance with staff/child ratio. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance/General Comments: - During the visit the assistant teacher in Space B10 walked to the door to look for the substitute. I asked her to stop and to not leave the room. We discussed that if she stepped into the hallway she would be leaving the class unsupervised. She stated she would step outside briefly and that the substitute had not been out of the room very long. I explained that the amount of time a teacher was not in the room did not matter and that 30 seconds was the same as 60 minutes when maintaining ratio. Staff/child ratio must be maintained at all times. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/6/2025 Number Present: 81 Completed Date: 5/6/2025 Age: From 4 To 5 Total Minutes: 109 Time In: 10:26 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an unannounced follow-up visit to verify correction of violations cited during the annual compliance and annual compliance follow-up visits conducted on 3/12/25, 4/2/25, and 4/25/25. Upon arrival I checked in at the main office and walked unaccompanied to B-hall. I visited five (5) classrooms and reviewed emergency medication permissions in the nurses office. The following violations were observed corrected: Item #125 regarding daily arrival/departure times. Classes documented arrival and departure times as they occurred. Item #325 regarding positive staff/child interactions. All teachers were observed interacting positively with children and providing a nurturing learning environment. Item #840 regarding hazardous product storage. No hazardous products were observed accessible to children. The following were repeat violations: Item #1775 regarding NC Pre-K staff/child ratios. One (1) teacher was present with fifteen (15) children in Space B10. She reported the assigned substitute, L. Goe, stepped out of the classroom to get her lunch to take to the cafeteria with the children. I explained that anytime a teacher leaves the classroom, ratio must be maintained. Item #1882 regarding medication authorization. The medication authorization for a child with a diagnosed chronic condition expired 2/25/25. Child Care Rule 10A NCAC 09 .0803(6) was outlined in the 4/25/25 visit and discussed with staff during prior visits. I spoke with the school nurse during the visit and explained the requirement. She stated CMS medication forms were valid 12 months. I showed her the requirement and explained that because NC Pre-K was a licensed program they were required to follow DCDEE rules. I recommended that NC Pre-K staff maintain DCDEE required paperwork and renewals in the classroom. Two (2) repeat violations were cited and one (1) new violation was cited regarding valid CBC qualification letters. The correction letter for the visit conducted on 4/25/25 was received 5/1/25 stating a deadline of 5/9/25 was given to parents whose children were missing the dental screening. The violation was not cited again today. Confirmation of the dental screening should be sent to me once completed. Violation Number Comment Rule 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). The assigned substitute in Space B10, L.G., had an expired CBC qualification. The qualification expired 10/10/24. G.S. 110-90.2(b) & .2703(n)&(o) 1775 NC Pre-K program staff/child ratios and group sizes were not met. Fifteen (15) children were present with one (1) teacher in Space B10. Repeat violation .3009 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication permission for a chronic condition expired 2/25/25. Repeat violation .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Tuesday, May 20, 2025 to the email address listed below understanding the letter of compliance should be delivered not submitted by the due date. A follow-up visit will be conducted in the near future to monitor compliance with staff/child ratio. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance/General Comments: - During the visit the assistant teacher in Space B10 walked to the door to look for the substitute. I asked her to stop and to not leave the room. We discussed that if she stepped into the hallway she would be leaving the class unsupervised. She stated she would step outside briefly and that the substitute had not been out of the room very long. I explained that the amount of time a teacher was not in the room did not matter and that 30 seconds was the same as 60 minutes when maintaining ratio. Staff/child ratio must be maintained at all times. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/25/2025 Number Present: 59 Completed Date: 4/25/2025 Age: From 4 To 5 Total Minutes: 187 Time In: 10:08 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an unannounced follow-up visit to verify correction of violations cited during the annual compliance and annual compliance follow-up visits conducted on 3/12/25 and 4/2/25 when staff interaction was cited. Upon arrival I checked in at the main office and walked unaccompanied to B-hall. I visited five (5) classrooms and reviewed emergency medication permissions in the nurses office. I met with Michelle Kennedy, NC Pre-K Literacy Coach, during the visit. The following violations were observed corrected: Item #1315 regarding storage of medication for a chronic condition. Because the medical action plan indicated the chronic condition was “intermittent” the program stated the medication would remain stored in the nurse’s office. The procedure for administering the medication is staff would call the nurse’s office and if the nurse was not available they would call Ms. Covington and the main office to administer the medication. The facility stated that would be the plan for the remainder of the 2024-25 school year, but the program was discussing if next year medications for chronic conditions would be stored inside the classroom. Item #1320 (repeat violation 4/2/25) regarding child medical assessments. Missing medical assessments were completed and filed per Ms. Kennedy. Item #1767 (repeat violation 4/2/25) regarding required child vision screening. Missing vision screenings were completed and filed per Ms. Kennedy. Item #1768 (repeat violation 4/2/25) regarding required child hearing screening. Missing hearing screenings were completed and filed per Ms. Kennedy. Item #124 regarding staff records for review. All staff who were present today were listed on the DPI form as teachers and/or substitutes. Item #1041 regarding completed CBC qualification. All staff present today were listed on the DPI form indicating valid CBC qualifications were received by HR. Item #1757 regarding CBC qualification letter on file for review. All staff present today were listed on the DPI form indicating the qualification letter was on file with HR. The following violation was granted a two (2) week extension. Item #1769 (repeat violation 4/2/25) regarding required child dental screening. The program contacted a mobile dental bus to come to the school and conduct the screening. They are waiting for confirmation of the screening date. The following violations were repeat violations: Item #1775 regarding staff/child ratio. A teacher was observed returning to her classroom from the restroom and one (1) teacher was observed supervising eighteen (18) children in Space B11. Item #1882 (repeat violation 4/2/25) regarding medication authorization. The medication authorization was completed on a CMS form that included the action plan. The CMS form stated valid for 12 months. I explained that per DCDEE requirements, medical action plans were valid 12 months and medication authorizations were valid for 6 months. I recommended using DCDEE forms as the requirement was clearly stated at the top of the medication authorization. If the program continues to use the combination CMS medical action plan and medication authorization form it would need to be completed again every 6 months to meet DCDEE requirements. Item #125 regarding children’s arrival/departure times and was corrected during the visit. Two (2) classrooms (B9, B10) did not document child arrival times today. One (1) classroom (B13) documented arrival times for today but no times were documented for Monday – Thursday of this week. I reminded staff that arrival times should be documented as children arrive to the classroom for care and that times would vary for children. Item #325 (repeat violation 4/2/25) regarding staff interactions. A substitute teacher was observed supervising children at the restroom. I observed her use an inappropriate tone with children. I heard her say “Walk”, “Stand next to me”, and “I didn’t ask you” in harsh tone and used an elevated volume. Inappropriate staff interactions was observed by an Instructional Assistant substitute on 3/12/25 and 4/2/25. Children were observed participating in large group activities and preparing to go to lunch. Adequate supervision was observed. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Two (2) classrooms (B9, B10) did not document child arrival times today. One (1) classroom (B13) documented arrival times for today but no times were documented for Monday – Thursday of this week. 10A NCAC 09 .0302(d)(4) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A substitute teacher was observed supervising children at the restroom. I observed her use an inappropriate tone with children. I heard her say “Walk”, “Stand next to me”, and “I didn’t ask you” in harsh tone and used an elevated volume. Repeat violation .1802 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An aerosol can of Lysol was observed stored on a top of a cabinet in Space B9. .2820(b) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A teacher was observed returning to her classroom from the restroom and one (1) teacher was observed supervising eighteen (18) children in Space B11. Repeat violation .3009 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication permission for a chronic condition expired 2/25/25. Repeat violation. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Friday, May 9, 2025 to the email address listed below. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Another unannounced monitoring visit will be required in the near future to verify compliance with staff/child ratio and staff interactions. Rule Clarification: 10A NCAC 09 .0803(6) ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: the child's name; the subject medical conditions or allergic reactions; the names of the authorized over-the-counter medications; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than six months. Thank you for your time today. Please contact me with any questions at Jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/25/2025 Number Present: 59 Completed Date: 4/25/2025 Age: From 4 To 5 Total Minutes: 187 Time In: 10:08 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an unannounced follow-up visit to verify correction of violations cited during the annual compliance and annual compliance follow-up visits conducted on 3/12/25 and 4/2/25 when staff interaction was cited. Upon arrival I checked in at the main office and walked unaccompanied to B-hall. I visited five (5) classrooms and reviewed emergency medication permissions in the nurses office. I met with Michelle Kennedy, NC Pre-K Literacy Coach, during the visit. The following violations were observed corrected: Item #1315 regarding storage of medication for a chronic condition. Because the medical action plan indicated the chronic condition was “intermittent” the program stated the medication would remain stored in the nurse’s office. The procedure for administering the medication is staff would call the nurse’s office and if the nurse was not available they would call Ms. Covington and the main office to administer the medication. The facility stated that would be the plan for the remainder of the 2024-25 school year, but the program was discussing if next year medications for chronic conditions would be stored inside the classroom. Item #1320 (repeat violation 4/2/25) regarding child medical assessments. Missing medical assessments were completed and filed per Ms. Kennedy. Item #1767 (repeat violation 4/2/25) regarding required child vision screening. Missing vision screenings were completed and filed per Ms. Kennedy. Item #1768 (repeat violation 4/2/25) regarding required child hearing screening. Missing hearing screenings were completed and filed per Ms. Kennedy. Item #124 regarding staff records for review. All staff who were present today were listed on the DPI form as teachers and/or substitutes. Item #1041 regarding completed CBC qualification. All staff present today were listed on the DPI form indicating valid CBC qualifications were received by HR. Item #1757 regarding CBC qualification letter on file for review. All staff present today were listed on the DPI form indicating the qualification letter was on file with HR. The following violation was granted a two (2) week extension. Item #1769 (repeat violation 4/2/25) regarding required child dental screening. The program contacted a mobile dental bus to come to the school and conduct the screening. They are waiting for confirmation of the screening date. The following violations were repeat violations: Item #1775 regarding staff/child ratio. A teacher was observed returning to her classroom from the restroom and one (1) teacher was observed supervising eighteen (18) children in Space B11. Item #1882 (repeat violation 4/2/25) regarding medication authorization. The medication authorization was completed on a CMS form that included the action plan. The CMS form stated valid for 12 months. I explained that per DCDEE requirements, medical action plans were valid 12 months and medication authorizations were valid for 6 months. I recommended using DCDEE forms as the requirement was clearly stated at the top of the medication authorization. If the program continues to use the combination CMS medical action plan and medication authorization form it would need to be completed again every 6 months to meet DCDEE requirements. Item #125 regarding children’s arrival/departure times and was corrected during the visit. Two (2) classrooms (B9, B10) did not document child arrival times today. One (1) classroom (B13) documented arrival times for today but no times were documented for Monday – Thursday of this week. I reminded staff that arrival times should be documented as children arrive to the classroom for care and that times would vary for children. Item #325 (repeat violation 4/2/25) regarding staff interactions. A substitute teacher was observed supervising children at the restroom. I observed her use an inappropriate tone with children. I heard her say “Walk”, “Stand next to me”, and “I didn’t ask you” in harsh tone and used an elevated volume. Inappropriate staff interactions was observed by an Instructional Assistant substitute on 3/12/25 and 4/2/25. Children were observed participating in large group activities and preparing to go to lunch. Adequate supervision was observed. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Two (2) classrooms (B9, B10) did not document child arrival times today. One (1) classroom (B13) documented arrival times for today but no times were documented for Monday – Thursday of this week. 10A NCAC 09 .0302(d)(4) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A substitute teacher was observed supervising children at the restroom. I observed her use an inappropriate tone with children. I heard her say “Walk”, “Stand next to me”, and “I didn’t ask you” in harsh tone and used an elevated volume. Repeat violation .1802 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An aerosol can of Lysol was observed stored on a top of a cabinet in Space B9. .2820(b) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A teacher was observed returning to her classroom from the restroom and one (1) teacher was observed supervising eighteen (18) children in Space B11. Repeat violation .3009 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication permission for a chronic condition expired 2/25/25. Repeat violation. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Friday, May 9, 2025 to the email address listed below. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Another unannounced monitoring visit will be required in the near future to verify compliance with staff/child ratio and staff interactions. Rule Clarification: 10A NCAC 09 .0803(6) ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: the child's name; the subject medical conditions or allergic reactions; the names of the authorized over-the-counter medications; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than six months. Thank you for your time today. Please contact me with any questions at Jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 79 Completed Date: 4/2/2025 Age: From 4 To 5 Total Minutes: 186 Time In: 10:24 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an unannounced annual compliance follow-up visit to verify correction of violations cited during the annual compliance visit conducted on 3/12/25 when staff interaction was cited. Upon arrival I signed in at the main office and walked unaccompanied to B-hall. Charlotte-Mecklenburg Schools (CMS) had an early release day today. NC Pre-K classrooms were observed eating lunch in their classrooms. I arrived to Space B9 where I was informed three (3) teachers were absent today. I asked if each had a substitute and the teacher stated she believed each was replaced with a substitute from the elementary school. I observed a substitute in Space B9 and B13. A substitute was not assigned to Space B12. There were sixteen (16) children present with one (1) teacher. I walked to Space B13 where I observed one (1) teacher present with seventeen (17) children. The teacher assistant stated the substitute stepped out to go to the restroom. I asked what the procedure was for caring for staff personal care routines. The teacher stated she was not aware of a procedure for maintaining ratio when a teacher needed to leave the classroom. I observed a teacher from Space B11 walking nine (9) children to the restroom and eight (8) children present with one (1) teacher in Space B11. The following violations were repeat violations: Item #’s 1767, 1768, and1769, 1320 regarding child health screenings. The response letter received 3/24/25 from Ms. C. Simmons, lead teacher, stated for each of these violations “the nurse sent home a letter regarding missing health information in January. The principal chose not to exclude children at this school for missing health assessments. Free community resource was shared to families on 3/24/25.” The DCDEE does not encourage excluding children from care for missing paperwork. However, the expectation is all required paperwork be completed and on file for review. The program should develop a plan of how missing paperwork will be collected. I recommended they contact Ms. Jennifer Griffith, DCDEE NC Pre-K Program Policy Consultant, at Jennifer.griffith@dhhs.nc.gov or 919-609-6921 to discuss a plan for compliance with required health assessments. Item #124 regarding staff records. A substitute was present in Space B9 and was not listed on the DPI form. Item #125 regarding arrival and departure times. Arrival and departure times were not documented in Spaces B10 and B13. The response letter indicated the arrival/departure notebook was clearly labeled and prominently displayed near classroom doors. The teacher assistant and substitute in Space B13 stated they did not know where arrival/departure times were documented. The teacher in Space B10 stated she needed to make blank copies of her forms. Item #1882 regarding medication authorization. The response letter stated the expiration on the authorization form was corrected. I observed the authorization dated 8/25/24. The authorization is valid for 6 months and should have been updated 2/25/25. The program needs to develop a plan for updating medication authorizations every 6 months. Item #325 regarding staff interactions with children. A teacher was heard yelling down the hallway telling children “that’s enough, stop playing and get in line” in tone and volume that was not positive or respectful. I addressed the inappropriate interaction with the teacher and gave an example of how to address children respectfully without yelling or commanding a response. The following violation was granted a two (2) week extension: Item #1898 regarding health and safety trainings. The following violations were verified corrected: Item #1035 regarding staff emergency information. Item #1897 regarding child maltreatment training. The following violation was not cited again after a discussion with Michele Sullivan, licensing supervisor, and required additional information: Item # 1315 regarding storage of medication for chronic conditions. The correction letter received 3/24/25 from Ms. Simmons stated the school nurse indicated “the child has an intermediate condition, not chronic, and therefore the appropriate storage is in the nurses’ office.” Child Care Rule 10A NCAC 09 .0801(b) states allergies and asthma are considered chronic conditions and require a completed medical action plan with instructions on how medications would be administered on an emergency basis. I asked what the procedure was for administering medication if the child was experiencing respiratory distress and the teacher in B10 stated she would call the nurses office to administer the medication. The nurse’s schedule was observed posted on the health room door. Days a nurse was scheduled to be onsite were Tuesday and Thursday for the week of 4/1/25 – 4/4/25 and 4/21/25 – 4/25/25. Monday, Tuesday, and Thursday for the week of 4/7/25 – 4/11/25 and Monday and Tuesday for the week of 4/28/25 – 4/30/25. I asked what the plan was for days a nurse was not onsite. The teacher stated they called Ms. Covington in the main office and she did not know who to call after that if Ms. Covington was not available. The program needs to submit a plan of care to include procedures for ensuring a child’s emergency medication was given in the event of respiratory distress if program chooses to maintain medication for chronic conditions determined to be “intermittent” in the nurse’s office. The violation will remain open until the plan is submitted. I reviewed the ABCMS system to verify if Ms. Rebecca Kimbrough, substitute teacher in Space B9, had a qualification letter. There was no record of a DCDEE criminal background check for Ms. Kimbrough. She may not care for children in the licensed NC Pre-K until a valid qualification letter has been received. Eight (8) repeat violations and two (2) new violations were documented. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A substitute was present in Space B9 and was not listed on the DPI form. Repeat violation G.S. 110-91(9); .0304(g); .2318 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented in Spaces B10 and B13. The teacher assistant and substitute in Space B13 stated they did not know where arrival/departure times were documented. The teacher in Space B10 stated she needed to make blank copies of her forms. Repeat violation 10A NCAC 09 .0302(d)(4) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher was heard yelling down the hallway telling children “that’s enough, stop playing and get in line” in tone and volume that was not positive or respectful. Repeat violation .1802 1041 Prior to employment a Criminal Background Check was not completed. A substitute, R. Kimbrough, did not complete a criminal background check prior to caring for children in licensed care. G.S. 110-90.2(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did not have a medical assessment on file. Repeat violation. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute, R. Kimbrough, was not listed on the DPI staff form indicating a valid qualification letter was on file in the Charlotte-Mecklenburg School HR office. G.S. 110-90.2(b) & (d) & .2703(e) 1767 The health assessment did not include a vision screening. One (1) child did not have a vision screening on file. Repeat violation. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. One (1) child did not have a hearing screening on file. Repeat violation .3005 (a)(4) 1769 The health assessment did not include a dental screening. Eight (8) children did not have a dental screening on file. Repeat violation .3005 (a)(5) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A substitute was not assigned to Space B12. There were sixteen (16) children present with one (1) teacher. In Space B13 I observed one (1) teacher present with seventeen (17) children. The teacher assistant stated the substitute had just stepped out of the classroom. .3009 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for a chronic condition expired 2/25/25. Repeat violation. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, April 16, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/Rule Clarification: - All staff should know where required DCDEE forms are located in the classroom in case of staff absences. - Medical Action Plans are valid for 12 months and medication authorizations are valid for 6 months. I recommend using a separate form for medication authorization to easily track expiration dates. I recommend using the form located on the DCDEE website under provider documents. The form clearly states the permission/authorization is valid for 6 months. - I recommend coaching substitute staff on appropriate tones to use when addressing young children. The following rule clarifies what is considered a chronic condition and what should be on file to treat the chronic condition. Emergency medications should be available immediately and a plan in place for how and who will access the emergency medication. Time is of the essence when treating a child in respiratory distress. Child Care Rule 10A NCAC 09 .0801(b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Ms. Simmons was not present today to discuss the discrepancies in the response letter and observations during today’s visit. It will be discussed during the follow-up visit. All NC Pre-K teachers left today after early dismissal and I was unable to get a signature on the visit summary. I will return tomorrow, 4/3/25 to get a signed copy and review the visit summary. Please contact me at Jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0801 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 79 Completed Date: 4/2/2025 Age: From 4 To 5 Total Minutes: 186 Time In: 10:24 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an unannounced annual compliance follow-up visit to verify correction of violations cited during the annual compliance visit conducted on 3/12/25 when staff interaction was cited. Upon arrival I signed in at the main office and walked unaccompanied to B-hall. Charlotte-Mecklenburg Schools (CMS) had an early release day today. NC Pre-K classrooms were observed eating lunch in their classrooms. I arrived to Space B9 where I was informed three (3) teachers were absent today. I asked if each had a substitute and the teacher stated she believed each was replaced with a substitute from the elementary school. I observed a substitute in Space B9 and B13. A substitute was not assigned to Space B12. There were sixteen (16) children present with one (1) teacher. I walked to Space B13 where I observed one (1) teacher present with seventeen (17) children. The teacher assistant stated the substitute stepped out to go to the restroom. I asked what the procedure was for caring for staff personal care routines. The teacher stated she was not aware of a procedure for maintaining ratio when a teacher needed to leave the classroom. I observed a teacher from Space B11 walking nine (9) children to the restroom and eight (8) children present with one (1) teacher in Space B11. The following violations were repeat violations: Item #’s 1767, 1768, and1769, 1320 regarding child health screenings. The response letter received 3/24/25 from Ms. C. Simmons, lead teacher, stated for each of these violations “the nurse sent home a letter regarding missing health information in January. The principal chose not to exclude children at this school for missing health assessments. Free community resource was shared to families on 3/24/25.” The DCDEE does not encourage excluding children from care for missing paperwork. However, the expectation is all required paperwork be completed and on file for review. The program should develop a plan of how missing paperwork will be collected. I recommended they contact Ms. Jennifer Griffith, DCDEE NC Pre-K Program Policy Consultant, at Jennifer.griffith@dhhs.nc.gov or 919-609-6921 to discuss a plan for compliance with required health assessments. Item #124 regarding staff records. A substitute was present in Space B9 and was not listed on the DPI form. Item #125 regarding arrival and departure times. Arrival and departure times were not documented in Spaces B10 and B13. The response letter indicated the arrival/departure notebook was clearly labeled and prominently displayed near classroom doors. The teacher assistant and substitute in Space B13 stated they did not know where arrival/departure times were documented. The teacher in Space B10 stated she needed to make blank copies of her forms. Item #1882 regarding medication authorization. The response letter stated the expiration on the authorization form was corrected. I observed the authorization dated 8/25/24. The authorization is valid for 6 months and should have been updated 2/25/25. The program needs to develop a plan for updating medication authorizations every 6 months. Item #325 regarding staff interactions with children. A teacher was heard yelling down the hallway telling children “that’s enough, stop playing and get in line” in tone and volume that was not positive or respectful. I addressed the inappropriate interaction with the teacher and gave an example of how to address children respectfully without yelling or commanding a response. The following violation was granted a two (2) week extension: Item #1898 regarding health and safety trainings. The following violations were verified corrected: Item #1035 regarding staff emergency information. Item #1897 regarding child maltreatment training. The following violation was not cited again after a discussion with Michele Sullivan, licensing supervisor, and required additional information: Item # 1315 regarding storage of medication for chronic conditions. The correction letter received 3/24/25 from Ms. Simmons stated the school nurse indicated “the child has an intermediate condition, not chronic, and therefore the appropriate storage is in the nurses’ office.” Child Care Rule 10A NCAC 09 .0801(b) states allergies and asthma are considered chronic conditions and require a completed medical action plan with instructions on how medications would be administered on an emergency basis. I asked what the procedure was for administering medication if the child was experiencing respiratory distress and the teacher in B10 stated she would call the nurses office to administer the medication. The nurse’s schedule was observed posted on the health room door. Days a nurse was scheduled to be onsite were Tuesday and Thursday for the week of 4/1/25 – 4/4/25 and 4/21/25 – 4/25/25. Monday, Tuesday, and Thursday for the week of 4/7/25 – 4/11/25 and Monday and Tuesday for the week of 4/28/25 – 4/30/25. I asked what the plan was for days a nurse was not onsite. The teacher stated they called Ms. Covington in the main office and she did not know who to call after that if Ms. Covington was not available. The program needs to submit a plan of care to include procedures for ensuring a child’s emergency medication was given in the event of respiratory distress if program chooses to maintain medication for chronic conditions determined to be “intermittent” in the nurse’s office. The violation will remain open until the plan is submitted. I reviewed the ABCMS system to verify if Ms. Rebecca Kimbrough, substitute teacher in Space B9, had a qualification letter. There was no record of a DCDEE criminal background check for Ms. Kimbrough. She may not care for children in the licensed NC Pre-K until a valid qualification letter has been received. Eight (8) repeat violations and two (2) new violations were documented. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A substitute was present in Space B9 and was not listed on the DPI form. Repeat violation G.S. 110-91(9); .0304(g); .2318 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented in Spaces B10 and B13. The teacher assistant and substitute in Space B13 stated they did not know where arrival/departure times were documented. The teacher in Space B10 stated she needed to make blank copies of her forms. Repeat violation 10A NCAC 09 .0302(d)(4) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher was heard yelling down the hallway telling children “that’s enough, stop playing and get in line” in tone and volume that was not positive or respectful. Repeat violation .1802 1041 Prior to employment a Criminal Background Check was not completed. A substitute, R. Kimbrough, did not complete a criminal background check prior to caring for children in licensed care. G.S. 110-90.2(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did not have a medical assessment on file. Repeat violation. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute, R. Kimbrough, was not listed on the DPI staff form indicating a valid qualification letter was on file in the Charlotte-Mecklenburg School HR office. G.S. 110-90.2(b) & (d) & .2703(e) 1767 The health assessment did not include a vision screening. One (1) child did not have a vision screening on file. Repeat violation. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. One (1) child did not have a hearing screening on file. Repeat violation .3005 (a)(4) 1769 The health assessment did not include a dental screening. Eight (8) children did not have a dental screening on file. Repeat violation .3005 (a)(5) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A substitute was not assigned to Space B12. There were sixteen (16) children present with one (1) teacher. In Space B13 I observed one (1) teacher present with seventeen (17) children. The teacher assistant stated the substitute had just stepped out of the classroom. .3009 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for a chronic condition expired 2/25/25. Repeat violation. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, April 16, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/Rule Clarification: - All staff should know where required DCDEE forms are located in the classroom in case of staff absences. - Medical Action Plans are valid for 12 months and medication authorizations are valid for 6 months. I recommend using a separate form for medication authorization to easily track expiration dates. I recommend using the form located on the DCDEE website under provider documents. The form clearly states the permission/authorization is valid for 6 months. - I recommend coaching substitute staff on appropriate tones to use when addressing young children. The following rule clarifies what is considered a chronic condition and what should be on file to treat the chronic condition. Emergency medications should be available immediately and a plan in place for how and who will access the emergency medication. Time is of the essence when treating a child in respiratory distress. Child Care Rule 10A NCAC 09 .0801(b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Ms. Simmons was not present today to discuss the discrepancies in the response letter and observations during today’s visit. It will be discussed during the follow-up visit. All NC Pre-K teachers left today after early dismissal and I was unable to get a signature on the visit summary. I will return tomorrow, 4/3/25 to get a signed copy and review the visit summary. Please contact me at Jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 79 Completed Date: 4/2/2025 Age: From 4 To 5 Total Minutes: 186 Time In: 10:24 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an unannounced annual compliance follow-up visit to verify correction of violations cited during the annual compliance visit conducted on 3/12/25 when staff interaction was cited. Upon arrival I signed in at the main office and walked unaccompanied to B-hall. Charlotte-Mecklenburg Schools (CMS) had an early release day today. NC Pre-K classrooms were observed eating lunch in their classrooms. I arrived to Space B9 where I was informed three (3) teachers were absent today. I asked if each had a substitute and the teacher stated she believed each was replaced with a substitute from the elementary school. I observed a substitute in Space B9 and B13. A substitute was not assigned to Space B12. There were sixteen (16) children present with one (1) teacher. I walked to Space B13 where I observed one (1) teacher present with seventeen (17) children. The teacher assistant stated the substitute stepped out to go to the restroom. I asked what the procedure was for caring for staff personal care routines. The teacher stated she was not aware of a procedure for maintaining ratio when a teacher needed to leave the classroom. I observed a teacher from Space B11 walking nine (9) children to the restroom and eight (8) children present with one (1) teacher in Space B11. The following violations were repeat violations: Item #’s 1767, 1768, and1769, 1320 regarding child health screenings. The response letter received 3/24/25 from Ms. C. Simmons, lead teacher, stated for each of these violations “the nurse sent home a letter regarding missing health information in January. The principal chose not to exclude children at this school for missing health assessments. Free community resource was shared to families on 3/24/25.” The DCDEE does not encourage excluding children from care for missing paperwork. However, the expectation is all required paperwork be completed and on file for review. The program should develop a plan of how missing paperwork will be collected. I recommended they contact Ms. Jennifer Griffith, DCDEE NC Pre-K Program Policy Consultant, at Jennifer.griffith@dhhs.nc.gov or 919-609-6921 to discuss a plan for compliance with required health assessments. Item #124 regarding staff records. A substitute was present in Space B9 and was not listed on the DPI form. Item #125 regarding arrival and departure times. Arrival and departure times were not documented in Spaces B10 and B13. The response letter indicated the arrival/departure notebook was clearly labeled and prominently displayed near classroom doors. The teacher assistant and substitute in Space B13 stated they did not know where arrival/departure times were documented. The teacher in Space B10 stated she needed to make blank copies of her forms. Item #1882 regarding medication authorization. The response letter stated the expiration on the authorization form was corrected. I observed the authorization dated 8/25/24. The authorization is valid for 6 months and should have been updated 2/25/25. The program needs to develop a plan for updating medication authorizations every 6 months. Item #325 regarding staff interactions with children. A teacher was heard yelling down the hallway telling children “that’s enough, stop playing and get in line” in tone and volume that was not positive or respectful. I addressed the inappropriate interaction with the teacher and gave an example of how to address children respectfully without yelling or commanding a response. The following violation was granted a two (2) week extension: Item #1898 regarding health and safety trainings. The following violations were verified corrected: Item #1035 regarding staff emergency information. Item #1897 regarding child maltreatment training. The following violation was not cited again after a discussion with Michele Sullivan, licensing supervisor, and required additional information: Item # 1315 regarding storage of medication for chronic conditions. The correction letter received 3/24/25 from Ms. Simmons stated the school nurse indicated “the child has an intermediate condition, not chronic, and therefore the appropriate storage is in the nurses’ office.” Child Care Rule 10A NCAC 09 .0801(b) states allergies and asthma are considered chronic conditions and require a completed medical action plan with instructions on how medications would be administered on an emergency basis. I asked what the procedure was for administering medication if the child was experiencing respiratory distress and the teacher in B10 stated she would call the nurses office to administer the medication. The nurse’s schedule was observed posted on the health room door. Days a nurse was scheduled to be onsite were Tuesday and Thursday for the week of 4/1/25 – 4/4/25 and 4/21/25 – 4/25/25. Monday, Tuesday, and Thursday for the week of 4/7/25 – 4/11/25 and Monday and Tuesday for the week of 4/28/25 – 4/30/25. I asked what the plan was for days a nurse was not onsite. The teacher stated they called Ms. Covington in the main office and she did not know who to call after that if Ms. Covington was not available. The program needs to submit a plan of care to include procedures for ensuring a child’s emergency medication was given in the event of respiratory distress if program chooses to maintain medication for chronic conditions determined to be “intermittent” in the nurse’s office. The violation will remain open until the plan is submitted. I reviewed the ABCMS system to verify if Ms. Rebecca Kimbrough, substitute teacher in Space B9, had a qualification letter. There was no record of a DCDEE criminal background check for Ms. Kimbrough. She may not care for children in the licensed NC Pre-K until a valid qualification letter has been received. Eight (8) repeat violations and two (2) new violations were documented. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A substitute was present in Space B9 and was not listed on the DPI form. Repeat violation G.S. 110-91(9); .0304(g); .2318 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented in Spaces B10 and B13. The teacher assistant and substitute in Space B13 stated they did not know where arrival/departure times were documented. The teacher in Space B10 stated she needed to make blank copies of her forms. Repeat violation 10A NCAC 09 .0302(d)(4) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher was heard yelling down the hallway telling children “that’s enough, stop playing and get in line” in tone and volume that was not positive or respectful. Repeat violation .1802 1041 Prior to employment a Criminal Background Check was not completed. A substitute, R. Kimbrough, did not complete a criminal background check prior to caring for children in licensed care. G.S. 110-90.2(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did not have a medical assessment on file. Repeat violation. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute, R. Kimbrough, was not listed on the DPI staff form indicating a valid qualification letter was on file in the Charlotte-Mecklenburg School HR office. G.S. 110-90.2(b) & (d) & .2703(e) 1767 The health assessment did not include a vision screening. One (1) child did not have a vision screening on file. Repeat violation. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. One (1) child did not have a hearing screening on file. Repeat violation .3005 (a)(4) 1769 The health assessment did not include a dental screening. Eight (8) children did not have a dental screening on file. Repeat violation .3005 (a)(5) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A substitute was not assigned to Space B12. There were sixteen (16) children present with one (1) teacher. In Space B13 I observed one (1) teacher present with seventeen (17) children. The teacher assistant stated the substitute had just stepped out of the classroom. .3009 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for a chronic condition expired 2/25/25. Repeat violation. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, April 16, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/Rule Clarification: - All staff should know where required DCDEE forms are located in the classroom in case of staff absences. - Medical Action Plans are valid for 12 months and medication authorizations are valid for 6 months. I recommend using a separate form for medication authorization to easily track expiration dates. I recommend using the form located on the DCDEE website under provider documents. The form clearly states the permission/authorization is valid for 6 months. - I recommend coaching substitute staff on appropriate tones to use when addressing young children. The following rule clarifies what is considered a chronic condition and what should be on file to treat the chronic condition. Emergency medications should be available immediately and a plan in place for how and who will access the emergency medication. Time is of the essence when treating a child in respiratory distress. Child Care Rule 10A NCAC 09 .0801(b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Ms. Simmons was not present today to discuss the discrepancies in the response letter and observations during today’s visit. It will be discussed during the follow-up visit. All NC Pre-K teachers left today after early dismissal and I was unable to get a signature on the visit summary. I will return tomorrow, 4/3/25 to get a signed copy and review the visit summary. Please contact me at Jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 79 Completed Date: 4/2/2025 Age: From 4 To 5 Total Minutes: 186 Time In: 10:24 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an unannounced annual compliance follow-up visit to verify correction of violations cited during the annual compliance visit conducted on 3/12/25 when staff interaction was cited. Upon arrival I signed in at the main office and walked unaccompanied to B-hall. Charlotte-Mecklenburg Schools (CMS) had an early release day today. NC Pre-K classrooms were observed eating lunch in their classrooms. I arrived to Space B9 where I was informed three (3) teachers were absent today. I asked if each had a substitute and the teacher stated she believed each was replaced with a substitute from the elementary school. I observed a substitute in Space B9 and B13. A substitute was not assigned to Space B12. There were sixteen (16) children present with one (1) teacher. I walked to Space B13 where I observed one (1) teacher present with seventeen (17) children. The teacher assistant stated the substitute stepped out to go to the restroom. I asked what the procedure was for caring for staff personal care routines. The teacher stated she was not aware of a procedure for maintaining ratio when a teacher needed to leave the classroom. I observed a teacher from Space B11 walking nine (9) children to the restroom and eight (8) children present with one (1) teacher in Space B11. The following violations were repeat violations: Item #’s 1767, 1768, and1769, 1320 regarding child health screenings. The response letter received 3/24/25 from Ms. C. Simmons, lead teacher, stated for each of these violations “the nurse sent home a letter regarding missing health information in January. The principal chose not to exclude children at this school for missing health assessments. Free community resource was shared to families on 3/24/25.” The DCDEE does not encourage excluding children from care for missing paperwork. However, the expectation is all required paperwork be completed and on file for review. The program should develop a plan of how missing paperwork will be collected. I recommended they contact Ms. Jennifer Griffith, DCDEE NC Pre-K Program Policy Consultant, at Jennifer.griffith@dhhs.nc.gov or 919-609-6921 to discuss a plan for compliance with required health assessments. Item #124 regarding staff records. A substitute was present in Space B9 and was not listed on the DPI form. Item #125 regarding arrival and departure times. Arrival and departure times were not documented in Spaces B10 and B13. The response letter indicated the arrival/departure notebook was clearly labeled and prominently displayed near classroom doors. The teacher assistant and substitute in Space B13 stated they did not know where arrival/departure times were documented. The teacher in Space B10 stated she needed to make blank copies of her forms. Item #1882 regarding medication authorization. The response letter stated the expiration on the authorization form was corrected. I observed the authorization dated 8/25/24. The authorization is valid for 6 months and should have been updated 2/25/25. The program needs to develop a plan for updating medication authorizations every 6 months. Item #325 regarding staff interactions with children. A teacher was heard yelling down the hallway telling children “that’s enough, stop playing and get in line” in tone and volume that was not positive or respectful. I addressed the inappropriate interaction with the teacher and gave an example of how to address children respectfully without yelling or commanding a response. The following violation was granted a two (2) week extension: Item #1898 regarding health and safety trainings. The following violations were verified corrected: Item #1035 regarding staff emergency information. Item #1897 regarding child maltreatment training. The following violation was not cited again after a discussion with Michele Sullivan, licensing supervisor, and required additional information: Item # 1315 regarding storage of medication for chronic conditions. The correction letter received 3/24/25 from Ms. Simmons stated the school nurse indicated “the child has an intermediate condition, not chronic, and therefore the appropriate storage is in the nurses’ office.” Child Care Rule 10A NCAC 09 .0801(b) states allergies and asthma are considered chronic conditions and require a completed medical action plan with instructions on how medications would be administered on an emergency basis. I asked what the procedure was for administering medication if the child was experiencing respiratory distress and the teacher in B10 stated she would call the nurses office to administer the medication. The nurse’s schedule was observed posted on the health room door. Days a nurse was scheduled to be onsite were Tuesday and Thursday for the week of 4/1/25 – 4/4/25 and 4/21/25 – 4/25/25. Monday, Tuesday, and Thursday for the week of 4/7/25 – 4/11/25 and Monday and Tuesday for the week of 4/28/25 – 4/30/25. I asked what the plan was for days a nurse was not onsite. The teacher stated they called Ms. Covington in the main office and she did not know who to call after that if Ms. Covington was not available. The program needs to submit a plan of care to include procedures for ensuring a child’s emergency medication was given in the event of respiratory distress if program chooses to maintain medication for chronic conditions determined to be “intermittent” in the nurse’s office. The violation will remain open until the plan is submitted. I reviewed the ABCMS system to verify if Ms. Rebecca Kimbrough, substitute teacher in Space B9, had a qualification letter. There was no record of a DCDEE criminal background check for Ms. Kimbrough. She may not care for children in the licensed NC Pre-K until a valid qualification letter has been received. Eight (8) repeat violations and two (2) new violations were documented. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A substitute was present in Space B9 and was not listed on the DPI form. Repeat violation G.S. 110-91(9); .0304(g); .2318 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented in Spaces B10 and B13. The teacher assistant and substitute in Space B13 stated they did not know where arrival/departure times were documented. The teacher in Space B10 stated she needed to make blank copies of her forms. Repeat violation 10A NCAC 09 .0302(d)(4) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher was heard yelling down the hallway telling children “that’s enough, stop playing and get in line” in tone and volume that was not positive or respectful. Repeat violation .1802 1041 Prior to employment a Criminal Background Check was not completed. A substitute, R. Kimbrough, did not complete a criminal background check prior to caring for children in licensed care. G.S. 110-90.2(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did not have a medical assessment on file. Repeat violation. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute, R. Kimbrough, was not listed on the DPI staff form indicating a valid qualification letter was on file in the Charlotte-Mecklenburg School HR office. G.S. 110-90.2(b) & (d) & .2703(e) 1767 The health assessment did not include a vision screening. One (1) child did not have a vision screening on file. Repeat violation. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. One (1) child did not have a hearing screening on file. Repeat violation .3005 (a)(4) 1769 The health assessment did not include a dental screening. Eight (8) children did not have a dental screening on file. Repeat violation .3005 (a)(5) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A substitute was not assigned to Space B12. There were sixteen (16) children present with one (1) teacher. In Space B13 I observed one (1) teacher present with seventeen (17) children. The teacher assistant stated the substitute had just stepped out of the classroom. .3009 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for a chronic condition expired 2/25/25. Repeat violation. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, April 16, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/Rule Clarification: - All staff should know where required DCDEE forms are located in the classroom in case of staff absences. - Medical Action Plans are valid for 12 months and medication authorizations are valid for 6 months. I recommend using a separate form for medication authorization to easily track expiration dates. I recommend using the form located on the DCDEE website under provider documents. The form clearly states the permission/authorization is valid for 6 months. - I recommend coaching substitute staff on appropriate tones to use when addressing young children. The following rule clarifies what is considered a chronic condition and what should be on file to treat the chronic condition. Emergency medications should be available immediately and a plan in place for how and who will access the emergency medication. Time is of the essence when treating a child in respiratory distress. Child Care Rule 10A NCAC 09 .0801(b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Ms. Simmons was not present today to discuss the discrepancies in the response letter and observations during today’s visit. It will be discussed during the follow-up visit. All NC Pre-K teachers left today after early dismissal and I was unable to get a signature on the visit summary. I will return tomorrow, 4/3/25 to get a signed copy and review the visit summary. Please contact me at Jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 79 Completed Date: 4/2/2025 Age: From 4 To 5 Total Minutes: 186 Time In: 10:24 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an unannounced annual compliance follow-up visit to verify correction of violations cited during the annual compliance visit conducted on 3/12/25 when staff interaction was cited. Upon arrival I signed in at the main office and walked unaccompanied to B-hall. Charlotte-Mecklenburg Schools (CMS) had an early release day today. NC Pre-K classrooms were observed eating lunch in their classrooms. I arrived to Space B9 where I was informed three (3) teachers were absent today. I asked if each had a substitute and the teacher stated she believed each was replaced with a substitute from the elementary school. I observed a substitute in Space B9 and B13. A substitute was not assigned to Space B12. There were sixteen (16) children present with one (1) teacher. I walked to Space B13 where I observed one (1) teacher present with seventeen (17) children. The teacher assistant stated the substitute stepped out to go to the restroom. I asked what the procedure was for caring for staff personal care routines. The teacher stated she was not aware of a procedure for maintaining ratio when a teacher needed to leave the classroom. I observed a teacher from Space B11 walking nine (9) children to the restroom and eight (8) children present with one (1) teacher in Space B11. The following violations were repeat violations: Item #’s 1767, 1768, and1769, 1320 regarding child health screenings. The response letter received 3/24/25 from Ms. C. Simmons, lead teacher, stated for each of these violations “the nurse sent home a letter regarding missing health information in January. The principal chose not to exclude children at this school for missing health assessments. Free community resource was shared to families on 3/24/25.” The DCDEE does not encourage excluding children from care for missing paperwork. However, the expectation is all required paperwork be completed and on file for review. The program should develop a plan of how missing paperwork will be collected. I recommended they contact Ms. Jennifer Griffith, DCDEE NC Pre-K Program Policy Consultant, at Jennifer.griffith@dhhs.nc.gov or 919-609-6921 to discuss a plan for compliance with required health assessments. Item #124 regarding staff records. A substitute was present in Space B9 and was not listed on the DPI form. Item #125 regarding arrival and departure times. Arrival and departure times were not documented in Spaces B10 and B13. The response letter indicated the arrival/departure notebook was clearly labeled and prominently displayed near classroom doors. The teacher assistant and substitute in Space B13 stated they did not know where arrival/departure times were documented. The teacher in Space B10 stated she needed to make blank copies of her forms. Item #1882 regarding medication authorization. The response letter stated the expiration on the authorization form was corrected. I observed the authorization dated 8/25/24. The authorization is valid for 6 months and should have been updated 2/25/25. The program needs to develop a plan for updating medication authorizations every 6 months. Item #325 regarding staff interactions with children. A teacher was heard yelling down the hallway telling children “that’s enough, stop playing and get in line” in tone and volume that was not positive or respectful. I addressed the inappropriate interaction with the teacher and gave an example of how to address children respectfully without yelling or commanding a response. The following violation was granted a two (2) week extension: Item #1898 regarding health and safety trainings. The following violations were verified corrected: Item #1035 regarding staff emergency information. Item #1897 regarding child maltreatment training. The following violation was not cited again after a discussion with Michele Sullivan, licensing supervisor, and required additional information: Item # 1315 regarding storage of medication for chronic conditions. The correction letter received 3/24/25 from Ms. Simmons stated the school nurse indicated “the child has an intermediate condition, not chronic, and therefore the appropriate storage is in the nurses’ office.” Child Care Rule 10A NCAC 09 .0801(b) states allergies and asthma are considered chronic conditions and require a completed medical action plan with instructions on how medications would be administered on an emergency basis. I asked what the procedure was for administering medication if the child was experiencing respiratory distress and the teacher in B10 stated she would call the nurses office to administer the medication. The nurse’s schedule was observed posted on the health room door. Days a nurse was scheduled to be onsite were Tuesday and Thursday for the week of 4/1/25 – 4/4/25 and 4/21/25 – 4/25/25. Monday, Tuesday, and Thursday for the week of 4/7/25 – 4/11/25 and Monday and Tuesday for the week of 4/28/25 – 4/30/25. I asked what the plan was for days a nurse was not onsite. The teacher stated they called Ms. Covington in the main office and she did not know who to call after that if Ms. Covington was not available. The program needs to submit a plan of care to include procedures for ensuring a child’s emergency medication was given in the event of respiratory distress if program chooses to maintain medication for chronic conditions determined to be “intermittent” in the nurse’s office. The violation will remain open until the plan is submitted. I reviewed the ABCMS system to verify if Ms. Rebecca Kimbrough, substitute teacher in Space B9, had a qualification letter. There was no record of a DCDEE criminal background check for Ms. Kimbrough. She may not care for children in the licensed NC Pre-K until a valid qualification letter has been received. Eight (8) repeat violations and two (2) new violations were documented. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A substitute was present in Space B9 and was not listed on the DPI form. Repeat violation G.S. 110-91(9); .0304(g); .2318 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented in Spaces B10 and B13. The teacher assistant and substitute in Space B13 stated they did not know where arrival/departure times were documented. The teacher in Space B10 stated she needed to make blank copies of her forms. Repeat violation 10A NCAC 09 .0302(d)(4) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher was heard yelling down the hallway telling children “that’s enough, stop playing and get in line” in tone and volume that was not positive or respectful. Repeat violation .1802 1041 Prior to employment a Criminal Background Check was not completed. A substitute, R. Kimbrough, did not complete a criminal background check prior to caring for children in licensed care. G.S. 110-90.2(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did not have a medical assessment on file. Repeat violation. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute, R. Kimbrough, was not listed on the DPI staff form indicating a valid qualification letter was on file in the Charlotte-Mecklenburg School HR office. G.S. 110-90.2(b) & (d) & .2703(e) 1767 The health assessment did not include a vision screening. One (1) child did not have a vision screening on file. Repeat violation. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. One (1) child did not have a hearing screening on file. Repeat violation .3005 (a)(4) 1769 The health assessment did not include a dental screening. Eight (8) children did not have a dental screening on file. Repeat violation .3005 (a)(5) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A substitute was not assigned to Space B12. There were sixteen (16) children present with one (1) teacher. In Space B13 I observed one (1) teacher present with seventeen (17) children. The teacher assistant stated the substitute had just stepped out of the classroom. .3009 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for a chronic condition expired 2/25/25. Repeat violation. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, April 16, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/Rule Clarification: - All staff should know where required DCDEE forms are located in the classroom in case of staff absences. - Medical Action Plans are valid for 12 months and medication authorizations are valid for 6 months. I recommend using a separate form for medication authorization to easily track expiration dates. I recommend using the form located on the DCDEE website under provider documents. The form clearly states the permission/authorization is valid for 6 months. - I recommend coaching substitute staff on appropriate tones to use when addressing young children. The following rule clarifies what is considered a chronic condition and what should be on file to treat the chronic condition. Emergency medications should be available immediately and a plan in place for how and who will access the emergency medication. Time is of the essence when treating a child in respiratory distress. Child Care Rule 10A NCAC 09 .0801(b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Ms. Simmons was not present today to discuss the discrepancies in the response letter and observations during today’s visit. It will be discussed during the follow-up visit. All NC Pre-K teachers left today after early dismissal and I was unable to get a signature on the visit summary. I will return tomorrow, 4/3/25 to get a signed copy and review the visit summary. Please contact me at Jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 79 Completed Date: 4/2/2025 Age: From 4 To 5 Total Minutes: 186 Time In: 10:24 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an unannounced annual compliance follow-up visit to verify correction of violations cited during the annual compliance visit conducted on 3/12/25 when staff interaction was cited. Upon arrival I signed in at the main office and walked unaccompanied to B-hall. Charlotte-Mecklenburg Schools (CMS) had an early release day today. NC Pre-K classrooms were observed eating lunch in their classrooms. I arrived to Space B9 where I was informed three (3) teachers were absent today. I asked if each had a substitute and the teacher stated she believed each was replaced with a substitute from the elementary school. I observed a substitute in Space B9 and B13. A substitute was not assigned to Space B12. There were sixteen (16) children present with one (1) teacher. I walked to Space B13 where I observed one (1) teacher present with seventeen (17) children. The teacher assistant stated the substitute stepped out to go to the restroom. I asked what the procedure was for caring for staff personal care routines. The teacher stated she was not aware of a procedure for maintaining ratio when a teacher needed to leave the classroom. I observed a teacher from Space B11 walking nine (9) children to the restroom and eight (8) children present with one (1) teacher in Space B11. The following violations were repeat violations: Item #’s 1767, 1768, and1769, 1320 regarding child health screenings. The response letter received 3/24/25 from Ms. C. Simmons, lead teacher, stated for each of these violations “the nurse sent home a letter regarding missing health information in January. The principal chose not to exclude children at this school for missing health assessments. Free community resource was shared to families on 3/24/25.” The DCDEE does not encourage excluding children from care for missing paperwork. However, the expectation is all required paperwork be completed and on file for review. The program should develop a plan of how missing paperwork will be collected. I recommended they contact Ms. Jennifer Griffith, DCDEE NC Pre-K Program Policy Consultant, at Jennifer.griffith@dhhs.nc.gov or 919-609-6921 to discuss a plan for compliance with required health assessments. Item #124 regarding staff records. A substitute was present in Space B9 and was not listed on the DPI form. Item #125 regarding arrival and departure times. Arrival and departure times were not documented in Spaces B10 and B13. The response letter indicated the arrival/departure notebook was clearly labeled and prominently displayed near classroom doors. The teacher assistant and substitute in Space B13 stated they did not know where arrival/departure times were documented. The teacher in Space B10 stated she needed to make blank copies of her forms. Item #1882 regarding medication authorization. The response letter stated the expiration on the authorization form was corrected. I observed the authorization dated 8/25/24. The authorization is valid for 6 months and should have been updated 2/25/25. The program needs to develop a plan for updating medication authorizations every 6 months. Item #325 regarding staff interactions with children. A teacher was heard yelling down the hallway telling children “that’s enough, stop playing and get in line” in tone and volume that was not positive or respectful. I addressed the inappropriate interaction with the teacher and gave an example of how to address children respectfully without yelling or commanding a response. The following violation was granted a two (2) week extension: Item #1898 regarding health and safety trainings. The following violations were verified corrected: Item #1035 regarding staff emergency information. Item #1897 regarding child maltreatment training. The following violation was not cited again after a discussion with Michele Sullivan, licensing supervisor, and required additional information: Item # 1315 regarding storage of medication for chronic conditions. The correction letter received 3/24/25 from Ms. Simmons stated the school nurse indicated “the child has an intermediate condition, not chronic, and therefore the appropriate storage is in the nurses’ office.” Child Care Rule 10A NCAC 09 .0801(b) states allergies and asthma are considered chronic conditions and require a completed medical action plan with instructions on how medications would be administered on an emergency basis. I asked what the procedure was for administering medication if the child was experiencing respiratory distress and the teacher in B10 stated she would call the nurses office to administer the medication. The nurse’s schedule was observed posted on the health room door. Days a nurse was scheduled to be onsite were Tuesday and Thursday for the week of 4/1/25 – 4/4/25 and 4/21/25 – 4/25/25. Monday, Tuesday, and Thursday for the week of 4/7/25 – 4/11/25 and Monday and Tuesday for the week of 4/28/25 – 4/30/25. I asked what the plan was for days a nurse was not onsite. The teacher stated they called Ms. Covington in the main office and she did not know who to call after that if Ms. Covington was not available. The program needs to submit a plan of care to include procedures for ensuring a child’s emergency medication was given in the event of respiratory distress if program chooses to maintain medication for chronic conditions determined to be “intermittent” in the nurse’s office. The violation will remain open until the plan is submitted. I reviewed the ABCMS system to verify if Ms. Rebecca Kimbrough, substitute teacher in Space B9, had a qualification letter. There was no record of a DCDEE criminal background check for Ms. Kimbrough. She may not care for children in the licensed NC Pre-K until a valid qualification letter has been received. Eight (8) repeat violations and two (2) new violations were documented. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A substitute was present in Space B9 and was not listed on the DPI form. Repeat violation G.S. 110-91(9); .0304(g); .2318 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented in Spaces B10 and B13. The teacher assistant and substitute in Space B13 stated they did not know where arrival/departure times were documented. The teacher in Space B10 stated she needed to make blank copies of her forms. Repeat violation 10A NCAC 09 .0302(d)(4) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. A teacher was heard yelling down the hallway telling children “that’s enough, stop playing and get in line” in tone and volume that was not positive or respectful. Repeat violation .1802 1041 Prior to employment a Criminal Background Check was not completed. A substitute, R. Kimbrough, did not complete a criminal background check prior to caring for children in licensed care. G.S. 110-90.2(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did not have a medical assessment on file. Repeat violation. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute, R. Kimbrough, was not listed on the DPI staff form indicating a valid qualification letter was on file in the Charlotte-Mecklenburg School HR office. G.S. 110-90.2(b) & (d) & .2703(e) 1767 The health assessment did not include a vision screening. One (1) child did not have a vision screening on file. Repeat violation. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. One (1) child did not have a hearing screening on file. Repeat violation .3005 (a)(4) 1769 The health assessment did not include a dental screening. Eight (8) children did not have a dental screening on file. Repeat violation .3005 (a)(5) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A substitute was not assigned to Space B12. There were sixteen (16) children present with one (1) teacher. In Space B13 I observed one (1) teacher present with seventeen (17) children. The teacher assistant stated the substitute had just stepped out of the classroom. .3009 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for a chronic condition expired 2/25/25. Repeat violation. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Wednesday, April 16, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance/Rule Clarification: - All staff should know where required DCDEE forms are located in the classroom in case of staff absences. - Medical Action Plans are valid for 12 months and medication authorizations are valid for 6 months. I recommend using a separate form for medication authorization to easily track expiration dates. I recommend using the form located on the DCDEE website under provider documents. The form clearly states the permission/authorization is valid for 6 months. - I recommend coaching substitute staff on appropriate tones to use when addressing young children. The following rule clarifies what is considered a chronic condition and what should be on file to treat the chronic condition. Emergency medications should be available immediately and a plan in place for how and who will access the emergency medication. Time is of the essence when treating a child in respiratory distress. Child Care Rule 10A NCAC 09 .0801(b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Ms. Simmons was not present today to discuss the discrepancies in the response letter and observations during today’s visit. It will be discussed during the follow-up visit. All NC Pre-K teachers left today after early dismissal and I was unable to get a signature on the visit summary. I will return tomorrow, 4/3/25 to get a signed copy and review the visit summary. Please contact me at Jennifer.stansfield@dhhs.nc.gov or 704-956-1648 with any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 3/12/2025 Number Present: 78 Completed Date: 3/12/2025 Age: From 4 To 5 Total Minutes: 268 Time In: 10:12 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on June 19, 2019, and earned 4 points in the staff education component, 7 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 83% prior to today’s visit. The last annual compliance visit was conducted 3/28/24. The November 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I checked in at the school office and met Ms. C. Simmons in her classroom. She stated five (5) classrooms were operating. I walked to Space B12 where I put my belongings in the room connecting B12 and B13. Classes left for lunch approximately ten (10) minutes after my arrival. I monitored program, staff, and child records while they were at lunch. I completed the staff/training worksheet. All staff had current CPR/First Aid within the required timeframe. One (1) new employee was assigned as an assistant teacher in Space B10. She had a provisional qualification letter on file. I reminded staff that she was not able to supervise children alone until her qualification letter was received. I reviewed her in the ABCMS system and she still had a provisional qualification through 4/14/25. She was not listed on the DPI form as well. A substitute teacher was present in Space B13 since 2/24/25. Ms. Simmons stated three (3) Instructional Assistants from the day school assisted the sub throughout that time. The three (3) individuals were not listed as substitutes on the DPI form. One (1) teacher assistant enrolled in EDU 119 to start 3/13/25. Fire and emergency drills were completed as required. Playground inspections were completed as required. The staff who documented the inspections had playground safety training. Ms. Simmons stated the playground was not currently being used due to inadequate amounts of mulch and drainage issues. She stated the program used a large grassy field for gross motor outdoor play. I observed gross motor materials available for each classroom. I monitored the playground and outdoor space. Children were observed participating in large group teacher directed activities, participating in free choice center play, and working independently with teachers. Activity plans were posted and current. A current menu was posted in each classroom. I overheard a teacher in Space B13 telling children "Get on your mat. I don't know what else you need.", "laydown", "I don't want to see your head pop up again" in tone that was not positive or respectful. I opened the classroom door and asked if everything was ok because it sounded like they might be frustrated. Teachers stated yes and after I closed the door the tone and manner of directing children changed to a respectful tone. It was reported that a child in Space B10 required emergency medication for a chronic condition. The teacher stated the medication was stored in the nurse's office. I explained the medication should be stored in the classroom in an unlocked cabinet or shelf that is above five (5) feet and follow the child throughout the day. Medication for another child with a chronic condition was in Space B11. I monitored for medical action plans and permissions to administer medications. The program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A sampling of children’s files were monitored for completed health assessments and developmental screenings. The sanitation inspection was completed 2/13/25 and received a “Superior” classification. The last fire inspection was conducted 9/5/24. The program was operated by the CMS Pre-K Department. The following violation(s) were documented. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. One (1) new assistant teacher was not listed on the DPI form. Three (3) substitute teachers reported as caring for children in Space B13 were not listed on the DPI form and did not have paperwork available for review. G.S. 110-91(9); .0304(g); .2318 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented in Space B13. A substitute teacher was present since 2/24/25 and arrival/departure times were not documented since her start date. 10A NCAC 09 .0302(d)(4) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. The teacher's interaction with children in Space B13 was not positive. She was heard telling children "Get on your mat. I don't know what else you need.", "laydown", "I don't want to see your head pop up again" in tone that was not positive or respectful. .1802 860 Balloons were accessible to children. Two (2) large pink ribbon balloons were present in Space B9. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) employee's emergency information was not complete. One (1) employee's emergency information was not dated. .0701(a) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A child medication for a chronic condition was not stored in the classroom. The medication was stored in the nurse's office. .0802(c)(3) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child (I.A.) did not have a medical assessment on file. GS 110-91(1);.0302(d)(2); .0304(g) 1767 The health assessment did not include a vision screening. One (1) child (I.A.) did not have a vision screening on file. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. One (1) child (I.A.) did not have hearing screening. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Eight (8) children did not have a dental screening. .3005 (a)(5) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for a chronic condition expired 2/25/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee's maltreatment training was not available for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) employees did not have documentation of completing health and safety trainings on file. .1102(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Wednesday, March 26, 2025 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Star Rated License Reassessment Update: SB 425 extended hold harmless until the new Quality Rating Improvement System (QRIS) is revised and implemented. Facilities are not required to proceed with the rated license assessment at this time unless they voluntarily choose to proceed. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Current “Frequently Asked Questions” can be found at the bottom of the information page. – QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Criminal Background Portal/ABCMS: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The following was discussed: 10A NCAC 09 .2703(f) CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (f)Provisional child care providers are eligible for employment at a child care facility and are eligible to reside in a family child care home, nonlicensed home, or child care center in a residence and shall be counted in staff/child ratio. Provisional child care providers shall be supervised at all times by an individual who received a qualifying result on a criminal background check within the past five years and may not be left alone with children. Child care facilities found to be in violation of this Paragraph may be issued an administrative action up to and including revocation of their child care license or notice of compliance in accordance with Section .2200 of this Chapter. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2703 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 3/12/2025 Number Present: 78 Completed Date: 3/12/2025 Age: From 4 To 5 Total Minutes: 268 Time In: 10:12 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on June 19, 2019, and earned 4 points in the staff education component, 7 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 83% prior to today’s visit. The last annual compliance visit was conducted 3/28/24. The November 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I checked in at the school office and met Ms. C. Simmons in her classroom. She stated five (5) classrooms were operating. I walked to Space B12 where I put my belongings in the room connecting B12 and B13. Classes left for lunch approximately ten (10) minutes after my arrival. I monitored program, staff, and child records while they were at lunch. I completed the staff/training worksheet. All staff had current CPR/First Aid within the required timeframe. One (1) new employee was assigned as an assistant teacher in Space B10. She had a provisional qualification letter on file. I reminded staff that she was not able to supervise children alone until her qualification letter was received. I reviewed her in the ABCMS system and she still had a provisional qualification through 4/14/25. She was not listed on the DPI form as well. A substitute teacher was present in Space B13 since 2/24/25. Ms. Simmons stated three (3) Instructional Assistants from the day school assisted the sub throughout that time. The three (3) individuals were not listed as substitutes on the DPI form. One (1) teacher assistant enrolled in EDU 119 to start 3/13/25. Fire and emergency drills were completed as required. Playground inspections were completed as required. The staff who documented the inspections had playground safety training. Ms. Simmons stated the playground was not currently being used due to inadequate amounts of mulch and drainage issues. She stated the program used a large grassy field for gross motor outdoor play. I observed gross motor materials available for each classroom. I monitored the playground and outdoor space. Children were observed participating in large group teacher directed activities, participating in free choice center play, and working independently with teachers. Activity plans were posted and current. A current menu was posted in each classroom. I overheard a teacher in Space B13 telling children "Get on your mat. I don't know what else you need.", "laydown", "I don't want to see your head pop up again" in tone that was not positive or respectful. I opened the classroom door and asked if everything was ok because it sounded like they might be frustrated. Teachers stated yes and after I closed the door the tone and manner of directing children changed to a respectful tone. It was reported that a child in Space B10 required emergency medication for a chronic condition. The teacher stated the medication was stored in the nurse's office. I explained the medication should be stored in the classroom in an unlocked cabinet or shelf that is above five (5) feet and follow the child throughout the day. Medication for another child with a chronic condition was in Space B11. I monitored for medical action plans and permissions to administer medications. The program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A sampling of children’s files were monitored for completed health assessments and developmental screenings. The sanitation inspection was completed 2/13/25 and received a “Superior” classification. The last fire inspection was conducted 9/5/24. The program was operated by the CMS Pre-K Department. The following violation(s) were documented. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. One (1) new assistant teacher was not listed on the DPI form. Three (3) substitute teachers reported as caring for children in Space B13 were not listed on the DPI form and did not have paperwork available for review. G.S. 110-91(9); .0304(g); .2318 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented in Space B13. A substitute teacher was present since 2/24/25 and arrival/departure times were not documented since her start date. 10A NCAC 09 .0302(d)(4) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. The teacher's interaction with children in Space B13 was not positive. She was heard telling children "Get on your mat. I don't know what else you need.", "laydown", "I don't want to see your head pop up again" in tone that was not positive or respectful. .1802 860 Balloons were accessible to children. Two (2) large pink ribbon balloons were present in Space B9. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) employee's emergency information was not complete. One (1) employee's emergency information was not dated. .0701(a) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A child medication for a chronic condition was not stored in the classroom. The medication was stored in the nurse's office. .0802(c)(3) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child (I.A.) did not have a medical assessment on file. GS 110-91(1);.0302(d)(2); .0304(g) 1767 The health assessment did not include a vision screening. One (1) child (I.A.) did not have a vision screening on file. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. One (1) child (I.A.) did not have hearing screening. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Eight (8) children did not have a dental screening. .3005 (a)(5) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for a chronic condition expired 2/25/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee's maltreatment training was not available for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) employees did not have documentation of completing health and safety trainings on file. .1102(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Wednesday, March 26, 2025 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Star Rated License Reassessment Update: SB 425 extended hold harmless until the new Quality Rating Improvement System (QRIS) is revised and implemented. Facilities are not required to proceed with the rated license assessment at this time unless they voluntarily choose to proceed. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Current “Frequently Asked Questions” can be found at the bottom of the information page. – QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Criminal Background Portal/ABCMS: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The following was discussed: 10A NCAC 09 .2703(f) CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (f)Provisional child care providers are eligible for employment at a child care facility and are eligible to reside in a family child care home, nonlicensed home, or child care center in a residence and shall be counted in staff/child ratio. Provisional child care providers shall be supervised at all times by an individual who received a qualifying result on a criminal background check within the past five years and may not be left alone with children. Child care facilities found to be in violation of this Paragraph may be issued an administrative action up to and including revocation of their child care license or notice of compliance in accordance with Section .2200 of this Chapter. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3009 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 3/12/2025 Number Present: 78 Completed Date: 3/12/2025 Age: From 4 To 5 Total Minutes: 268 Time In: 10:12 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on June 19, 2019, and earned 4 points in the staff education component, 7 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 83% prior to today’s visit. The last annual compliance visit was conducted 3/28/24. The November 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I checked in at the school office and met Ms. C. Simmons in her classroom. She stated five (5) classrooms were operating. I walked to Space B12 where I put my belongings in the room connecting B12 and B13. Classes left for lunch approximately ten (10) minutes after my arrival. I monitored program, staff, and child records while they were at lunch. I completed the staff/training worksheet. All staff had current CPR/First Aid within the required timeframe. One (1) new employee was assigned as an assistant teacher in Space B10. She had a provisional qualification letter on file. I reminded staff that she was not able to supervise children alone until her qualification letter was received. I reviewed her in the ABCMS system and she still had a provisional qualification through 4/14/25. She was not listed on the DPI form as well. A substitute teacher was present in Space B13 since 2/24/25. Ms. Simmons stated three (3) Instructional Assistants from the day school assisted the sub throughout that time. The three (3) individuals were not listed as substitutes on the DPI form. One (1) teacher assistant enrolled in EDU 119 to start 3/13/25. Fire and emergency drills were completed as required. Playground inspections were completed as required. The staff who documented the inspections had playground safety training. Ms. Simmons stated the playground was not currently being used due to inadequate amounts of mulch and drainage issues. She stated the program used a large grassy field for gross motor outdoor play. I observed gross motor materials available for each classroom. I monitored the playground and outdoor space. Children were observed participating in large group teacher directed activities, participating in free choice center play, and working independently with teachers. Activity plans were posted and current. A current menu was posted in each classroom. I overheard a teacher in Space B13 telling children "Get on your mat. I don't know what else you need.", "laydown", "I don't want to see your head pop up again" in tone that was not positive or respectful. I opened the classroom door and asked if everything was ok because it sounded like they might be frustrated. Teachers stated yes and after I closed the door the tone and manner of directing children changed to a respectful tone. It was reported that a child in Space B10 required emergency medication for a chronic condition. The teacher stated the medication was stored in the nurse's office. I explained the medication should be stored in the classroom in an unlocked cabinet or shelf that is above five (5) feet and follow the child throughout the day. Medication for another child with a chronic condition was in Space B11. I monitored for medical action plans and permissions to administer medications. The program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A sampling of children’s files were monitored for completed health assessments and developmental screenings. The sanitation inspection was completed 2/13/25 and received a “Superior” classification. The last fire inspection was conducted 9/5/24. The program was operated by the CMS Pre-K Department. The following violation(s) were documented. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. One (1) new assistant teacher was not listed on the DPI form. Three (3) substitute teachers reported as caring for children in Space B13 were not listed on the DPI form and did not have paperwork available for review. G.S. 110-91(9); .0304(g); .2318 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented in Space B13. A substitute teacher was present since 2/24/25 and arrival/departure times were not documented since her start date. 10A NCAC 09 .0302(d)(4) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. The teacher's interaction with children in Space B13 was not positive. She was heard telling children "Get on your mat. I don't know what else you need.", "laydown", "I don't want to see your head pop up again" in tone that was not positive or respectful. .1802 860 Balloons were accessible to children. Two (2) large pink ribbon balloons were present in Space B9. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) employee's emergency information was not complete. One (1) employee's emergency information was not dated. .0701(a) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A child medication for a chronic condition was not stored in the classroom. The medication was stored in the nurse's office. .0802(c)(3) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child (I.A.) did not have a medical assessment on file. GS 110-91(1);.0302(d)(2); .0304(g) 1767 The health assessment did not include a vision screening. One (1) child (I.A.) did not have a vision screening on file. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. One (1) child (I.A.) did not have hearing screening. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Eight (8) children did not have a dental screening. .3005 (a)(5) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for a chronic condition expired 2/25/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee's maltreatment training was not available for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) employees did not have documentation of completing health and safety trainings on file. .1102(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Wednesday, March 26, 2025 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Star Rated License Reassessment Update: SB 425 extended hold harmless until the new Quality Rating Improvement System (QRIS) is revised and implemented. Facilities are not required to proceed with the rated license assessment at this time unless they voluntarily choose to proceed. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Current “Frequently Asked Questions” can be found at the bottom of the information page. – QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Criminal Background Portal/ABCMS: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The following was discussed: 10A NCAC 09 .2703(f) CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (f)Provisional child care providers are eligible for employment at a child care facility and are eligible to reside in a family child care home, nonlicensed home, or child care center in a residence and shall be counted in staff/child ratio. Provisional child care providers shall be supervised at all times by an individual who received a qualifying result on a criminal background check within the past five years and may not be left alone with children. Child care facilities found to be in violation of this Paragraph may be issued an administrative action up to and including revocation of their child care license or notice of compliance in accordance with Section .2200 of this Chapter. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 3/12/2025 Number Present: 78 Completed Date: 3/12/2025 Age: From 4 To 5 Total Minutes: 268 Time In: 10:12 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on June 19, 2019, and earned 4 points in the staff education component, 7 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 83% prior to today’s visit. The last annual compliance visit was conducted 3/28/24. The November 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I checked in at the school office and met Ms. C. Simmons in her classroom. She stated five (5) classrooms were operating. I walked to Space B12 where I put my belongings in the room connecting B12 and B13. Classes left for lunch approximately ten (10) minutes after my arrival. I monitored program, staff, and child records while they were at lunch. I completed the staff/training worksheet. All staff had current CPR/First Aid within the required timeframe. One (1) new employee was assigned as an assistant teacher in Space B10. She had a provisional qualification letter on file. I reminded staff that she was not able to supervise children alone until her qualification letter was received. I reviewed her in the ABCMS system and she still had a provisional qualification through 4/14/25. She was not listed on the DPI form as well. A substitute teacher was present in Space B13 since 2/24/25. Ms. Simmons stated three (3) Instructional Assistants from the day school assisted the sub throughout that time. The three (3) individuals were not listed as substitutes on the DPI form. One (1) teacher assistant enrolled in EDU 119 to start 3/13/25. Fire and emergency drills were completed as required. Playground inspections were completed as required. The staff who documented the inspections had playground safety training. Ms. Simmons stated the playground was not currently being used due to inadequate amounts of mulch and drainage issues. She stated the program used a large grassy field for gross motor outdoor play. I observed gross motor materials available for each classroom. I monitored the playground and outdoor space. Children were observed participating in large group teacher directed activities, participating in free choice center play, and working independently with teachers. Activity plans were posted and current. A current menu was posted in each classroom. I overheard a teacher in Space B13 telling children "Get on your mat. I don't know what else you need.", "laydown", "I don't want to see your head pop up again" in tone that was not positive or respectful. I opened the classroom door and asked if everything was ok because it sounded like they might be frustrated. Teachers stated yes and after I closed the door the tone and manner of directing children changed to a respectful tone. It was reported that a child in Space B10 required emergency medication for a chronic condition. The teacher stated the medication was stored in the nurse's office. I explained the medication should be stored in the classroom in an unlocked cabinet or shelf that is above five (5) feet and follow the child throughout the day. Medication for another child with a chronic condition was in Space B11. I monitored for medical action plans and permissions to administer medications. The program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A sampling of children’s files were monitored for completed health assessments and developmental screenings. The sanitation inspection was completed 2/13/25 and received a “Superior” classification. The last fire inspection was conducted 9/5/24. The program was operated by the CMS Pre-K Department. The following violation(s) were documented. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. One (1) new assistant teacher was not listed on the DPI form. Three (3) substitute teachers reported as caring for children in Space B13 were not listed on the DPI form and did not have paperwork available for review. G.S. 110-91(9); .0304(g); .2318 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented in Space B13. A substitute teacher was present since 2/24/25 and arrival/departure times were not documented since her start date. 10A NCAC 09 .0302(d)(4) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. The teacher's interaction with children in Space B13 was not positive. She was heard telling children "Get on your mat. I don't know what else you need.", "laydown", "I don't want to see your head pop up again" in tone that was not positive or respectful. .1802 860 Balloons were accessible to children. Two (2) large pink ribbon balloons were present in Space B9. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) employee's emergency information was not complete. One (1) employee's emergency information was not dated. .0701(a) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A child medication for a chronic condition was not stored in the classroom. The medication was stored in the nurse's office. .0802(c)(3) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child (I.A.) did not have a medical assessment on file. GS 110-91(1);.0302(d)(2); .0304(g) 1767 The health assessment did not include a vision screening. One (1) child (I.A.) did not have a vision screening on file. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. One (1) child (I.A.) did not have hearing screening. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Eight (8) children did not have a dental screening. .3005 (a)(5) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for a chronic condition expired 2/25/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee's maltreatment training was not available for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) employees did not have documentation of completing health and safety trainings on file. .1102(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Wednesday, March 26, 2025 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Star Rated License Reassessment Update: SB 425 extended hold harmless until the new Quality Rating Improvement System (QRIS) is revised and implemented. Facilities are not required to proceed with the rated license assessment at this time unless they voluntarily choose to proceed. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Current “Frequently Asked Questions” can be found at the bottom of the information page. – QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Criminal Background Portal/ABCMS: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The following was discussed: 10A NCAC 09 .2703(f) CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (f)Provisional child care providers are eligible for employment at a child care facility and are eligible to reside in a family child care home, nonlicensed home, or child care center in a residence and shall be counted in staff/child ratio. Provisional child care providers shall be supervised at all times by an individual who received a qualifying result on a criminal background check within the past five years and may not be left alone with children. Child care facilities found to be in violation of this Paragraph may be issued an administrative action up to and including revocation of their child care license or notice of compliance in accordance with Section .2200 of this Chapter. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 3/12/2025 Number Present: 78 Completed Date: 3/12/2025 Age: From 4 To 5 Total Minutes: 268 Time In: 10:12 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on June 19, 2019, and earned 4 points in the staff education component, 7 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 83% prior to today’s visit. The last annual compliance visit was conducted 3/28/24. The November 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I checked in at the school office and met Ms. C. Simmons in her classroom. She stated five (5) classrooms were operating. I walked to Space B12 where I put my belongings in the room connecting B12 and B13. Classes left for lunch approximately ten (10) minutes after my arrival. I monitored program, staff, and child records while they were at lunch. I completed the staff/training worksheet. All staff had current CPR/First Aid within the required timeframe. One (1) new employee was assigned as an assistant teacher in Space B10. She had a provisional qualification letter on file. I reminded staff that she was not able to supervise children alone until her qualification letter was received. I reviewed her in the ABCMS system and she still had a provisional qualification through 4/14/25. She was not listed on the DPI form as well. A substitute teacher was present in Space B13 since 2/24/25. Ms. Simmons stated three (3) Instructional Assistants from the day school assisted the sub throughout that time. The three (3) individuals were not listed as substitutes on the DPI form. One (1) teacher assistant enrolled in EDU 119 to start 3/13/25. Fire and emergency drills were completed as required. Playground inspections were completed as required. The staff who documented the inspections had playground safety training. Ms. Simmons stated the playground was not currently being used due to inadequate amounts of mulch and drainage issues. She stated the program used a large grassy field for gross motor outdoor play. I observed gross motor materials available for each classroom. I monitored the playground and outdoor space. Children were observed participating in large group teacher directed activities, participating in free choice center play, and working independently with teachers. Activity plans were posted and current. A current menu was posted in each classroom. I overheard a teacher in Space B13 telling children "Get on your mat. I don't know what else you need.", "laydown", "I don't want to see your head pop up again" in tone that was not positive or respectful. I opened the classroom door and asked if everything was ok because it sounded like they might be frustrated. Teachers stated yes and after I closed the door the tone and manner of directing children changed to a respectful tone. It was reported that a child in Space B10 required emergency medication for a chronic condition. The teacher stated the medication was stored in the nurse's office. I explained the medication should be stored in the classroom in an unlocked cabinet or shelf that is above five (5) feet and follow the child throughout the day. Medication for another child with a chronic condition was in Space B11. I monitored for medical action plans and permissions to administer medications. The program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A sampling of children’s files were monitored for completed health assessments and developmental screenings. The sanitation inspection was completed 2/13/25 and received a “Superior” classification. The last fire inspection was conducted 9/5/24. The program was operated by the CMS Pre-K Department. The following violation(s) were documented. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. One (1) new assistant teacher was not listed on the DPI form. Three (3) substitute teachers reported as caring for children in Space B13 were not listed on the DPI form and did not have paperwork available for review. G.S. 110-91(9); .0304(g); .2318 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented in Space B13. A substitute teacher was present since 2/24/25 and arrival/departure times were not documented since her start date. 10A NCAC 09 .0302(d)(4) 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. The teacher's interaction with children in Space B13 was not positive. She was heard telling children "Get on your mat. I don't know what else you need.", "laydown", "I don't want to see your head pop up again" in tone that was not positive or respectful. .1802 860 Balloons were accessible to children. Two (2) large pink ribbon balloons were present in Space B9. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) employee's emergency information was not complete. One (1) employee's emergency information was not dated. .0701(a) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A child medication for a chronic condition was not stored in the classroom. The medication was stored in the nurse's office. .0802(c)(3) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child (I.A.) did not have a medical assessment on file. GS 110-91(1);.0302(d)(2); .0304(g) 1767 The health assessment did not include a vision screening. One (1) child (I.A.) did not have a vision screening on file. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. One (1) child (I.A.) did not have hearing screening. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Eight (8) children did not have a dental screening. .3005 (a)(5) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for a chronic condition expired 2/25/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee's maltreatment training was not available for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) employees did not have documentation of completing health and safety trainings on file. .1102(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Wednesday, March 26, 2025 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Star Rated License Reassessment Update: SB 425 extended hold harmless until the new Quality Rating Improvement System (QRIS) is revised and implemented. Facilities are not required to proceed with the rated license assessment at this time unless they voluntarily choose to proceed. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Current “Frequently Asked Questions” can be found at the bottom of the information page. – QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Criminal Background Portal/ABCMS: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The following was discussed: 10A NCAC 09 .2703(f) CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (f)Provisional child care providers are eligible for employment at a child care facility and are eligible to reside in a family child care home, nonlicensed home, or child care center in a residence and shall be counted in staff/child ratio. Provisional child care providers shall be supervised at all times by an individual who received a qualifying result on a criminal background check within the past five years and may not be left alone with children. Child care facilities found to be in violation of this Paragraph may be issued an administrative action up to and including revocation of their child care license or notice of compliance in accordance with Section .2200 of this Chapter. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 9/17/2024 Number Present: 60 Completed Date: 9/17/2024 Age: From 4 To 5 Total Minutes: 121 Time In: 10:39 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Four Star Rated License issued June 19, 2019 and earned 4 points in the staff education component, 7 points in the program component meeting reduced enhanced ratios and enhanced space requirements per the restrictions on the permit and 1 point in the quality component for having approved enhanced policies, a staff benefits package, and an infrastructure of parent involvement. The facility had an eighteen month compliance history of 79% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the March 2024 Master Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I signed in at the main office and walked unaccompanied to the cafeteria. I was greeted by Ms. K. Adams, assistance teacher, and I explained the purpose of my visit. Ms. Adams stated Ms. C. Simmons, lead teacher, was absent today. There were five (5) classrooms eating lunch. Lunch met nutrition guidelines and reflected what was posted on the menu. Teachers were observed assisting children with lunch items and sitting with children while they ate. I walked with classroom B-13 to B hall. Children stopped at the restroom to wash hands before entering their classroom. Teachers for B-13 were observed providing positive guidance as children walked and providing a nurturing tone to child who was upset during the transition. I visited B-11, B-9, B-10 and B-13. It was reported that materials were slowly being introduced to children and that each center would have the required amount of materials by the end of September. One (1) child in B-11 required emergency medication. It was reported that the medication was stored in the nurses office until the nurse signed off on training to administer the medication. I explained that once the medication was brought to the classroom it should be stored unlocked and above 5 feet. I also reminded teachers that the medication should follow the child everywhere they went in the building. The medical action plan, permission to administer the medication, and the original box with the prescription attached should accompany the medication in the classroom. I also reminded teachers that anytime they administered the medication they should document the information on the medication log. I walked to B-9 and met Ms. Adams. She stated Ms. Simmons took the key to the cabinet that contained all of the DCDEE paperwork. The substitute teacher had a copy of her CBC qualification letter in her email and a copy of her CPR/First Aid cards for verification. Three (3) new staff were hired since the annual compliance visit conducted March 28, 2024. Another unannounced visit will be made in the near future to verify new staff have required documentation and to verify all staff have current CPR/First Aid training. The program was operated by CMS Pre-K Department as listed on the permit. The fire inspection was due 9/1/24. Records were not available for review today. Verification of a current fire inspection will be noted during the unannounced follow-up visit. The last sanitation inspection was 9/12/24 and received 6 demerits. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Aerosol cans of Lysol and Clorox wipes were observed stored in an unlocked cabinet below 5 feet. .2820(b) 1043 All staff records, except financial records, were not made available for review. The cabinet that stored staff records was locked and the key was not onsite. G.S. 110-91( 9) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, October 1, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 General Comments: GS 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Star Rated License Reassessment Update: SB 425 extended hold harmless until the new Quality Rating Improvement System (QRIS) is revised and implemented. Facilities are not required to proceed with the rated license assessment at this time unless they voluntarily choose to proceed. – QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. - For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 9/17/2024 Number Present: 60 Completed Date: 9/17/2024 Age: From 4 To 5 Total Minutes: 121 Time In: 10:39 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Four Star Rated License issued June 19, 2019 and earned 4 points in the staff education component, 7 points in the program component meeting reduced enhanced ratios and enhanced space requirements per the restrictions on the permit and 1 point in the quality component for having approved enhanced policies, a staff benefits package, and an infrastructure of parent involvement. The facility had an eighteen month compliance history of 79% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the March 2024 Master Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I signed in at the main office and walked unaccompanied to the cafeteria. I was greeted by Ms. K. Adams, assistance teacher, and I explained the purpose of my visit. Ms. Adams stated Ms. C. Simmons, lead teacher, was absent today. There were five (5) classrooms eating lunch. Lunch met nutrition guidelines and reflected what was posted on the menu. Teachers were observed assisting children with lunch items and sitting with children while they ate. I walked with classroom B-13 to B hall. Children stopped at the restroom to wash hands before entering their classroom. Teachers for B-13 were observed providing positive guidance as children walked and providing a nurturing tone to child who was upset during the transition. I visited B-11, B-9, B-10 and B-13. It was reported that materials were slowly being introduced to children and that each center would have the required amount of materials by the end of September. One (1) child in B-11 required emergency medication. It was reported that the medication was stored in the nurses office until the nurse signed off on training to administer the medication. I explained that once the medication was brought to the classroom it should be stored unlocked and above 5 feet. I also reminded teachers that the medication should follow the child everywhere they went in the building. The medical action plan, permission to administer the medication, and the original box with the prescription attached should accompany the medication in the classroom. I also reminded teachers that anytime they administered the medication they should document the information on the medication log. I walked to B-9 and met Ms. Adams. She stated Ms. Simmons took the key to the cabinet that contained all of the DCDEE paperwork. The substitute teacher had a copy of her CBC qualification letter in her email and a copy of her CPR/First Aid cards for verification. Three (3) new staff were hired since the annual compliance visit conducted March 28, 2024. Another unannounced visit will be made in the near future to verify new staff have required documentation and to verify all staff have current CPR/First Aid training. The program was operated by CMS Pre-K Department as listed on the permit. The fire inspection was due 9/1/24. Records were not available for review today. Verification of a current fire inspection will be noted during the unannounced follow-up visit. The last sanitation inspection was 9/12/24 and received 6 demerits. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Aerosol cans of Lysol and Clorox wipes were observed stored in an unlocked cabinet below 5 feet. .2820(b) 1043 All staff records, except financial records, were not made available for review. The cabinet that stored staff records was locked and the key was not onsite. G.S. 110-91( 9) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, October 1, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 General Comments: GS 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Star Rated License Reassessment Update: SB 425 extended hold harmless until the new Quality Rating Improvement System (QRIS) is revised and implemented. Facilities are not required to proceed with the rated license assessment at this time unless they voluntarily choose to proceed. – QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. - For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 9/17/2024 Number Present: 60 Completed Date: 9/17/2024 Age: From 4 To 5 Total Minutes: 121 Time In: 10:39 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Four Star Rated License issued June 19, 2019 and earned 4 points in the staff education component, 7 points in the program component meeting reduced enhanced ratios and enhanced space requirements per the restrictions on the permit and 1 point in the quality component for having approved enhanced policies, a staff benefits package, and an infrastructure of parent involvement. The facility had an eighteen month compliance history of 79% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the March 2024 Master Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I signed in at the main office and walked unaccompanied to the cafeteria. I was greeted by Ms. K. Adams, assistance teacher, and I explained the purpose of my visit. Ms. Adams stated Ms. C. Simmons, lead teacher, was absent today. There were five (5) classrooms eating lunch. Lunch met nutrition guidelines and reflected what was posted on the menu. Teachers were observed assisting children with lunch items and sitting with children while they ate. I walked with classroom B-13 to B hall. Children stopped at the restroom to wash hands before entering their classroom. Teachers for B-13 were observed providing positive guidance as children walked and providing a nurturing tone to child who was upset during the transition. I visited B-11, B-9, B-10 and B-13. It was reported that materials were slowly being introduced to children and that each center would have the required amount of materials by the end of September. One (1) child in B-11 required emergency medication. It was reported that the medication was stored in the nurses office until the nurse signed off on training to administer the medication. I explained that once the medication was brought to the classroom it should be stored unlocked and above 5 feet. I also reminded teachers that the medication should follow the child everywhere they went in the building. The medical action plan, permission to administer the medication, and the original box with the prescription attached should accompany the medication in the classroom. I also reminded teachers that anytime they administered the medication they should document the information on the medication log. I walked to B-9 and met Ms. Adams. She stated Ms. Simmons took the key to the cabinet that contained all of the DCDEE paperwork. The substitute teacher had a copy of her CBC qualification letter in her email and a copy of her CPR/First Aid cards for verification. Three (3) new staff were hired since the annual compliance visit conducted March 28, 2024. Another unannounced visit will be made in the near future to verify new staff have required documentation and to verify all staff have current CPR/First Aid training. The program was operated by CMS Pre-K Department as listed on the permit. The fire inspection was due 9/1/24. Records were not available for review today. Verification of a current fire inspection will be noted during the unannounced follow-up visit. The last sanitation inspection was 9/12/24 and received 6 demerits. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Aerosol cans of Lysol and Clorox wipes were observed stored in an unlocked cabinet below 5 feet. .2820(b) 1043 All staff records, except financial records, were not made available for review. The cabinet that stored staff records was locked and the key was not onsite. G.S. 110-91( 9) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, October 1, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 General Comments: GS 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Star Rated License Reassessment Update: SB 425 extended hold harmless until the new Quality Rating Improvement System (QRIS) is revised and implemented. Facilities are not required to proceed with the rated license assessment at this time unless they voluntarily choose to proceed. – QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. - For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 3/28/2024 Number Present: 70 Completed Date: 3/28/2024 Age: From 4 To 5 Total Minutes: 242 Time In: 10:38 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on June 19, 2019, and earned 4 points in the staff education component, 7 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 78% prior to today’s visit. The last annual compliance visit was conducted 4/3/23.The August 2023 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I checked in at the school office and met Ms. C. Simmons in the cafeteria where all five (5) classrooms were having lunch. I explained the purpose of the visit. Lunch met nutrition requirements and reflected what was listed on the menu. I accompanied the groups back to B-Hall where I monitored each classroom. Children washed hands after lunch and were observed participating in free choice activities. Arrival and departure times were documented as required. It was reported that there was no emergency medication on site. Lesson plans were current and all required documents were observed posted. Evidence of curriculum was observed in each classroom. Teachers were observed engaged with children and asked open-ended questions. Materials in classrooms were observed plentiful and in good repair. Ms. Simmons stated the playground was not currently being used due to inadequate amounts of mulch and drainage issues. She stated the program used a large grassy field for gross motor outdoor play. I observed gross motor materials available for each classroom. The program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A sampling of children’s files were monitored for completed health assessments and developmental screenings. Playground inspections were completed as required. Fire and emergency drills were completed as required. The sanitation inspection was completed 3/14/24 and received a “Superior” classification. The last fire inspection was conducted 9/1/23. The following violation(s) were documented. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in Space B13 was not keeping cool. The temperature was observed at 60 degrees. 15A NCAC 18A .2806(j)(2) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two (2) teachers did not have verification of reviewing the EMC plan. 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. One (1) teacher did not complete in person Firs 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. One (1) teacher did not complete in person CPR training. .1102(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two (2) children did not have a medical assessment on file for review to include vision, hearing, and dental screening. GS 110-91(1);.0302(d)(2); .0304(g) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Two (2) children did not have off-premise permission on file for review. .1005(b)(4) 1757 A valid qualification letter was not on file and available to review at the facility. Two (2) substitutes had current qualifications in the ABCMS system, however the letters were not on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Two (2) children did not have a health assessment on file for review. .3005(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two (2) children did not have s signed and dated Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy for review. .0608(b)(1-6) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, April 11, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Resuming Star Rated License Reassessment: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year won’t begin until July 1, 2024, the preparation year for cohort one begins July 1, 2023. Your facility is assigned to Cohort 2. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. - The CDA coursework flyer was emailed to you today. - Children should wash hands before and after participating in sensory table play. - For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .3009 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 3/28/2024 Number Present: 70 Completed Date: 3/28/2024 Age: From 4 To 5 Total Minutes: 242 Time In: 10:38 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on June 19, 2019, and earned 4 points in the staff education component, 7 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 78% prior to today’s visit. The last annual compliance visit was conducted 4/3/23.The August 2023 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I checked in at the school office and met Ms. C. Simmons in the cafeteria where all five (5) classrooms were having lunch. I explained the purpose of the visit. Lunch met nutrition requirements and reflected what was listed on the menu. I accompanied the groups back to B-Hall where I monitored each classroom. Children washed hands after lunch and were observed participating in free choice activities. Arrival and departure times were documented as required. It was reported that there was no emergency medication on site. Lesson plans were current and all required documents were observed posted. Evidence of curriculum was observed in each classroom. Teachers were observed engaged with children and asked open-ended questions. Materials in classrooms were observed plentiful and in good repair. Ms. Simmons stated the playground was not currently being used due to inadequate amounts of mulch and drainage issues. She stated the program used a large grassy field for gross motor outdoor play. I observed gross motor materials available for each classroom. The program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A sampling of children’s files were monitored for completed health assessments and developmental screenings. Playground inspections were completed as required. Fire and emergency drills were completed as required. The sanitation inspection was completed 3/14/24 and received a “Superior” classification. The last fire inspection was conducted 9/1/23. The following violation(s) were documented. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in Space B13 was not keeping cool. The temperature was observed at 60 degrees. 15A NCAC 18A .2806(j)(2) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two (2) teachers did not have verification of reviewing the EMC plan. 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. One (1) teacher did not complete in person Firs 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. One (1) teacher did not complete in person CPR training. .1102(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two (2) children did not have a medical assessment on file for review to include vision, hearing, and dental screening. GS 110-91(1);.0302(d)(2); .0304(g) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Two (2) children did not have off-premise permission on file for review. .1005(b)(4) 1757 A valid qualification letter was not on file and available to review at the facility. Two (2) substitutes had current qualifications in the ABCMS system, however the letters were not on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Two (2) children did not have a health assessment on file for review. .3005(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two (2) children did not have s signed and dated Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy for review. .0608(b)(1-6) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, April 11, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Resuming Star Rated License Reassessment: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year won’t begin until July 1, 2024, the preparation year for cohort one begins July 1, 2023. Your facility is assigned to Cohort 2. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. - The CDA coursework flyer was emailed to you today. - Children should wash hands before and after participating in sensory table play. - For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 3/28/2024 Number Present: 70 Completed Date: 3/28/2024 Age: From 4 To 5 Total Minutes: 242 Time In: 10:38 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on June 19, 2019, and earned 4 points in the staff education component, 7 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 78% prior to today’s visit. The last annual compliance visit was conducted 4/3/23.The August 2023 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I checked in at the school office and met Ms. C. Simmons in the cafeteria where all five (5) classrooms were having lunch. I explained the purpose of the visit. Lunch met nutrition requirements and reflected what was listed on the menu. I accompanied the groups back to B-Hall where I monitored each classroom. Children washed hands after lunch and were observed participating in free choice activities. Arrival and departure times were documented as required. It was reported that there was no emergency medication on site. Lesson plans were current and all required documents were observed posted. Evidence of curriculum was observed in each classroom. Teachers were observed engaged with children and asked open-ended questions. Materials in classrooms were observed plentiful and in good repair. Ms. Simmons stated the playground was not currently being used due to inadequate amounts of mulch and drainage issues. She stated the program used a large grassy field for gross motor outdoor play. I observed gross motor materials available for each classroom. The program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A sampling of children’s files were monitored for completed health assessments and developmental screenings. Playground inspections were completed as required. Fire and emergency drills were completed as required. The sanitation inspection was completed 3/14/24 and received a “Superior” classification. The last fire inspection was conducted 9/1/23. The following violation(s) were documented. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in Space B13 was not keeping cool. The temperature was observed at 60 degrees. 15A NCAC 18A .2806(j)(2) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two (2) teachers did not have verification of reviewing the EMC plan. 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. One (1) teacher did not complete in person Firs 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. One (1) teacher did not complete in person CPR training. .1102(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two (2) children did not have a medical assessment on file for review to include vision, hearing, and dental screening. GS 110-91(1);.0302(d)(2); .0304(g) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Two (2) children did not have off-premise permission on file for review. .1005(b)(4) 1757 A valid qualification letter was not on file and available to review at the facility. Two (2) substitutes had current qualifications in the ABCMS system, however the letters were not on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Two (2) children did not have a health assessment on file for review. .3005(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two (2) children did not have s signed and dated Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy for review. .0608(b)(1-6) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, April 11, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Resuming Star Rated License Reassessment: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year won’t begin until July 1, 2024, the preparation year for cohort one begins July 1, 2023. Your facility is assigned to Cohort 2. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. - The CDA coursework flyer was emailed to you today. - Children should wash hands before and after participating in sensory table play. - For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 3/28/2024 Number Present: 70 Completed Date: 3/28/2024 Age: From 4 To 5 Total Minutes: 242 Time In: 10:38 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on June 19, 2019, and earned 4 points in the staff education component, 7 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 78% prior to today’s visit. The last annual compliance visit was conducted 4/3/23.The August 2023 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I checked in at the school office and met Ms. C. Simmons in the cafeteria where all five (5) classrooms were having lunch. I explained the purpose of the visit. Lunch met nutrition requirements and reflected what was listed on the menu. I accompanied the groups back to B-Hall where I monitored each classroom. Children washed hands after lunch and were observed participating in free choice activities. Arrival and departure times were documented as required. It was reported that there was no emergency medication on site. Lesson plans were current and all required documents were observed posted. Evidence of curriculum was observed in each classroom. Teachers were observed engaged with children and asked open-ended questions. Materials in classrooms were observed plentiful and in good repair. Ms. Simmons stated the playground was not currently being used due to inadequate amounts of mulch and drainage issues. She stated the program used a large grassy field for gross motor outdoor play. I observed gross motor materials available for each classroom. The program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A sampling of children’s files were monitored for completed health assessments and developmental screenings. Playground inspections were completed as required. Fire and emergency drills were completed as required. The sanitation inspection was completed 3/14/24 and received a “Superior” classification. The last fire inspection was conducted 9/1/23. The following violation(s) were documented. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in Space B13 was not keeping cool. The temperature was observed at 60 degrees. 15A NCAC 18A .2806(j)(2) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two (2) teachers did not have verification of reviewing the EMC plan. 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. One (1) teacher did not complete in person Firs 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. One (1) teacher did not complete in person CPR training. .1102(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two (2) children did not have a medical assessment on file for review to include vision, hearing, and dental screening. GS 110-91(1);.0302(d)(2); .0304(g) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Two (2) children did not have off-premise permission on file for review. .1005(b)(4) 1757 A valid qualification letter was not on file and available to review at the facility. Two (2) substitutes had current qualifications in the ABCMS system, however the letters were not on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Two (2) children did not have a health assessment on file for review. .3005(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two (2) children did not have s signed and dated Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy for review. .0608(b)(1-6) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, April 11, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Resuming Star Rated License Reassessment: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year won’t begin until July 1, 2024, the preparation year for cohort one begins July 1, 2023. Your facility is assigned to Cohort 2. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. - The CDA coursework flyer was emailed to you today. - Children should wash hands before and after participating in sensory table play. - For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 3/28/2024 Number Present: 70 Completed Date: 3/28/2024 Age: From 4 To 5 Total Minutes: 242 Time In: 10:38 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with Four Star Rated License issued on June 19, 2019, and earned 4 points in the staff education component, 7 points in the program component and met the enhanced space and enhanced ratios requirement, and 1 quality point for offering a staff benefits package and parent involvement opportunities. The facility had an eighteen (18) month compliance history score of 78% prior to today’s visit. The last annual compliance visit was conducted 4/3/23.The August 2023 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I checked in at the school office and met Ms. C. Simmons in the cafeteria where all five (5) classrooms were having lunch. I explained the purpose of the visit. Lunch met nutrition requirements and reflected what was listed on the menu. I accompanied the groups back to B-Hall where I monitored each classroom. Children washed hands after lunch and were observed participating in free choice activities. Arrival and departure times were documented as required. It was reported that there was no emergency medication on site. Lesson plans were current and all required documents were observed posted. Evidence of curriculum was observed in each classroom. Teachers were observed engaged with children and asked open-ended questions. Materials in classrooms were observed plentiful and in good repair. Ms. Simmons stated the playground was not currently being used due to inadequate amounts of mulch and drainage issues. She stated the program used a large grassy field for gross motor outdoor play. I observed gross motor materials available for each classroom. The program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A sampling of children’s files were monitored for completed health assessments and developmental screenings. Playground inspections were completed as required. Fire and emergency drills were completed as required. The sanitation inspection was completed 3/14/24 and received a “Superior” classification. The last fire inspection was conducted 9/1/23. The following violation(s) were documented. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in Space B13 was not keeping cool. The temperature was observed at 60 degrees. 15A NCAC 18A .2806(j)(2) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two (2) teachers did not have verification of reviewing the EMC plan. 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. One (1) teacher did not complete in person Firs 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. One (1) teacher did not complete in person CPR training. .1102(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two (2) children did not have a medical assessment on file for review to include vision, hearing, and dental screening. GS 110-91(1);.0302(d)(2); .0304(g) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Two (2) children did not have off-premise permission on file for review. .1005(b)(4) 1757 A valid qualification letter was not on file and available to review at the facility. Two (2) substitutes had current qualifications in the ABCMS system, however the letters were not on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Two (2) children did not have a health assessment on file for review. .3005(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two (2) children did not have s signed and dated Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy for review. .0608(b)(1-6) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Thursday, April 11, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Resuming Star Rated License Reassessment: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year won’t begin until July 1, 2024, the preparation year for cohort one begins July 1, 2023. Your facility is assigned to Cohort 2. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. - The CDA coursework flyer was emailed to you today. - Children should wash hands before and after participating in sensory table play. - For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 1/19/2024 Number Present: 67 Completed Date: 1/19/2024 Age: From 4 To 5 Total Minutes: 237 Time In: 10:13 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Four Star Rated License issued June 19, 2019 and earned 4 points in the staff education component, 7 points in the program component meeting reduced enhanced ratios and enhanced space requirements per the restrictions on the permit and 1 point in the quality component for having approved enhanced policies, a staff benefits package, and an infrastructure of parent involvement. The facility had an eighteen month compliance history of 81% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the August 2023 Master Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I was greeted by Ms. C. Simmons, Lead Teacher, and I explained the purpose of my visit. Classrooms were preparing to go to lunch. Ms. Simmons gave me the DCDEE notebook before she left for the cafeteria. I monitored paperwork while all classrooms were eating lunch. I reviewed CBC qualifications in the DCDEE file and in the ABCMS system. One (1) teacher did not complete a DCDEE background check prior to being placed in NC Pre-K. Ms. Desiree Dula stated she was moved from 4th grade to Pre-K in November. I informed Ms. Dula that she would not be allowed to work with Pre-K until her DCDEE qualification letter was received. I reviewed with her today how to apply and all of the steps required to obtain her background check. Ms. Dula was informed per instruction from Michele Sullivan, licensing supervisor, that when her classroom was in ratio she should leave campus. I also discussed the information with the administrator and explained that Ms. Dula could not be in Pre-K until the letter was received and another staff member with the DCDEE qualification would need to be in Space B12 to maintain ratio. All staff and substitutes were listed on the DPI form except a substitute who was present in classroom B10. I verified her CBC qualification in the ABCMS system. A signed Shaken Baby and Abusive Head Trauma policy was not on file for one (1) staff member. Two (2) staff members took CPR and First Aid online, one (1) staff member’s CPR/First Aid expired 1/13/24 and one (1) staff member had Lifeguard CPR/First Aid certification and should obtain child/adult certification. One (1) staff member did not have emergency information on file for review. Five (5) classrooms were monitored today. I observed classrooms arranged in activity centers, including books, blocks, writing, sand/water, science, dramatic play, art, and manipulative toys. Spaces B9, B10, and B12 did not have sufficient amounts of materials in centers. Specifically the block center. The teacher in Space B12 stated she did not keep manipulatives on the shelves because a child dumped the materials. I explained that materials should be accessible to children throughout the day. The child was not present today. Ms. Simmons and I discussed maintaining programmatic requirements at all times and not just during ERS assessments. She stated there were enough materials in storage for classrooms to keep centers fully maintained. Children were observed participating in a large group activities that included a mindfulness activity and free choice center play. Teachers were supervising the children and providing guidance. Mats were available for rest time. Ms. Simmons asked if a yoga mat could be used for rest time. I stated yes as long as the mat was 2” thick and there were individual linens for the mat. All required items were observed posted on the parent board and inside the classroom. The program was operated by CMS Pre-K Department as listed on the permit. The last fire inspection was due July 18, 2023. The inspection report for 2023 was dated 9/1/23. A violation was cited today for the inspection occurring more than 12 months from the date of the last inspection. Ms. Simmons was reminded the inspection should be mailed/emailed to the consultant within 7 days of the inspection. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was due 7/18/23 and completed 9/1/23. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. . Arrival times were not documented as children arrived in Space B9, B10, and B13. 10A NCAC 09 .0302(d)(4) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Spaces B9, B10 and B12 did not have sufficient materials in activity centers. Shelves in blocks and manipulatives were observed empty. .0510(d)(1) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Screen time logs were not documented and maintained as required. .0510(d)(2)(A-C) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not completed in December 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member did not have emergency information on file for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A teacher, D. Dula, did not have a Criminal Background Check completed prior to be assigned to work in NC Pre-K. She was moved from working with 4th grade students to NC Pre-K in November 2023. G.S. 110-90.2(b) 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. First Aid for one (1) teacher expired 1/13/24 and one (1) teacher did not have First Aid training appropriate for the age of children in care. The certification was for a lifeguard. .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. CPR for one (1) teacher expired 1/13/24 and one (1) teacher did not have CPR training appropriate for the age of children in care. The certification was for a lifeguard. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) teacher, D. Dula, did not have a qualification letter on file. One (1) substitute, L. Goe, who was in the classroom today did not have a letter on file for review. Her qualification was verified in the ABCMS system. 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. A signed acknowledgment of the Shaken Baby and Abusive Head Trauma policy was not on file for one (1) teacher. .0608(d)(1-4) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. Two (2) teachers used distance learning to complete CPR/First Aid training. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday, February 2, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Resuming Rated License Reassessment: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is in cohort 2. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. If you have questions prior to me reaching out, please don’t hesitate to contact me. - Arrival and departure times should be documented in real time as children arrive/depart each day. If a child is transitioned to another room or to work with another teacher, the transition should be documented. All children should have a written record of where they are throughout the building each day. This can be documented on the arrival/departure sheet or a transition form can be created. - All staff including substitutes should have a CBC qualification letter on file for review. - All staff, including substitutes and elementary school staff, who work with children should be listed on the DPI form indicating required paperwork has been completed. - Staff should model healthy eating habits in front of children and not consume soda, coffee, fast food in the classroom in a recognizable cup or bag. - Anytime children use a screen whether as a large group activity or individually on an iPad, the amount of time in front of the screen should be documented. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit an electronic copy of the visit summary was reviewed and signed. A copy was emailed to Ms. Simmons. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 1/19/2024 Number Present: 67 Completed Date: 1/19/2024 Age: From 4 To 5 Total Minutes: 237 Time In: 10:13 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Four Star Rated License issued June 19, 2019 and earned 4 points in the staff education component, 7 points in the program component meeting reduced enhanced ratios and enhanced space requirements per the restrictions on the permit and 1 point in the quality component for having approved enhanced policies, a staff benefits package, and an infrastructure of parent involvement. The facility had an eighteen month compliance history of 81% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the August 2023 Master Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I was greeted by Ms. C. Simmons, Lead Teacher, and I explained the purpose of my visit. Classrooms were preparing to go to lunch. Ms. Simmons gave me the DCDEE notebook before she left for the cafeteria. I monitored paperwork while all classrooms were eating lunch. I reviewed CBC qualifications in the DCDEE file and in the ABCMS system. One (1) teacher did not complete a DCDEE background check prior to being placed in NC Pre-K. Ms. Desiree Dula stated she was moved from 4th grade to Pre-K in November. I informed Ms. Dula that she would not be allowed to work with Pre-K until her DCDEE qualification letter was received. I reviewed with her today how to apply and all of the steps required to obtain her background check. Ms. Dula was informed per instruction from Michele Sullivan, licensing supervisor, that when her classroom was in ratio she should leave campus. I also discussed the information with the administrator and explained that Ms. Dula could not be in Pre-K until the letter was received and another staff member with the DCDEE qualification would need to be in Space B12 to maintain ratio. All staff and substitutes were listed on the DPI form except a substitute who was present in classroom B10. I verified her CBC qualification in the ABCMS system. A signed Shaken Baby and Abusive Head Trauma policy was not on file for one (1) staff member. Two (2) staff members took CPR and First Aid online, one (1) staff member’s CPR/First Aid expired 1/13/24 and one (1) staff member had Lifeguard CPR/First Aid certification and should obtain child/adult certification. One (1) staff member did not have emergency information on file for review. Five (5) classrooms were monitored today. I observed classrooms arranged in activity centers, including books, blocks, writing, sand/water, science, dramatic play, art, and manipulative toys. Spaces B9, B10, and B12 did not have sufficient amounts of materials in centers. Specifically the block center. The teacher in Space B12 stated she did not keep manipulatives on the shelves because a child dumped the materials. I explained that materials should be accessible to children throughout the day. The child was not present today. Ms. Simmons and I discussed maintaining programmatic requirements at all times and not just during ERS assessments. She stated there were enough materials in storage for classrooms to keep centers fully maintained. Children were observed participating in a large group activities that included a mindfulness activity and free choice center play. Teachers were supervising the children and providing guidance. Mats were available for rest time. Ms. Simmons asked if a yoga mat could be used for rest time. I stated yes as long as the mat was 2” thick and there were individual linens for the mat. All required items were observed posted on the parent board and inside the classroom. The program was operated by CMS Pre-K Department as listed on the permit. The last fire inspection was due July 18, 2023. The inspection report for 2023 was dated 9/1/23. A violation was cited today for the inspection occurring more than 12 months from the date of the last inspection. Ms. Simmons was reminded the inspection should be mailed/emailed to the consultant within 7 days of the inspection. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was due 7/18/23 and completed 9/1/23. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. . Arrival times were not documented as children arrived in Space B9, B10, and B13. 10A NCAC 09 .0302(d)(4) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Spaces B9, B10 and B12 did not have sufficient materials in activity centers. Shelves in blocks and manipulatives were observed empty. .0510(d)(1) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Screen time logs were not documented and maintained as required. .0510(d)(2)(A-C) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not completed in December 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member did not have emergency information on file for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A teacher, D. Dula, did not have a Criminal Background Check completed prior to be assigned to work in NC Pre-K. She was moved from working with 4th grade students to NC Pre-K in November 2023. G.S. 110-90.2(b) 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. First Aid for one (1) teacher expired 1/13/24 and one (1) teacher did not have First Aid training appropriate for the age of children in care. The certification was for a lifeguard. .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. CPR for one (1) teacher expired 1/13/24 and one (1) teacher did not have CPR training appropriate for the age of children in care. The certification was for a lifeguard. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) teacher, D. Dula, did not have a qualification letter on file. One (1) substitute, L. Goe, who was in the classroom today did not have a letter on file for review. Her qualification was verified in the ABCMS system. 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. A signed acknowledgment of the Shaken Baby and Abusive Head Trauma policy was not on file for one (1) teacher. .0608(d)(1-4) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. Two (2) teachers used distance learning to complete CPR/First Aid training. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday, February 2, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Resuming Rated License Reassessment: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is in cohort 2. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. If you have questions prior to me reaching out, please don’t hesitate to contact me. - Arrival and departure times should be documented in real time as children arrive/depart each day. If a child is transitioned to another room or to work with another teacher, the transition should be documented. All children should have a written record of where they are throughout the building each day. This can be documented on the arrival/departure sheet or a transition form can be created. - All staff including substitutes should have a CBC qualification letter on file for review. - All staff, including substitutes and elementary school staff, who work with children should be listed on the DPI form indicating required paperwork has been completed. - Staff should model healthy eating habits in front of children and not consume soda, coffee, fast food in the classroom in a recognizable cup or bag. - Anytime children use a screen whether as a large group activity or individually on an iPad, the amount of time in front of the screen should be documented. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit an electronic copy of the visit summary was reviewed and signed. A copy was emailed to Ms. Simmons. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 1/19/2024 Number Present: 67 Completed Date: 1/19/2024 Age: From 4 To 5 Total Minutes: 237 Time In: 10:13 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Four Star Rated License issued June 19, 2019 and earned 4 points in the staff education component, 7 points in the program component meeting reduced enhanced ratios and enhanced space requirements per the restrictions on the permit and 1 point in the quality component for having approved enhanced policies, a staff benefits package, and an infrastructure of parent involvement. The facility had an eighteen month compliance history of 81% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the August 2023 Master Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I was greeted by Ms. C. Simmons, Lead Teacher, and I explained the purpose of my visit. Classrooms were preparing to go to lunch. Ms. Simmons gave me the DCDEE notebook before she left for the cafeteria. I monitored paperwork while all classrooms were eating lunch. I reviewed CBC qualifications in the DCDEE file and in the ABCMS system. One (1) teacher did not complete a DCDEE background check prior to being placed in NC Pre-K. Ms. Desiree Dula stated she was moved from 4th grade to Pre-K in November. I informed Ms. Dula that she would not be allowed to work with Pre-K until her DCDEE qualification letter was received. I reviewed with her today how to apply and all of the steps required to obtain her background check. Ms. Dula was informed per instruction from Michele Sullivan, licensing supervisor, that when her classroom was in ratio she should leave campus. I also discussed the information with the administrator and explained that Ms. Dula could not be in Pre-K until the letter was received and another staff member with the DCDEE qualification would need to be in Space B12 to maintain ratio. All staff and substitutes were listed on the DPI form except a substitute who was present in classroom B10. I verified her CBC qualification in the ABCMS system. A signed Shaken Baby and Abusive Head Trauma policy was not on file for one (1) staff member. Two (2) staff members took CPR and First Aid online, one (1) staff member’s CPR/First Aid expired 1/13/24 and one (1) staff member had Lifeguard CPR/First Aid certification and should obtain child/adult certification. One (1) staff member did not have emergency information on file for review. Five (5) classrooms were monitored today. I observed classrooms arranged in activity centers, including books, blocks, writing, sand/water, science, dramatic play, art, and manipulative toys. Spaces B9, B10, and B12 did not have sufficient amounts of materials in centers. Specifically the block center. The teacher in Space B12 stated she did not keep manipulatives on the shelves because a child dumped the materials. I explained that materials should be accessible to children throughout the day. The child was not present today. Ms. Simmons and I discussed maintaining programmatic requirements at all times and not just during ERS assessments. She stated there were enough materials in storage for classrooms to keep centers fully maintained. Children were observed participating in a large group activities that included a mindfulness activity and free choice center play. Teachers were supervising the children and providing guidance. Mats were available for rest time. Ms. Simmons asked if a yoga mat could be used for rest time. I stated yes as long as the mat was 2” thick and there were individual linens for the mat. All required items were observed posted on the parent board and inside the classroom. The program was operated by CMS Pre-K Department as listed on the permit. The last fire inspection was due July 18, 2023. The inspection report for 2023 was dated 9/1/23. A violation was cited today for the inspection occurring more than 12 months from the date of the last inspection. Ms. Simmons was reminded the inspection should be mailed/emailed to the consultant within 7 days of the inspection. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was due 7/18/23 and completed 9/1/23. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. . Arrival times were not documented as children arrived in Space B9, B10, and B13. 10A NCAC 09 .0302(d)(4) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Spaces B9, B10 and B12 did not have sufficient materials in activity centers. Shelves in blocks and manipulatives were observed empty. .0510(d)(1) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Screen time logs were not documented and maintained as required. .0510(d)(2)(A-C) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not completed in December 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member did not have emergency information on file for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A teacher, D. Dula, did not have a Criminal Background Check completed prior to be assigned to work in NC Pre-K. She was moved from working with 4th grade students to NC Pre-K in November 2023. G.S. 110-90.2(b) 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. First Aid for one (1) teacher expired 1/13/24 and one (1) teacher did not have First Aid training appropriate for the age of children in care. The certification was for a lifeguard. .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. CPR for one (1) teacher expired 1/13/24 and one (1) teacher did not have CPR training appropriate for the age of children in care. The certification was for a lifeguard. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) teacher, D. Dula, did not have a qualification letter on file. One (1) substitute, L. Goe, who was in the classroom today did not have a letter on file for review. Her qualification was verified in the ABCMS system. 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. A signed acknowledgment of the Shaken Baby and Abusive Head Trauma policy was not on file for one (1) teacher. .0608(d)(1-4) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. Two (2) teachers used distance learning to complete CPR/First Aid training. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday, February 2, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Resuming Rated License Reassessment: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is in cohort 2. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. If you have questions prior to me reaching out, please don’t hesitate to contact me. - Arrival and departure times should be documented in real time as children arrive/depart each day. If a child is transitioned to another room or to work with another teacher, the transition should be documented. All children should have a written record of where they are throughout the building each day. This can be documented on the arrival/departure sheet or a transition form can be created. - All staff including substitutes should have a CBC qualification letter on file for review. - All staff, including substitutes and elementary school staff, who work with children should be listed on the DPI form indicating required paperwork has been completed. - Staff should model healthy eating habits in front of children and not consume soda, coffee, fast food in the classroom in a recognizable cup or bag. - Anytime children use a screen whether as a large group activity or individually on an iPad, the amount of time in front of the screen should be documented. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit an electronic copy of the visit summary was reviewed and signed. A copy was emailed to Ms. Simmons. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1105 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 1/19/2024 Number Present: 67 Completed Date: 1/19/2024 Age: From 4 To 5 Total Minutes: 237 Time In: 10:13 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Four Star Rated License issued June 19, 2019 and earned 4 points in the staff education component, 7 points in the program component meeting reduced enhanced ratios and enhanced space requirements per the restrictions on the permit and 1 point in the quality component for having approved enhanced policies, a staff benefits package, and an infrastructure of parent involvement. The facility had an eighteen month compliance history of 81% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the August 2023 Master Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I was greeted by Ms. C. Simmons, Lead Teacher, and I explained the purpose of my visit. Classrooms were preparing to go to lunch. Ms. Simmons gave me the DCDEE notebook before she left for the cafeteria. I monitored paperwork while all classrooms were eating lunch. I reviewed CBC qualifications in the DCDEE file and in the ABCMS system. One (1) teacher did not complete a DCDEE background check prior to being placed in NC Pre-K. Ms. Desiree Dula stated she was moved from 4th grade to Pre-K in November. I informed Ms. Dula that she would not be allowed to work with Pre-K until her DCDEE qualification letter was received. I reviewed with her today how to apply and all of the steps required to obtain her background check. Ms. Dula was informed per instruction from Michele Sullivan, licensing supervisor, that when her classroom was in ratio she should leave campus. I also discussed the information with the administrator and explained that Ms. Dula could not be in Pre-K until the letter was received and another staff member with the DCDEE qualification would need to be in Space B12 to maintain ratio. All staff and substitutes were listed on the DPI form except a substitute who was present in classroom B10. I verified her CBC qualification in the ABCMS system. A signed Shaken Baby and Abusive Head Trauma policy was not on file for one (1) staff member. Two (2) staff members took CPR and First Aid online, one (1) staff member’s CPR/First Aid expired 1/13/24 and one (1) staff member had Lifeguard CPR/First Aid certification and should obtain child/adult certification. One (1) staff member did not have emergency information on file for review. Five (5) classrooms were monitored today. I observed classrooms arranged in activity centers, including books, blocks, writing, sand/water, science, dramatic play, art, and manipulative toys. Spaces B9, B10, and B12 did not have sufficient amounts of materials in centers. Specifically the block center. The teacher in Space B12 stated she did not keep manipulatives on the shelves because a child dumped the materials. I explained that materials should be accessible to children throughout the day. The child was not present today. Ms. Simmons and I discussed maintaining programmatic requirements at all times and not just during ERS assessments. She stated there were enough materials in storage for classrooms to keep centers fully maintained. Children were observed participating in a large group activities that included a mindfulness activity and free choice center play. Teachers were supervising the children and providing guidance. Mats were available for rest time. Ms. Simmons asked if a yoga mat could be used for rest time. I stated yes as long as the mat was 2” thick and there were individual linens for the mat. All required items were observed posted on the parent board and inside the classroom. The program was operated by CMS Pre-K Department as listed on the permit. The last fire inspection was due July 18, 2023. The inspection report for 2023 was dated 9/1/23. A violation was cited today for the inspection occurring more than 12 months from the date of the last inspection. Ms. Simmons was reminded the inspection should be mailed/emailed to the consultant within 7 days of the inspection. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was due 7/18/23 and completed 9/1/23. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. . Arrival times were not documented as children arrived in Space B9, B10, and B13. 10A NCAC 09 .0302(d)(4) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Spaces B9, B10 and B12 did not have sufficient materials in activity centers. Shelves in blocks and manipulatives were observed empty. .0510(d)(1) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Screen time logs were not documented and maintained as required. .0510(d)(2)(A-C) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not completed in December 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member did not have emergency information on file for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A teacher, D. Dula, did not have a Criminal Background Check completed prior to be assigned to work in NC Pre-K. She was moved from working with 4th grade students to NC Pre-K in November 2023. G.S. 110-90.2(b) 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. First Aid for one (1) teacher expired 1/13/24 and one (1) teacher did not have First Aid training appropriate for the age of children in care. The certification was for a lifeguard. .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. CPR for one (1) teacher expired 1/13/24 and one (1) teacher did not have CPR training appropriate for the age of children in care. The certification was for a lifeguard. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) teacher, D. Dula, did not have a qualification letter on file. One (1) substitute, L. Goe, who was in the classroom today did not have a letter on file for review. Her qualification was verified in the ABCMS system. 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. A signed acknowledgment of the Shaken Baby and Abusive Head Trauma policy was not on file for one (1) teacher. .0608(d)(1-4) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. Two (2) teachers used distance learning to complete CPR/First Aid training. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday, February 2, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Resuming Rated License Reassessment: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is in cohort 2. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. If you have questions prior to me reaching out, please don’t hesitate to contact me. - Arrival and departure times should be documented in real time as children arrive/depart each day. If a child is transitioned to another room or to work with another teacher, the transition should be documented. All children should have a written record of where they are throughout the building each day. This can be documented on the arrival/departure sheet or a transition form can be created. - All staff including substitutes should have a CBC qualification letter on file for review. - All staff, including substitutes and elementary school staff, who work with children should be listed on the DPI form indicating required paperwork has been completed. - Staff should model healthy eating habits in front of children and not consume soda, coffee, fast food in the classroom in a recognizable cup or bag. - Anytime children use a screen whether as a large group activity or individually on an iPad, the amount of time in front of the screen should be documented. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit an electronic copy of the visit summary was reviewed and signed. A copy was emailed to Ms. Simmons. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 1/19/2024 Number Present: 67 Completed Date: 1/19/2024 Age: From 4 To 5 Total Minutes: 237 Time In: 10:13 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Four Star Rated License issued June 19, 2019 and earned 4 points in the staff education component, 7 points in the program component meeting reduced enhanced ratios and enhanced space requirements per the restrictions on the permit and 1 point in the quality component for having approved enhanced policies, a staff benefits package, and an infrastructure of parent involvement. The facility had an eighteen month compliance history of 81% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the August 2023 Master Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I was greeted by Ms. C. Simmons, Lead Teacher, and I explained the purpose of my visit. Classrooms were preparing to go to lunch. Ms. Simmons gave me the DCDEE notebook before she left for the cafeteria. I monitored paperwork while all classrooms were eating lunch. I reviewed CBC qualifications in the DCDEE file and in the ABCMS system. One (1) teacher did not complete a DCDEE background check prior to being placed in NC Pre-K. Ms. Desiree Dula stated she was moved from 4th grade to Pre-K in November. I informed Ms. Dula that she would not be allowed to work with Pre-K until her DCDEE qualification letter was received. I reviewed with her today how to apply and all of the steps required to obtain her background check. Ms. Dula was informed per instruction from Michele Sullivan, licensing supervisor, that when her classroom was in ratio she should leave campus. I also discussed the information with the administrator and explained that Ms. Dula could not be in Pre-K until the letter was received and another staff member with the DCDEE qualification would need to be in Space B12 to maintain ratio. All staff and substitutes were listed on the DPI form except a substitute who was present in classroom B10. I verified her CBC qualification in the ABCMS system. A signed Shaken Baby and Abusive Head Trauma policy was not on file for one (1) staff member. Two (2) staff members took CPR and First Aid online, one (1) staff member’s CPR/First Aid expired 1/13/24 and one (1) staff member had Lifeguard CPR/First Aid certification and should obtain child/adult certification. One (1) staff member did not have emergency information on file for review. Five (5) classrooms were monitored today. I observed classrooms arranged in activity centers, including books, blocks, writing, sand/water, science, dramatic play, art, and manipulative toys. Spaces B9, B10, and B12 did not have sufficient amounts of materials in centers. Specifically the block center. The teacher in Space B12 stated she did not keep manipulatives on the shelves because a child dumped the materials. I explained that materials should be accessible to children throughout the day. The child was not present today. Ms. Simmons and I discussed maintaining programmatic requirements at all times and not just during ERS assessments. She stated there were enough materials in storage for classrooms to keep centers fully maintained. Children were observed participating in a large group activities that included a mindfulness activity and free choice center play. Teachers were supervising the children and providing guidance. Mats were available for rest time. Ms. Simmons asked if a yoga mat could be used for rest time. I stated yes as long as the mat was 2” thick and there were individual linens for the mat. All required items were observed posted on the parent board and inside the classroom. The program was operated by CMS Pre-K Department as listed on the permit. The last fire inspection was due July 18, 2023. The inspection report for 2023 was dated 9/1/23. A violation was cited today for the inspection occurring more than 12 months from the date of the last inspection. Ms. Simmons was reminded the inspection should be mailed/emailed to the consultant within 7 days of the inspection. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was due 7/18/23 and completed 9/1/23. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. . Arrival times were not documented as children arrived in Space B9, B10, and B13. 10A NCAC 09 .0302(d)(4) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Spaces B9, B10 and B12 did not have sufficient materials in activity centers. Shelves in blocks and manipulatives were observed empty. .0510(d)(1) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Screen time logs were not documented and maintained as required. .0510(d)(2)(A-C) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not completed in December 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member did not have emergency information on file for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A teacher, D. Dula, did not have a Criminal Background Check completed prior to be assigned to work in NC Pre-K. She was moved from working with 4th grade students to NC Pre-K in November 2023. G.S. 110-90.2(b) 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. First Aid for one (1) teacher expired 1/13/24 and one (1) teacher did not have First Aid training appropriate for the age of children in care. The certification was for a lifeguard. .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. CPR for one (1) teacher expired 1/13/24 and one (1) teacher did not have CPR training appropriate for the age of children in care. The certification was for a lifeguard. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) teacher, D. Dula, did not have a qualification letter on file. One (1) substitute, L. Goe, who was in the classroom today did not have a letter on file for review. Her qualification was verified in the ABCMS system. 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. A signed acknowledgment of the Shaken Baby and Abusive Head Trauma policy was not on file for one (1) teacher. .0608(d)(1-4) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. Two (2) teachers used distance learning to complete CPR/First Aid training. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday, February 2, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Resuming Rated License Reassessment: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is in cohort 2. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. If you have questions prior to me reaching out, please don’t hesitate to contact me. - Arrival and departure times should be documented in real time as children arrive/depart each day. If a child is transitioned to another room or to work with another teacher, the transition should be documented. All children should have a written record of where they are throughout the building each day. This can be documented on the arrival/departure sheet or a transition form can be created. - All staff including substitutes should have a CBC qualification letter on file for review. - All staff, including substitutes and elementary school staff, who work with children should be listed on the DPI form indicating required paperwork has been completed. - Staff should model healthy eating habits in front of children and not consume soda, coffee, fast food in the classroom in a recognizable cup or bag. - Anytime children use a screen whether as a large group activity or individually on an iPad, the amount of time in front of the screen should be documented. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit an electronic copy of the visit summary was reviewed and signed. A copy was emailed to Ms. Simmons. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GOVERNORS' VILLAGE STEM ACADEMY Facility ID: 60003466 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 1/19/2024 Number Present: 67 Completed Date: 1/19/2024 Age: From 4 To 5 Total Minutes: 237 Time In: 10:13 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility currently operated with a Four Star Rated License issued June 19, 2019 and earned 4 points in the staff education component, 7 points in the program component meeting reduced enhanced ratios and enhanced space requirements per the restrictions on the permit and 1 point in the quality component for having approved enhanced policies, a staff benefits package, and an infrastructure of parent involvement. The facility had an eighteen month compliance history of 81% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the August 2023 Master Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I was greeted by Ms. C. Simmons, Lead Teacher, and I explained the purpose of my visit. Classrooms were preparing to go to lunch. Ms. Simmons gave me the DCDEE notebook before she left for the cafeteria. I monitored paperwork while all classrooms were eating lunch. I reviewed CBC qualifications in the DCDEE file and in the ABCMS system. One (1) teacher did not complete a DCDEE background check prior to being placed in NC Pre-K. Ms. Desiree Dula stated she was moved from 4th grade to Pre-K in November. I informed Ms. Dula that she would not be allowed to work with Pre-K until her DCDEE qualification letter was received. I reviewed with her today how to apply and all of the steps required to obtain her background check. Ms. Dula was informed per instruction from Michele Sullivan, licensing supervisor, that when her classroom was in ratio she should leave campus. I also discussed the information with the administrator and explained that Ms. Dula could not be in Pre-K until the letter was received and another staff member with the DCDEE qualification would need to be in Space B12 to maintain ratio. All staff and substitutes were listed on the DPI form except a substitute who was present in classroom B10. I verified her CBC qualification in the ABCMS system. A signed Shaken Baby and Abusive Head Trauma policy was not on file for one (1) staff member. Two (2) staff members took CPR and First Aid online, one (1) staff member’s CPR/First Aid expired 1/13/24 and one (1) staff member had Lifeguard CPR/First Aid certification and should obtain child/adult certification. One (1) staff member did not have emergency information on file for review. Five (5) classrooms were monitored today. I observed classrooms arranged in activity centers, including books, blocks, writing, sand/water, science, dramatic play, art, and manipulative toys. Spaces B9, B10, and B12 did not have sufficient amounts of materials in centers. Specifically the block center. The teacher in Space B12 stated she did not keep manipulatives on the shelves because a child dumped the materials. I explained that materials should be accessible to children throughout the day. The child was not present today. Ms. Simmons and I discussed maintaining programmatic requirements at all times and not just during ERS assessments. She stated there were enough materials in storage for classrooms to keep centers fully maintained. Children were observed participating in a large group activities that included a mindfulness activity and free choice center play. Teachers were supervising the children and providing guidance. Mats were available for rest time. Ms. Simmons asked if a yoga mat could be used for rest time. I stated yes as long as the mat was 2” thick and there were individual linens for the mat. All required items were observed posted on the parent board and inside the classroom. The program was operated by CMS Pre-K Department as listed on the permit. The last fire inspection was due July 18, 2023. The inspection report for 2023 was dated 9/1/23. A violation was cited today for the inspection occurring more than 12 months from the date of the last inspection. Ms. Simmons was reminded the inspection should be mailed/emailed to the consultant within 7 days of the inspection. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection was due 7/18/23 and completed 9/1/23. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. . Arrival times were not documented as children arrived in Space B9, B10, and B13. 10A NCAC 09 .0302(d)(4) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Spaces B9, B10 and B12 did not have sufficient materials in activity centers. Shelves in blocks and manipulatives were observed empty. .0510(d)(1) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Screen time logs were not documented and maintained as required. .0510(d)(2)(A-C) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not completed in December 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member did not have emergency information on file for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A teacher, D. Dula, did not have a Criminal Background Check completed prior to be assigned to work in NC Pre-K. She was moved from working with 4th grade students to NC Pre-K in November 2023. G.S. 110-90.2(b) 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. First Aid for one (1) teacher expired 1/13/24 and one (1) teacher did not have First Aid training appropriate for the age of children in care. The certification was for a lifeguard. .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. CPR for one (1) teacher expired 1/13/24 and one (1) teacher did not have CPR training appropriate for the age of children in care. The certification was for a lifeguard. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) teacher, D. Dula, did not have a qualification letter on file. One (1) substitute, L. Goe, who was in the classroom today did not have a letter on file for review. Her qualification was verified in the ABCMS system. 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. A signed acknowledgment of the Shaken Baby and Abusive Head Trauma policy was not on file for one (1) teacher. .0608(d)(1-4) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. Two (2) teachers used distance learning to complete CPR/First Aid training. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) Corrective Action: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Friday, February 2, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Stansfield, Child Care Consultant PO Box 1967 Huntersville, NC 28078 Jennifer.stansfield@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Resuming Rated License Reassessment: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is in cohort 2. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. If you have questions prior to me reaching out, please don’t hesitate to contact me. - Arrival and departure times should be documented in real time as children arrive/depart each day. If a child is transitioned to another room or to work with another teacher, the transition should be documented. All children should have a written record of where they are throughout the building each day. This can be documented on the arrival/departure sheet or a transition form can be created. - All staff including substitutes should have a CBC qualification letter on file for review. - All staff, including substitutes and elementary school staff, who work with children should be listed on the DPI form indicating required paperwork has been completed. - Staff should model healthy eating habits in front of children and not consume soda, coffee, fast food in the classroom in a recognizable cup or bag. - Anytime children use a screen whether as a large group activity or individually on an iPad, the amount of time in front of the screen should be documented. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit an electronic copy of the visit summary was reviewed and signed. A copy was emailed to Ms. Simmons. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times