10A NCAC 09 .0901 · Violation

Name of Operation: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 10/30/2025 Number Present: 85 Completed Date: 10/30/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 01:00 PM Time Out: 06:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with childcare requirements. I was greeted by the administrators, who opened the door for me. Once inside I stated the purpose of my visit and was greeted by Cory C, and Jaleesa T. During today’s visit I conducted the walk-through of the facility with Ms. Jaleesa Turner. This facility currently operates with a five-star rated license effective August 24, 2022. The NC Secretary of State website was viewed before the visit and DIXON ACADEMY #4 INC was current and active. Children and staff were observed playing in the activity centers, and gross motor physical play outside. Children were also observed transitioning to and from the indoor to outdoor, departure. Lunch consisted of chicken teriyaki with buttered pasta, cantaloupe, lima beans and milk. Snack consisted of Yogurt, animal crackers, and water The facility had all required activity centers accessible to children. This facility has two NC PreK classrooms. The facility has an 86 enrollment of children. INSPECTIONS: The last sanitation inspection was conducted 05-09-2025. The last fire inspection was conducted 12/7/24 The last documented fire drill was conducted 10-15-2025. The last documented shelter-in-place or lockdown drill was conducted 9-212-2025. The last documented playground inspection was conducted 10-28-2025. The last documented compliance prior to today’s visit was 87% I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management. This facility currently does not provide transportation. This facility has two NC PreK classrooms and was monitored for NC PreK requirements as well as the attached checklist that was used to note the requirements we monitored today. NC PreK: The facility holds a 5 star license and has two classrooms that serve NC Pre-K children. Both classrooms were monitored for compliance. The NC Pre-K Monitoring Tool was viewed today. The monitoring tool was present, Health assessments, developmental screenings, dental and vision screenings were in compliance for the files reviewed. The facility uses Creative Curriculum and the developmental assessments were conducted prior to enrollment. Ongoing self-made assessments are conducted throughout the school year to track children’s ongoing progress. Samples of the children’s work are completed using information gained from the assessments and shared with parents. I viewed six children files and portfolios today. The classroom operates for the required 32.5 hours per week. Newsletters are sent home at least monthly and home visits are conducted at the beginning of the school year. Parent/teacher conferences are held two times per year. There was also evidence of family involvement with conferences and celebrations. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. The posted schedule was from the summer and did no reflect the current wrap-around afternoon care. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. the posted plan was from the summer and did not reflect the current wrap-around afternoon care. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Snack posted was pretzels and children were served Friday's snack of yogurt. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space 140 there were three cups that did not have a name and date (including a staff cup). 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space147 and space 133 had chipped paint or missing paint on the walls. (posters were placed over the areas). 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill was completed on 7/17/25 and the most recent was conducted on 10/15/25. .0604(t); .0302(d)(5) 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 child did not have a completed medical /health assessment on file. GS 110-91(1);.0302(d)(2); .0304(g) 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. Three children's files did not have the MAP attached to the application or in the facility. .0801(b) You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited today may negatively affect this score. You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address or email below by May 30, 2025 The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. Technical assistance: Rated License: *Hold Harmless has ended. There is now three different pathways to obtain and maintain your Star Rated License. DCDEE will be holding webinars and meetings to update providers of the new requirements. The options are Three Pathways to earn a 2-5 Star Rated License: Pathway #1 – Program Assessment using the Environment Rating Scales (ITERS-3, ECERS-3, FCCERS-3 and SACERS-U) Pathway #2 – Classroom & Instructional Quality focusing on curriculum and child assessment for demonstration of quality practices Pathway #3 – Accreditation & Head Start which allows a direct licensure pathway for accredited and Head Start facilities *Contact CCRI for assistance with preparing for the environmental ratings. *Have all staff update their information in the WORKS database. The WORKS database is designed to streamline education evaluation, using a web-based process designed to increase efficiency with which staff can process child care provider If the applications. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS CBC Provider Portal: We discussed the portal and the difficulties you had with connecting the criminal background checks. Please contact the below to assist you with the website and or password issues. Help desk for NCID: https://it.nc.gov/support As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, information on the pathway to stars, new education requirements and updates. List of agencies accepted by DCDEE: Accrediting agencies: o NAEYC - https://www.naeyc.org/accreditation/higher-ed/accredited-programs o NAC - https://www.earlylearningleaders.org/accreditation/accredited-programs/ o NAFCC - https://nafcc.org/accreditation/nationally-accredited-fcc-educators-map/ o NECPA - https://necpa.net/programs o COGNIA - https://home.cognia.org/registry 0 AMS - https://amshq.org/Families/AMS-Member-Schools * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources -NC Additional Notes ECERS-3, and ITERS-3. * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources For classrooms serving children 31 months to 5 years: ECERS-R, your two year old class may need ITERS-R (it is determined by the majority age in the classroom, If half plus one is under 31 months then use ITERS-R) Preparing for ECERS-R but using age appropriate materials will insure that you are prepared for whatever scale is used. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 10/30/2025 Number Present: 85 Completed Date: 10/30/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 01:00 PM Time Out: 06:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with childcare requirements. I was greeted by the administrators, who opened the door for me. Once inside I stated the purpose of my visit and was greeted by Cory C, and Jaleesa T. During today’s visit I conducted the walk-through of the facility with Ms. Jaleesa Turner. This facility currently operates with a five-star rated license effective August 24, 2022. The NC Secretary of State website was viewed before the visit and DIXON ACADEMY #4 INC was current and active. Children and staff were observed playing in the activity centers, and gross motor physical play outside. Children were also observed transitioning to and from the indoor to outdoor, departure. Lunch consisted of chicken teriyaki with buttered pasta, cantaloupe, lima beans and milk. Snack consisted of Yogurt, animal crackers, and water The facility had all required activity centers accessible to children. This facility has two NC PreK classrooms. The facility has an 86 enrollment of children. INSPECTIONS: The last sanitation inspection was conducted 05-09-2025. The last fire inspection was conducted 12/7/24 The last documented fire drill was conducted 10-15-2025. The last documented shelter-in-place or lockdown drill was conducted 9-212-2025. The last documented playground inspection was conducted 10-28-2025. The last documented compliance prior to today’s visit was 87% I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management. This facility currently does not provide transportation. This facility has two NC PreK classrooms and was monitored for NC PreK requirements as well as the attached checklist that was used to note the requirements we monitored today. NC PreK: The facility holds a 5 star license and has two classrooms that serve NC Pre-K children. Both classrooms were monitored for compliance. The NC Pre-K Monitoring Tool was viewed today. The monitoring tool was present, Health assessments, developmental screenings, dental and vision screenings were in compliance for the files reviewed. The facility uses Creative Curriculum and the developmental assessments were conducted prior to enrollment. Ongoing self-made assessments are conducted throughout the school year to track children’s ongoing progress. Samples of the children’s work are completed using information gained from the assessments and shared with parents. I viewed six children files and portfolios today. The classroom operates for the required 32.5 hours per week. Newsletters are sent home at least monthly and home visits are conducted at the beginning of the school year. Parent/teacher conferences are held two times per year. There was also evidence of family involvement with conferences and celebrations. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. The posted schedule was from the summer and did no reflect the current wrap-around afternoon care. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. the posted plan was from the summer and did not reflect the current wrap-around afternoon care. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Snack posted was pretzels and children were served Friday's snack of yogurt. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space 140 there were three cups that did not have a name and date (including a staff cup). 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space147 and space 133 had chipped paint or missing paint on the walls. (posters were placed over the areas). 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill was completed on 7/17/25 and the most recent was conducted on 10/15/25. .0604(t); .0302(d)(5) 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 child did not have a completed medical /health assessment on file. GS 110-91(1);.0302(d)(2); .0304(g) 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. Three children's files did not have the MAP attached to the application or in the facility. .0801(b) You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited today may negatively affect this score. You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address or email below by May 30, 2025 The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. Technical assistance: Rated License: *Hold Harmless has ended. There is now three different pathways to obtain and maintain your Star Rated License. DCDEE will be holding webinars and meetings to update providers of the new requirements. The options are Three Pathways to earn a 2-5 Star Rated License: Pathway #1 – Program Assessment using the Environment Rating Scales (ITERS-3, ECERS-3, FCCERS-3 and SACERS-U) Pathway #2 – Classroom & Instructional Quality focusing on curriculum and child assessment for demonstration of quality practices Pathway #3 – Accreditation & Head Start which allows a direct licensure pathway for accredited and Head Start facilities *Contact CCRI for assistance with preparing for the environmental ratings. *Have all staff update their information in the WORKS database. The WORKS database is designed to streamline education evaluation, using a web-based process designed to increase efficiency with which staff can process child care provider If the applications. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS CBC Provider Portal: We discussed the portal and the difficulties you had with connecting the criminal background checks. Please contact the below to assist you with the website and or password issues. Help desk for NCID: https://it.nc.gov/support As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, information on the pathway to stars, new education requirements and updates. List of agencies accepted by DCDEE: Accrediting agencies: o NAEYC - https://www.naeyc.org/accreditation/higher-ed/accredited-programs o NAC - https://www.earlylearningleaders.org/accreditation/accredited-programs/ o NAFCC - https://nafcc.org/accreditation/nationally-accredited-fcc-educators-map/ o NECPA - https://necpa.net/programs o COGNIA - https://home.cognia.org/registry 0 AMS - https://amshq.org/Families/AMS-Member-Schools * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources -NC Additional Notes ECERS-3, and ITERS-3. * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources For classrooms serving children 31 months to 5 years: ECERS-R, your two year old class may need ITERS-R (it is determined by the majority age in the classroom, If half plus one is under 31 months then use ITERS-R) Preparing for ECERS-R but using age appropriate materials will insure that you are prepared for whatever scale is used. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 10/30/2025 Number Present: 85 Completed Date: 10/30/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 01:00 PM Time Out: 06:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with childcare requirements. I was greeted by the administrators, who opened the door for me. Once inside I stated the purpose of my visit and was greeted by Cory C, and Jaleesa T. During today’s visit I conducted the walk-through of the facility with Ms. Jaleesa Turner. This facility currently operates with a five-star rated license effective August 24, 2022. The NC Secretary of State website was viewed before the visit and DIXON ACADEMY #4 INC was current and active. Children and staff were observed playing in the activity centers, and gross motor physical play outside. Children were also observed transitioning to and from the indoor to outdoor, departure. Lunch consisted of chicken teriyaki with buttered pasta, cantaloupe, lima beans and milk. Snack consisted of Yogurt, animal crackers, and water The facility had all required activity centers accessible to children. This facility has two NC PreK classrooms. The facility has an 86 enrollment of children. INSPECTIONS: The last sanitation inspection was conducted 05-09-2025. The last fire inspection was conducted 12/7/24 The last documented fire drill was conducted 10-15-2025. The last documented shelter-in-place or lockdown drill was conducted 9-212-2025. The last documented playground inspection was conducted 10-28-2025. The last documented compliance prior to today’s visit was 87% I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management. This facility currently does not provide transportation. This facility has two NC PreK classrooms and was monitored for NC PreK requirements as well as the attached checklist that was used to note the requirements we monitored today. NC PreK: The facility holds a 5 star license and has two classrooms that serve NC Pre-K children. Both classrooms were monitored for compliance. The NC Pre-K Monitoring Tool was viewed today. The monitoring tool was present, Health assessments, developmental screenings, dental and vision screenings were in compliance for the files reviewed. The facility uses Creative Curriculum and the developmental assessments were conducted prior to enrollment. Ongoing self-made assessments are conducted throughout the school year to track children’s ongoing progress. Samples of the children’s work are completed using information gained from the assessments and shared with parents. I viewed six children files and portfolios today. The classroom operates for the required 32.5 hours per week. Newsletters are sent home at least monthly and home visits are conducted at the beginning of the school year. Parent/teacher conferences are held two times per year. There was also evidence of family involvement with conferences and celebrations. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. The posted schedule was from the summer and did no reflect the current wrap-around afternoon care. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. the posted plan was from the summer and did not reflect the current wrap-around afternoon care. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Snack posted was pretzels and children were served Friday's snack of yogurt. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space 140 there were three cups that did not have a name and date (including a staff cup). 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space147 and space 133 had chipped paint or missing paint on the walls. (posters were placed over the areas). 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill was completed on 7/17/25 and the most recent was conducted on 10/15/25. .0604(t); .0302(d)(5) 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 child did not have a completed medical /health assessment on file. GS 110-91(1);.0302(d)(2); .0304(g) 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. Three children's files did not have the MAP attached to the application or in the facility. .0801(b) You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited today may negatively affect this score. You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address or email below by May 30, 2025 The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. Technical assistance: Rated License: *Hold Harmless has ended. There is now three different pathways to obtain and maintain your Star Rated License. DCDEE will be holding webinars and meetings to update providers of the new requirements. The options are Three Pathways to earn a 2-5 Star Rated License: Pathway #1 – Program Assessment using the Environment Rating Scales (ITERS-3, ECERS-3, FCCERS-3 and SACERS-U) Pathway #2 – Classroom & Instructional Quality focusing on curriculum and child assessment for demonstration of quality practices Pathway #3 – Accreditation & Head Start which allows a direct licensure pathway for accredited and Head Start facilities *Contact CCRI for assistance with preparing for the environmental ratings. *Have all staff update their information in the WORKS database. The WORKS database is designed to streamline education evaluation, using a web-based process designed to increase efficiency with which staff can process child care provider If the applications. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS CBC Provider Portal: We discussed the portal and the difficulties you had with connecting the criminal background checks. Please contact the below to assist you with the website and or password issues. Help desk for NCID: https://it.nc.gov/support As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, information on the pathway to stars, new education requirements and updates. List of agencies accepted by DCDEE: Accrediting agencies: o NAEYC - https://www.naeyc.org/accreditation/higher-ed/accredited-programs o NAC - https://www.earlylearningleaders.org/accreditation/accredited-programs/ o NAFCC - https://nafcc.org/accreditation/nationally-accredited-fcc-educators-map/ o NECPA - https://necpa.net/programs o COGNIA - https://home.cognia.org/registry 0 AMS - https://amshq.org/Families/AMS-Member-Schools * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources -NC Additional Notes ECERS-3, and ITERS-3. * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources For classrooms serving children 31 months to 5 years: ECERS-R, your two year old class may need ITERS-R (it is determined by the majority age in the classroom, If half plus one is under 31 months then use ITERS-R) Preparing for ECERS-R but using age appropriate materials will insure that you are prepared for whatever scale is used. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 10/30/2025 Number Present: 85 Completed Date: 10/30/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 01:00 PM Time Out: 06:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with childcare requirements. I was greeted by the administrators, who opened the door for me. Once inside I stated the purpose of my visit and was greeted by Cory C, and Jaleesa T. During today’s visit I conducted the walk-through of the facility with Ms. Jaleesa Turner. This facility currently operates with a five-star rated license effective August 24, 2022. The NC Secretary of State website was viewed before the visit and DIXON ACADEMY #4 INC was current and active. Children and staff were observed playing in the activity centers, and gross motor physical play outside. Children were also observed transitioning to and from the indoor to outdoor, departure. Lunch consisted of chicken teriyaki with buttered pasta, cantaloupe, lima beans and milk. Snack consisted of Yogurt, animal crackers, and water The facility had all required activity centers accessible to children. This facility has two NC PreK classrooms. The facility has an 86 enrollment of children. INSPECTIONS: The last sanitation inspection was conducted 05-09-2025. The last fire inspection was conducted 12/7/24 The last documented fire drill was conducted 10-15-2025. The last documented shelter-in-place or lockdown drill was conducted 9-212-2025. The last documented playground inspection was conducted 10-28-2025. The last documented compliance prior to today’s visit was 87% I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management. This facility currently does not provide transportation. This facility has two NC PreK classrooms and was monitored for NC PreK requirements as well as the attached checklist that was used to note the requirements we monitored today. NC PreK: The facility holds a 5 star license and has two classrooms that serve NC Pre-K children. Both classrooms were monitored for compliance. The NC Pre-K Monitoring Tool was viewed today. The monitoring tool was present, Health assessments, developmental screenings, dental and vision screenings were in compliance for the files reviewed. The facility uses Creative Curriculum and the developmental assessments were conducted prior to enrollment. Ongoing self-made assessments are conducted throughout the school year to track children’s ongoing progress. Samples of the children’s work are completed using information gained from the assessments and shared with parents. I viewed six children files and portfolios today. The classroom operates for the required 32.5 hours per week. Newsletters are sent home at least monthly and home visits are conducted at the beginning of the school year. Parent/teacher conferences are held two times per year. There was also evidence of family involvement with conferences and celebrations. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. The posted schedule was from the summer and did no reflect the current wrap-around afternoon care. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. the posted plan was from the summer and did not reflect the current wrap-around afternoon care. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Snack posted was pretzels and children were served Friday's snack of yogurt. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space 140 there were three cups that did not have a name and date (including a staff cup). 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space147 and space 133 had chipped paint or missing paint on the walls. (posters were placed over the areas). 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill was completed on 7/17/25 and the most recent was conducted on 10/15/25. .0604(t); .0302(d)(5) 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 child did not have a completed medical /health assessment on file. GS 110-91(1);.0302(d)(2); .0304(g) 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. Three children's files did not have the MAP attached to the application or in the facility. .0801(b) You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited today may negatively affect this score. You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address or email below by May 30, 2025 The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. Technical assistance: Rated License: *Hold Harmless has ended. There is now three different pathways to obtain and maintain your Star Rated License. DCDEE will be holding webinars and meetings to update providers of the new requirements. The options are Three Pathways to earn a 2-5 Star Rated License: Pathway #1 – Program Assessment using the Environment Rating Scales (ITERS-3, ECERS-3, FCCERS-3 and SACERS-U) Pathway #2 – Classroom & Instructional Quality focusing on curriculum and child assessment for demonstration of quality practices Pathway #3 – Accreditation & Head Start which allows a direct licensure pathway for accredited and Head Start facilities *Contact CCRI for assistance with preparing for the environmental ratings. *Have all staff update their information in the WORKS database. The WORKS database is designed to streamline education evaluation, using a web-based process designed to increase efficiency with which staff can process child care provider If the applications. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS CBC Provider Portal: We discussed the portal and the difficulties you had with connecting the criminal background checks. Please contact the below to assist you with the website and or password issues. Help desk for NCID: https://it.nc.gov/support As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, information on the pathway to stars, new education requirements and updates. List of agencies accepted by DCDEE: Accrediting agencies: o NAEYC - https://www.naeyc.org/accreditation/higher-ed/accredited-programs o NAC - https://www.earlylearningleaders.org/accreditation/accredited-programs/ o NAFCC - https://nafcc.org/accreditation/nationally-accredited-fcc-educators-map/ o NECPA - https://necpa.net/programs o COGNIA - https://home.cognia.org/registry 0 AMS - https://amshq.org/Families/AMS-Member-Schools * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources -NC Additional Notes ECERS-3, and ITERS-3. * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources For classrooms serving children 31 months to 5 years: ECERS-R, your two year old class may need ITERS-R (it is determined by the majority age in the classroom, If half plus one is under 31 months then use ITERS-R) Preparing for ECERS-R but using age appropriate materials will insure that you are prepared for whatever scale is used. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: ABIGAIL ROWE Operation Type: Center Case Number: 0925-070A Visit Date: 9/11/2025 Number Present: 73 Completed Date: 9/11/2025 Age: From 0 To 5 Total Minutes: 165 Time In: 10:20 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of childcare requirements at this child care facility. Anthony Harrison, Administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Mr. Harrison and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On September 8, 2025, a staff member was unaware a one-year-old child left the classroom for approximately fifteen minutes. .1801(a)(1-5) 315 When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group. On September 8, 2025, a classroom for infant children was out of ratio for approximately fifteen minutes. .0713(a)(1) 903 Corporal punishment was used. On September 4, 2025, a staff member popped a one-year-old child on the bottom. GS 110-91(10); .1803(a) Violations must be corrected immediately. Within one week 09/18/2025, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified childcare requirements to me at Abigail Rowe, Investigations Consultant, Abigail.rowe@dhhs.nc.gov. You may contact me at Abigail Rowe, Investigations Consultant, 704-641-5218, Abigail.rowe@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 86 Completed Date: 5/27/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 01:00 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with childcare requirements. I was greeted by the administrator, Sandra Gunn, I stated the purpose of my visit. Ms. Gunn conducted the walk-through of the facility with me. This facility has a five-star licensed issued August 24, 2022. During todays visit Children engaged in the following activities: napping, infants and toddlers were having quite play and napping. I conducted a walkthrough of the facility, and the following items were monitored: supervision, staff/child ratio, CPR/first aid, IT-SIDS, CBC qualification, Emergency Medical Care Plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions, safe arrival, and departure, and all required posted documents. New Staff files were monitored today. This facility does not provide transportation. We discussed the new environment rating scales, you stated that you purchased the new scales and contacted the to do a mock scale. You stated that you are not working with the local resources and referral. You discussed that you have been working with your teachers and had them review the North Carolina Rated License Assessment Project (NCRLAP) website to learn more about the scales. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Room 135 and 141 did not have a current plan posted, week of May 16, May 19. GS 110-91(12); .0508(a) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In two classrooms several cots measured at 1 inch, 14 inches or less. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Room 133 and 147 had chairs in dramatic play and cozy area that the vinyl was peeling off. .0601(c) 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. There was an uncovered electrical outlet on the wall near the circle time area in room 110. 10A NCAC 09 .0604(c) Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of childcare requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. REQUIRED RESPONSE: You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was % prior to today’s visit. Violations cited today may negatively affect this score. You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address or email below by June 10, 2025. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. Technical Assistance: We discussed cot placement, cots should be 18 inch apart. Rated License: We discussed the Environmental Rating Scales. If you decide against having the Environmental rating scales (ERS) assessment, you also have an option for getting an accreditation as an alternative to maintaining your Star rating. *Contact CCRI for assistance with preparing for the ERS, For more information on the new environmental rating scales go to www.NCRLAP.org and visit their resource section. You will also find video and training on this site. Accrediting agencies: o NAEYC - https://www.naeyc.org/accreditation/higher-ed/accredited-programs o NAC - https://www.earlylearningleaders.org/accreditation/accredited-programs/ o NAFCC - https://nafcc.org/accreditation/nationally-accredited-fcc-educators-map/ o NECPA - https://necpa.net/programs o COGNIA - https://home.cognia.org/registry AMS - https://amshq.org/Families/AMS-Member-Schools Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 86 Completed Date: 5/27/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 01:00 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with childcare requirements. I was greeted by the administrator, Sandra Gunn, I stated the purpose of my visit. Ms. Gunn conducted the walk-through of the facility with me. This facility has a five-star licensed issued August 24, 2022. During todays visit Children engaged in the following activities: napping, infants and toddlers were having quite play and napping. I conducted a walkthrough of the facility, and the following items were monitored: supervision, staff/child ratio, CPR/first aid, IT-SIDS, CBC qualification, Emergency Medical Care Plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions, safe arrival, and departure, and all required posted documents. New Staff files were monitored today. This facility does not provide transportation. We discussed the new environment rating scales, you stated that you purchased the new scales and contacted the to do a mock scale. You stated that you are not working with the local resources and referral. You discussed that you have been working with your teachers and had them review the North Carolina Rated License Assessment Project (NCRLAP) website to learn more about the scales. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Room 135 and 141 did not have a current plan posted, week of May 16, May 19. GS 110-91(12); .0508(a) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In two classrooms several cots measured at 1 inch, 14 inches or less. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Room 133 and 147 had chairs in dramatic play and cozy area that the vinyl was peeling off. .0601(c) 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. There was an uncovered electrical outlet on the wall near the circle time area in room 110. 10A NCAC 09 .0604(c) Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of childcare requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. REQUIRED RESPONSE: You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was % prior to today’s visit. Violations cited today may negatively affect this score. You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address or email below by June 10, 2025. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. Technical Assistance: We discussed cot placement, cots should be 18 inch apart. Rated License: We discussed the Environmental Rating Scales. If you decide against having the Environmental rating scales (ERS) assessment, you also have an option for getting an accreditation as an alternative to maintaining your Star rating. *Contact CCRI for assistance with preparing for the ERS, For more information on the new environmental rating scales go to www.NCRLAP.org and visit their resource section. You will also find video and training on this site. Accrediting agencies: o NAEYC - https://www.naeyc.org/accreditation/higher-ed/accredited-programs o NAC - https://www.earlylearningleaders.org/accreditation/accredited-programs/ o NAFCC - https://nafcc.org/accreditation/nationally-accredited-fcc-educators-map/ o NECPA - https://necpa.net/programs o COGNIA - https://home.cognia.org/registry AMS - https://amshq.org/Families/AMS-Member-Schools Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 86 Completed Date: 5/27/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 01:00 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with childcare requirements. I was greeted by the administrator, Sandra Gunn, I stated the purpose of my visit. Ms. Gunn conducted the walk-through of the facility with me. This facility has a five-star licensed issued August 24, 2022. During todays visit Children engaged in the following activities: napping, infants and toddlers were having quite play and napping. I conducted a walkthrough of the facility, and the following items were monitored: supervision, staff/child ratio, CPR/first aid, IT-SIDS, CBC qualification, Emergency Medical Care Plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions, safe arrival, and departure, and all required posted documents. New Staff files were monitored today. This facility does not provide transportation. We discussed the new environment rating scales, you stated that you purchased the new scales and contacted the to do a mock scale. You stated that you are not working with the local resources and referral. You discussed that you have been working with your teachers and had them review the North Carolina Rated License Assessment Project (NCRLAP) website to learn more about the scales. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Room 135 and 141 did not have a current plan posted, week of May 16, May 19. GS 110-91(12); .0508(a) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In two classrooms several cots measured at 1 inch, 14 inches or less. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Room 133 and 147 had chairs in dramatic play and cozy area that the vinyl was peeling off. .0601(c) 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. There was an uncovered electrical outlet on the wall near the circle time area in room 110. 10A NCAC 09 .0604(c) Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of childcare requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. REQUIRED RESPONSE: You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was % prior to today’s visit. Violations cited today may negatively affect this score. You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address or email below by June 10, 2025. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. Technical Assistance: We discussed cot placement, cots should be 18 inch apart. Rated License: We discussed the Environmental Rating Scales. If you decide against having the Environmental rating scales (ERS) assessment, you also have an option for getting an accreditation as an alternative to maintaining your Star rating. *Contact CCRI for assistance with preparing for the ERS, For more information on the new environmental rating scales go to www.NCRLAP.org and visit their resource section. You will also find video and training on this site. Accrediting agencies: o NAEYC - https://www.naeyc.org/accreditation/higher-ed/accredited-programs o NAC - https://www.earlylearningleaders.org/accreditation/accredited-programs/ o NAFCC - https://nafcc.org/accreditation/nationally-accredited-fcc-educators-map/ o NECPA - https://necpa.net/programs o COGNIA - https://home.cognia.org/registry AMS - https://amshq.org/Families/AMS-Member-Schools Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 10/31/2024 Number Present: 90 Completed Date: 10/31/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:00 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with childcare requirements. I was greeted by the front desk administrator, who opened the door for me. Once inside I stated the purpose of my visit and was greeted by the area Manager, M. Dixon, and Ms. Gunn. During today’s visit I conducted the walk-through of the facility with Ms. Gunn. This facility currently operates with a five-star rated license effective August 24, 2022. The NC Secretary of State website was viewed before the visit and DIXON ACADEMY #4 INC was current and active. Children and staff were observed playing in the activity centers, and gross motor physical play outside. Children were also observed transitioning to and from the indoor to outdoor. Lunch consisted of chicken teriyaki with pasta, cantaloupe, lima beans or lettuce, and milk. The facility had all required activity centers accessible to children. This facility has two NC PreK classrooms. The facility has an enrollment of 125 children. INSPECTIONS: The last sanitation inspection was conducted 05-09-2024. The last fire inspection was conducted 12/7/23 The last documented fire drill was conducted 09-30-2024. The last documented shelter-in-place or lockdown drill was conducted 9-26-2024. The last documented playground inspection was conducted 10-31-2023. The last documented compliance prior to today’s visit was 88% I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management. This facility currently does not provide transportation. This facility has two NC PreK classroom and was monitored for NC PreK requirements as well as the attached checklist was used to note the requirements we monitored today. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). When children transitioned to older toddler room, the feeding chart was not received or posted by the teacher. 10A NCAC 09 .0902(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Trash can in room 143 (twos/three year olds) did not have a cover, on the preschool playground there was a broken sand and water table. .0601(d) 807 A safe indoor and outdoor environment was not provided for the children. There was a trash can with no lid, hanging window blinds in space 125, wasp nest on toddler playground and chipping paint that is starting to peel in space 149. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. two backpacks that came to school with children had sunscreen, diaper cream, cough/cold medicine, and hair moisturizer. 15A NCAC 18A .2820(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. Child's homemade diaper cream was not labeled with the content of the container and stored in an sorbet container. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. In room 133, Medication form date was expired, room 133 (7/14/24, D.C., room 135 (6/20/24, K. 10A NCAC 09 .0803(4)(6-9) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. two children did not have the required updated information. .0802(c) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. room 110: donut holes and coffee were on the counter and belonged to a teacher.) .0901(i) 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. Childs application (D.) stated that the child had nut allergies, however there was no M.A.P. available for review. .0801(b) 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: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 10/31/2024 Number Present: 90 Completed Date: 10/31/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:00 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with childcare requirements. I was greeted by the front desk administrator, who opened the door for me. Once inside I stated the purpose of my visit and was greeted by the area Manager, M. Dixon, and Ms. Gunn. During today’s visit I conducted the walk-through of the facility with Ms. Gunn. This facility currently operates with a five-star rated license effective August 24, 2022. The NC Secretary of State website was viewed before the visit and DIXON ACADEMY #4 INC was current and active. Children and staff were observed playing in the activity centers, and gross motor physical play outside. Children were also observed transitioning to and from the indoor to outdoor. Lunch consisted of chicken teriyaki with pasta, cantaloupe, lima beans or lettuce, and milk. The facility had all required activity centers accessible to children. This facility has two NC PreK classrooms. The facility has an enrollment of 125 children. INSPECTIONS: The last sanitation inspection was conducted 05-09-2024. The last fire inspection was conducted 12/7/23 The last documented fire drill was conducted 09-30-2024. The last documented shelter-in-place or lockdown drill was conducted 9-26-2024. The last documented playground inspection was conducted 10-31-2023. The last documented compliance prior to today’s visit was 88% I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management. This facility currently does not provide transportation. This facility has two NC PreK classroom and was monitored for NC PreK requirements as well as the attached checklist was used to note the requirements we monitored today. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). When children transitioned to older toddler room, the feeding chart was not received or posted by the teacher. 10A NCAC 09 .0902(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Trash can in room 143 (twos/three year olds) did not have a cover, on the preschool playground there was a broken sand and water table. .0601(d) 807 A safe indoor and outdoor environment was not provided for the children. There was a trash can with no lid, hanging window blinds in space 125, wasp nest on toddler playground and chipping paint that is starting to peel in space 149. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. two backpacks that came to school with children had sunscreen, diaper cream, cough/cold medicine, and hair moisturizer. 15A NCAC 18A .2820(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. Child's homemade diaper cream was not labeled with the content of the container and stored in an sorbet container. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. In room 133, Medication form date was expired, room 133 (7/14/24, D.C., room 135 (6/20/24, K. 10A NCAC 09 .0803(4)(6-9) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. two children did not have the required updated information. .0802(c) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. room 110: donut holes and coffee were on the counter and belonged to a teacher.) .0901(i) 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. Childs application (D.) stated that the child had nut allergies, however there was no M.A.P. available for review. .0801(b) If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 10/31/2024 Number Present: 90 Completed Date: 10/31/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:00 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with childcare requirements. I was greeted by the front desk administrator, who opened the door for me. Once inside I stated the purpose of my visit and was greeted by the area Manager, M. Dixon, and Ms. Gunn. During today’s visit I conducted the walk-through of the facility with Ms. Gunn. This facility currently operates with a five-star rated license effective August 24, 2022. The NC Secretary of State website was viewed before the visit and DIXON ACADEMY #4 INC was current and active. Children and staff were observed playing in the activity centers, and gross motor physical play outside. Children were also observed transitioning to and from the indoor to outdoor. Lunch consisted of chicken teriyaki with pasta, cantaloupe, lima beans or lettuce, and milk. The facility had all required activity centers accessible to children. This facility has two NC PreK classrooms. The facility has an enrollment of 125 children. INSPECTIONS: The last sanitation inspection was conducted 05-09-2024. The last fire inspection was conducted 12/7/23 The last documented fire drill was conducted 09-30-2024. The last documented shelter-in-place or lockdown drill was conducted 9-26-2024. The last documented playground inspection was conducted 10-31-2023. The last documented compliance prior to today’s visit was 88% I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management. This facility currently does not provide transportation. This facility has two NC PreK classroom and was monitored for NC PreK requirements as well as the attached checklist was used to note the requirements we monitored today. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). When children transitioned to older toddler room, the feeding chart was not received or posted by the teacher. 10A NCAC 09 .0902(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Trash can in room 143 (twos/three year olds) did not have a cover, on the preschool playground there was a broken sand and water table. .0601(d) 807 A safe indoor and outdoor environment was not provided for the children. There was a trash can with no lid, hanging window blinds in space 125, wasp nest on toddler playground and chipping paint that is starting to peel in space 149. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. two backpacks that came to school with children had sunscreen, diaper cream, cough/cold medicine, and hair moisturizer. 15A NCAC 18A .2820(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. Child's homemade diaper cream was not labeled with the content of the container and stored in an sorbet container. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. In room 133, Medication form date was expired, room 133 (7/14/24, D.C., room 135 (6/20/24, K. 10A NCAC 09 .0803(4)(6-9) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. two children did not have the required updated information. .0802(c) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. room 110: donut holes and coffee were on the counter and belonged to a teacher.) .0901(i) 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. Childs application (D.) stated that the child had nut allergies, however there was no M.A.P. available for review. .0801(b) 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: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 10/31/2024 Number Present: 90 Completed Date: 10/31/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:00 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with childcare requirements. I was greeted by the front desk administrator, who opened the door for me. Once inside I stated the purpose of my visit and was greeted by the area Manager, M. Dixon, and Ms. Gunn. During today’s visit I conducted the walk-through of the facility with Ms. Gunn. This facility currently operates with a five-star rated license effective August 24, 2022. The NC Secretary of State website was viewed before the visit and DIXON ACADEMY #4 INC was current and active. Children and staff were observed playing in the activity centers, and gross motor physical play outside. Children were also observed transitioning to and from the indoor to outdoor. Lunch consisted of chicken teriyaki with pasta, cantaloupe, lima beans or lettuce, and milk. The facility had all required activity centers accessible to children. This facility has two NC PreK classrooms. The facility has an enrollment of 125 children. INSPECTIONS: The last sanitation inspection was conducted 05-09-2024. The last fire inspection was conducted 12/7/23 The last documented fire drill was conducted 09-30-2024. The last documented shelter-in-place or lockdown drill was conducted 9-26-2024. The last documented playground inspection was conducted 10-31-2023. The last documented compliance prior to today’s visit was 88% I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management. This facility currently does not provide transportation. This facility has two NC PreK classroom and was monitored for NC PreK requirements as well as the attached checklist was used to note the requirements we monitored today. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). When children transitioned to older toddler room, the feeding chart was not received or posted by the teacher. 10A NCAC 09 .0902(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. Trash can in room 143 (twos/three year olds) did not have a cover, on the preschool playground there was a broken sand and water table. .0601(d) 807 A safe indoor and outdoor environment was not provided for the children. There was a trash can with no lid, hanging window blinds in space 125, wasp nest on toddler playground and chipping paint that is starting to peel in space 149. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. two backpacks that came to school with children had sunscreen, diaper cream, cough/cold medicine, and hair moisturizer. 15A NCAC 18A .2820(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. Child's homemade diaper cream was not labeled with the content of the container and stored in an sorbet container. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. In room 133, Medication form date was expired, room 133 (7/14/24, D.C., room 135 (6/20/24, K. 10A NCAC 09 .0803(4)(6-9) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. two children did not have the required updated information. .0802(c) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. room 110: donut holes and coffee were on the counter and belonged to a teacher.) .0901(i) 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. Childs application (D.) stated that the child had nut allergies, however there was no M.A.P. available for review. .0801(b) 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: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 68 Completed Date: 6/18/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 12:30 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with childcare requirements. I was greeted by the administrator, Sandra Gunn, I stated the purpose of my visit. Ms. Gunn conducted the walk-through of the facility with me. This facility has a five-star licensed issued August 24, 2022. I arrived at the facility during naptime. Children engaged in the following activities: napping, infants and toddlers were having quite play and napping. I conducted a walkthrough of the facility, and the following items were monitored: supervision, staff/child ratio, CPR/first aid, IT-SIDS, CBC qualification, Emergency Medical Care Plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions, safe arrival, and departure, and all required posted documents. New Staff files were monitored today. This facility does not provide transportation. Violation Number Comment Rule 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. Several staff did not have these trainings within the requirement. (A.C., J.P.,J.B,) L.R. was not on file .1102(g) Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. REQUIRED RESPONSE: You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was % prior to today’s visit. Violations cited today may negatively affect this score. You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address or email below by July 02, 2024. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. Technical Assistance: We discussed cot placement, changes and ideas for the playground and outdoor gardens. We discussed staff files and mini blinds that are placed in each classrooms. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates Practice the three W's: Wear, Wait, Wash •Wear a cloth face covering if you will be with other people •Wait 6 feet apart. Avoid close contact. •Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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 .0604 · Violation

Name of Operation: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 76 Completed Date: 11/8/2023 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced annual compliance visit today was to monitor this program for compliance with applicable childcare requirements. Upon arrival I was greeted by the Assistant Director, I stated the purpose of my visit and began the walk through and was later joined by Anthony Harrison, Operations manager, and then Asia assisted me with the remainder of the visit. This facility currently operates with a five-star rated license effective August 24, 2022. The NC Secretary of State website was viewed before the visit and DIXON ACADEMY #4 INC was current and active. Children and staff were observed playing in the activity centers, and gross motor physical play outside. Children were also observed transitioning to and from the indoor to outdoor. The facility had all required activity centers accessible to children. This facility has two NC PreK classroom. INSPECTIONS: The last sanitation inspection was conducted 11-02-2023. The last fire inspection was conducted 2022 The last documented fire drill was conducted 10-31-2023. The last documented shelter-in-place or lockdown drill was conducted 8-23-2023. The last documented playground inspection was conducted 10-31-2023. The last documented compliance prior to today’s visit was 87% I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management. This facility currently does not provide transportation. This facility has two NC PreK classroom and was monitored for NC PreK requirements as well as the attached checklist was used to note the requirements we monitored today. 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. Facility has not received a fire inspection for 2023. 10A NCAC 09 .0304(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence), children in infant class two that were over twelve months of age did not have their feeding plans posted. 10A NCAC 09 .0902(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. There was an surge protector in space 108 near the group time area that did not have outlet covers. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. L.B. infant 1, had a date of 10/24/23-10/24/23 for authorization. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. in space 133, there was an trashcan with no lid and the plastic liner was exposed, space140: thee was a plastic bag with clothing in it and a plastic wrapper in the block area, Space 141 and an infant class: there was a cabinet with diapers in a plastic bag, space 147 there were plastic bags in the children cubbies. .0604(q) 1302 Individual applications were not on file for each child. application was not on file for a child. See children's record. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. there were three children files that were observed to not be updated annually, and another child did not have a file at all. .0802(c) 1318 Medical authorization was not present on child's first day. one child did not have the required information. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. there was no medical file to be located for a child. C.B. was enrolled on 9/1/23 and there is no assessment on file and was not completed by a physician. GS110-91(1) 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. the following children did not meet the requirement, the health assessment was older that a year, or was not on file: Q.R., M.D., M.W.,N.G.and Z.M., C.B. was missing the last page of the health assessment that would have the physicians signature notating it was completed. .3005(a) 1766 The health assessment did not include updated immunizations. The following children did not have updated immunizations on file: C.B., M. B. .3005 (a)(2) 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. N.G and M.D did not have medical action plans with the application. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Several staff did not meet this requirement of having this within the 90 days of employment at a new facility. .1102(g) Violations: Comments: Violations: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by November 22, 2022 The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. As outlined in Session Law 2021-127 - Senate Bill (SB); facilities who have been unable to hire/retain staff with the same educational levels in the current star rating are in a hold harmless state. Your facility meets these criteria and therefore will retain your current star rating until six months after Governor Cooper issues an order to rescind Executive Order No. 116 Declaration of a State of Emergency to Coordinate Response and Protective Actions to Prevent the Spread of COVID-19. The state of emergency ended August 15, 2022. You are in the Third Cohort and will be due for reassessment in 2027. An email with details about your cohort was sent in July 2023. Technical Assistance: *Have all staff update their information in the WORKS database. The WORKS database is designed to streamline education evaluation, using a web-based process designed to increase efficiency with which staff can process child care provider applications. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS, (per the files * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. Practice the three W's: Wear, Wait, Wash •Wear a cloth face covering if you will be with other people •Wait 6 feet apart. Avoid close contact. •Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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 .0902 · Violation

Name of Operation: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 76 Completed Date: 11/8/2023 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced annual compliance visit today was to monitor this program for compliance with applicable childcare requirements. Upon arrival I was greeted by the Assistant Director, I stated the purpose of my visit and began the walk through and was later joined by Anthony Harrison, Operations manager, and then Asia assisted me with the remainder of the visit. This facility currently operates with a five-star rated license effective August 24, 2022. The NC Secretary of State website was viewed before the visit and DIXON ACADEMY #4 INC was current and active. Children and staff were observed playing in the activity centers, and gross motor physical play outside. Children were also observed transitioning to and from the indoor to outdoor. The facility had all required activity centers accessible to children. This facility has two NC PreK classroom. INSPECTIONS: The last sanitation inspection was conducted 11-02-2023. The last fire inspection was conducted 2022 The last documented fire drill was conducted 10-31-2023. The last documented shelter-in-place or lockdown drill was conducted 8-23-2023. The last documented playground inspection was conducted 10-31-2023. The last documented compliance prior to today’s visit was 87% I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management. This facility currently does not provide transportation. This facility has two NC PreK classroom and was monitored for NC PreK requirements as well as the attached checklist was used to note the requirements we monitored today. 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. Facility has not received a fire inspection for 2023. 10A NCAC 09 .0304(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence), children in infant class two that were over twelve months of age did not have their feeding plans posted. 10A NCAC 09 .0902(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. There was an surge protector in space 108 near the group time area that did not have outlet covers. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. L.B. infant 1, had a date of 10/24/23-10/24/23 for authorization. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. in space 133, there was an trashcan with no lid and the plastic liner was exposed, space140: thee was a plastic bag with clothing in it and a plastic wrapper in the block area, Space 141 and an infant class: there was a cabinet with diapers in a plastic bag, space 147 there were plastic bags in the children cubbies. .0604(q) 1302 Individual applications were not on file for each child. application was not on file for a child. See children's record. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. there were three children files that were observed to not be updated annually, and another child did not have a file at all. .0802(c) 1318 Medical authorization was not present on child's first day. one child did not have the required information. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. there was no medical file to be located for a child. C.B. was enrolled on 9/1/23 and there is no assessment on file and was not completed by a physician. GS110-91(1) 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. the following children did not meet the requirement, the health assessment was older that a year, or was not on file: Q.R., M.D., M.W.,N.G.and Z.M., C.B. was missing the last page of the health assessment that would have the physicians signature notating it was completed. .3005(a) 1766 The health assessment did not include updated immunizations. The following children did not have updated immunizations on file: C.B., M. B. .3005 (a)(2) 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. N.G and M.D did not have medical action plans with the application. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Several staff did not meet this requirement of having this within the 90 days of employment at a new facility. .1102(g) Violations: Comments: Violations: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by November 22, 2022 The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. As outlined in Session Law 2021-127 - Senate Bill (SB); facilities who have been unable to hire/retain staff with the same educational levels in the current star rating are in a hold harmless state. Your facility meets these criteria and therefore will retain your current star rating until six months after Governor Cooper issues an order to rescind Executive Order No. 116 Declaration of a State of Emergency to Coordinate Response and Protective Actions to Prevent the Spread of COVID-19. The state of emergency ended August 15, 2022. You are in the Third Cohort and will be due for reassessment in 2027. An email with details about your cohort was sent in July 2023. Technical Assistance: *Have all staff update their information in the WORKS database. The WORKS database is designed to streamline education evaluation, using a web-based process designed to increase efficiency with which staff can process child care provider applications. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS, (per the files * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. Practice the three W's: Wear, Wait, Wash •Wear a cloth face covering if you will be with other people •Wait 6 feet apart. Avoid close contact. •Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 76 Completed Date: 11/8/2023 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced annual compliance visit today was to monitor this program for compliance with applicable childcare requirements. Upon arrival I was greeted by the Assistant Director, I stated the purpose of my visit and began the walk through and was later joined by Anthony Harrison, Operations manager, and then Asia assisted me with the remainder of the visit. This facility currently operates with a five-star rated license effective August 24, 2022. The NC Secretary of State website was viewed before the visit and DIXON ACADEMY #4 INC was current and active. Children and staff were observed playing in the activity centers, and gross motor physical play outside. Children were also observed transitioning to and from the indoor to outdoor. The facility had all required activity centers accessible to children. This facility has two NC PreK classroom. INSPECTIONS: The last sanitation inspection was conducted 11-02-2023. The last fire inspection was conducted 2022 The last documented fire drill was conducted 10-31-2023. The last documented shelter-in-place or lockdown drill was conducted 8-23-2023. The last documented playground inspection was conducted 10-31-2023. The last documented compliance prior to today’s visit was 87% I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management. This facility currently does not provide transportation. This facility has two NC PreK classroom and was monitored for NC PreK requirements as well as the attached checklist was used to note the requirements we monitored today. 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. Facility has not received a fire inspection for 2023. 10A NCAC 09 .0304(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence), children in infant class two that were over twelve months of age did not have their feeding plans posted. 10A NCAC 09 .0902(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. There was an surge protector in space 108 near the group time area that did not have outlet covers. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. L.B. infant 1, had a date of 10/24/23-10/24/23 for authorization. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. in space 133, there was an trashcan with no lid and the plastic liner was exposed, space140: thee was a plastic bag with clothing in it and a plastic wrapper in the block area, Space 141 and an infant class: there was a cabinet with diapers in a plastic bag, space 147 there were plastic bags in the children cubbies. .0604(q) 1302 Individual applications were not on file for each child. application was not on file for a child. See children's record. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. there were three children files that were observed to not be updated annually, and another child did not have a file at all. .0802(c) 1318 Medical authorization was not present on child's first day. one child did not have the required information. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. there was no medical file to be located for a child. C.B. was enrolled on 9/1/23 and there is no assessment on file and was not completed by a physician. GS110-91(1) 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. the following children did not meet the requirement, the health assessment was older that a year, or was not on file: Q.R., M.D., M.W.,N.G.and Z.M., C.B. was missing the last page of the health assessment that would have the physicians signature notating it was completed. .3005(a) 1766 The health assessment did not include updated immunizations. The following children did not have updated immunizations on file: C.B., M. B. .3005 (a)(2) 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. N.G and M.D did not have medical action plans with the application. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Several staff did not meet this requirement of having this within the 90 days of employment at a new facility. .1102(g) Violations: Comments: Violations: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by November 22, 2022 The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. As outlined in Session Law 2021-127 - Senate Bill (SB); facilities who have been unable to hire/retain staff with the same educational levels in the current star rating are in a hold harmless state. Your facility meets these criteria and therefore will retain your current star rating until six months after Governor Cooper issues an order to rescind Executive Order No. 116 Declaration of a State of Emergency to Coordinate Response and Protective Actions to Prevent the Spread of COVID-19. The state of emergency ended August 15, 2022. You are in the Third Cohort and will be due for reassessment in 2027. An email with details about your cohort was sent in July 2023. Technical Assistance: *Have all staff update their information in the WORKS database. The WORKS database is designed to streamline education evaluation, using a web-based process designed to increase efficiency with which staff can process child care provider applications. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS, (per the files * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. Practice the three W's: Wear, Wait, Wash •Wear a cloth face covering if you will be with other people •Wait 6 feet apart. Avoid close contact. •Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 76 Completed Date: 11/8/2023 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced annual compliance visit today was to monitor this program for compliance with applicable childcare requirements. Upon arrival I was greeted by the Assistant Director, I stated the purpose of my visit and began the walk through and was later joined by Anthony Harrison, Operations manager, and then Asia assisted me with the remainder of the visit. This facility currently operates with a five-star rated license effective August 24, 2022. The NC Secretary of State website was viewed before the visit and DIXON ACADEMY #4 INC was current and active. Children and staff were observed playing in the activity centers, and gross motor physical play outside. Children were also observed transitioning to and from the indoor to outdoor. The facility had all required activity centers accessible to children. This facility has two NC PreK classroom. INSPECTIONS: The last sanitation inspection was conducted 11-02-2023. The last fire inspection was conducted 2022 The last documented fire drill was conducted 10-31-2023. The last documented shelter-in-place or lockdown drill was conducted 8-23-2023. The last documented playground inspection was conducted 10-31-2023. The last documented compliance prior to today’s visit was 87% I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management. This facility currently does not provide transportation. This facility has two NC PreK classroom and was monitored for NC PreK requirements as well as the attached checklist was used to note the requirements we monitored today. 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. Facility has not received a fire inspection for 2023. 10A NCAC 09 .0304(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence), children in infant class two that were over twelve months of age did not have their feeding plans posted. 10A NCAC 09 .0902(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. There was an surge protector in space 108 near the group time area that did not have outlet covers. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. L.B. infant 1, had a date of 10/24/23-10/24/23 for authorization. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. in space 133, there was an trashcan with no lid and the plastic liner was exposed, space140: thee was a plastic bag with clothing in it and a plastic wrapper in the block area, Space 141 and an infant class: there was a cabinet with diapers in a plastic bag, space 147 there were plastic bags in the children cubbies. .0604(q) 1302 Individual applications were not on file for each child. application was not on file for a child. See children's record. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. there were three children files that were observed to not be updated annually, and another child did not have a file at all. .0802(c) 1318 Medical authorization was not present on child's first day. one child did not have the required information. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. there was no medical file to be located for a child. C.B. was enrolled on 9/1/23 and there is no assessment on file and was not completed by a physician. GS110-91(1) 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. the following children did not meet the requirement, the health assessment was older that a year, or was not on file: Q.R., M.D., M.W.,N.G.and Z.M., C.B. was missing the last page of the health assessment that would have the physicians signature notating it was completed. .3005(a) 1766 The health assessment did not include updated immunizations. The following children did not have updated immunizations on file: C.B., M. B. .3005 (a)(2) 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. N.G and M.D did not have medical action plans with the application. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Several staff did not meet this requirement of having this within the 90 days of employment at a new facility. .1102(g) Violations: Comments: Violations: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by November 22, 2022 The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. As outlined in Session Law 2021-127 - Senate Bill (SB); facilities who have been unable to hire/retain staff with the same educational levels in the current star rating are in a hold harmless state. Your facility meets these criteria and therefore will retain your current star rating until six months after Governor Cooper issues an order to rescind Executive Order No. 116 Declaration of a State of Emergency to Coordinate Response and Protective Actions to Prevent the Spread of COVID-19. The state of emergency ended August 15, 2022. You are in the Third Cohort and will be due for reassessment in 2027. An email with details about your cohort was sent in July 2023. Technical Assistance: *Have all staff update their information in the WORKS database. The WORKS database is designed to streamline education evaluation, using a web-based process designed to increase efficiency with which staff can process child care provider applications. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS, (per the files * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. Practice the three W's: Wear, Wait, Wash •Wear a cloth face covering if you will be with other people •Wait 6 feet apart. Avoid close contact. •Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 76 Completed Date: 11/8/2023 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced annual compliance visit today was to monitor this program for compliance with applicable childcare requirements. Upon arrival I was greeted by the Assistant Director, I stated the purpose of my visit and began the walk through and was later joined by Anthony Harrison, Operations manager, and then Asia assisted me with the remainder of the visit. This facility currently operates with a five-star rated license effective August 24, 2022. The NC Secretary of State website was viewed before the visit and DIXON ACADEMY #4 INC was current and active. Children and staff were observed playing in the activity centers, and gross motor physical play outside. Children were also observed transitioning to and from the indoor to outdoor. The facility had all required activity centers accessible to children. This facility has two NC PreK classroom. INSPECTIONS: The last sanitation inspection was conducted 11-02-2023. The last fire inspection was conducted 2022 The last documented fire drill was conducted 10-31-2023. The last documented shelter-in-place or lockdown drill was conducted 8-23-2023. The last documented playground inspection was conducted 10-31-2023. The last documented compliance prior to today’s visit was 87% I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management. This facility currently does not provide transportation. This facility has two NC PreK classroom and was monitored for NC PreK requirements as well as the attached checklist was used to note the requirements we monitored today. 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. Facility has not received a fire inspection for 2023. 10A NCAC 09 .0304(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence), children in infant class two that were over twelve months of age did not have their feeding plans posted. 10A NCAC 09 .0902(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. There was an surge protector in space 108 near the group time area that did not have outlet covers. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. L.B. infant 1, had a date of 10/24/23-10/24/23 for authorization. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. in space 133, there was an trashcan with no lid and the plastic liner was exposed, space140: thee was a plastic bag with clothing in it and a plastic wrapper in the block area, Space 141 and an infant class: there was a cabinet with diapers in a plastic bag, space 147 there were plastic bags in the children cubbies. .0604(q) 1302 Individual applications were not on file for each child. application was not on file for a child. See children's record. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. there were three children files that were observed to not be updated annually, and another child did not have a file at all. .0802(c) 1318 Medical authorization was not present on child's first day. one child did not have the required information. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. there was no medical file to be located for a child. C.B. was enrolled on 9/1/23 and there is no assessment on file and was not completed by a physician. GS110-91(1) 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. the following children did not meet the requirement, the health assessment was older that a year, or was not on file: Q.R., M.D., M.W.,N.G.and Z.M., C.B. was missing the last page of the health assessment that would have the physicians signature notating it was completed. .3005(a) 1766 The health assessment did not include updated immunizations. The following children did not have updated immunizations on file: C.B., M. B. .3005 (a)(2) 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. N.G and M.D did not have medical action plans with the application. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Several staff did not meet this requirement of having this within the 90 days of employment at a new facility. .1102(g) Violations: Comments: Violations: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by November 22, 2022 The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. As outlined in Session Law 2021-127 - Senate Bill (SB); facilities who have been unable to hire/retain staff with the same educational levels in the current star rating are in a hold harmless state. Your facility meets these criteria and therefore will retain your current star rating until six months after Governor Cooper issues an order to rescind Executive Order No. 116 Declaration of a State of Emergency to Coordinate Response and Protective Actions to Prevent the Spread of COVID-19. The state of emergency ended August 15, 2022. You are in the Third Cohort and will be due for reassessment in 2027. An email with details about your cohort was sent in July 2023. Technical Assistance: *Have all staff update their information in the WORKS database. The WORKS database is designed to streamline education evaluation, using a web-based process designed to increase efficiency with which staff can process child care provider applications. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS, (per the files * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. Practice the three W's: Wear, Wait, Wash •Wear a cloth face covering if you will be with other people •Wait 6 feet apart. Avoid close contact. •Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 76 Completed Date: 11/8/2023 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced annual compliance visit today was to monitor this program for compliance with applicable childcare requirements. Upon arrival I was greeted by the Assistant Director, I stated the purpose of my visit and began the walk through and was later joined by Anthony Harrison, Operations manager, and then Asia assisted me with the remainder of the visit. This facility currently operates with a five-star rated license effective August 24, 2022. The NC Secretary of State website was viewed before the visit and DIXON ACADEMY #4 INC was current and active. Children and staff were observed playing in the activity centers, and gross motor physical play outside. Children were also observed transitioning to and from the indoor to outdoor. The facility had all required activity centers accessible to children. This facility has two NC PreK classroom. INSPECTIONS: The last sanitation inspection was conducted 11-02-2023. The last fire inspection was conducted 2022 The last documented fire drill was conducted 10-31-2023. The last documented shelter-in-place or lockdown drill was conducted 8-23-2023. The last documented playground inspection was conducted 10-31-2023. The last documented compliance prior to today’s visit was 87% I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management. This facility currently does not provide transportation. This facility has two NC PreK classroom and was monitored for NC PreK requirements as well as the attached checklist was used to note the requirements we monitored today. 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. Facility has not received a fire inspection for 2023. 10A NCAC 09 .0304(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence), children in infant class two that were over twelve months of age did not have their feeding plans posted. 10A NCAC 09 .0902(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. There was an surge protector in space 108 near the group time area that did not have outlet covers. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. L.B. infant 1, had a date of 10/24/23-10/24/23 for authorization. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. in space 133, there was an trashcan with no lid and the plastic liner was exposed, space140: thee was a plastic bag with clothing in it and a plastic wrapper in the block area, Space 141 and an infant class: there was a cabinet with diapers in a plastic bag, space 147 there were plastic bags in the children cubbies. .0604(q) 1302 Individual applications were not on file for each child. application was not on file for a child. See children's record. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. there were three children files that were observed to not be updated annually, and another child did not have a file at all. .0802(c) 1318 Medical authorization was not present on child's first day. one child did not have the required information. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. there was no medical file to be located for a child. C.B. was enrolled on 9/1/23 and there is no assessment on file and was not completed by a physician. GS110-91(1) 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. the following children did not meet the requirement, the health assessment was older that a year, or was not on file: Q.R., M.D., M.W.,N.G.and Z.M., C.B. was missing the last page of the health assessment that would have the physicians signature notating it was completed. .3005(a) 1766 The health assessment did not include updated immunizations. The following children did not have updated immunizations on file: C.B., M. B. .3005 (a)(2) 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. N.G and M.D did not have medical action plans with the application. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Several staff did not meet this requirement of having this within the 90 days of employment at a new facility. .1102(g) Violations: Comments: Violations: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by November 22, 2022 The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. As outlined in Session Law 2021-127 - Senate Bill (SB); facilities who have been unable to hire/retain staff with the same educational levels in the current star rating are in a hold harmless state. Your facility meets these criteria and therefore will retain your current star rating until six months after Governor Cooper issues an order to rescind Executive Order No. 116 Declaration of a State of Emergency to Coordinate Response and Protective Actions to Prevent the Spread of COVID-19. The state of emergency ended August 15, 2022. You are in the Third Cohort and will be due for reassessment in 2027. An email with details about your cohort was sent in July 2023. Technical Assistance: *Have all staff update their information in the WORKS database. The WORKS database is designed to streamline education evaluation, using a web-based process designed to increase efficiency with which staff can process child care provider applications. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS, (per the files * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. Practice the three W's: Wear, Wait, Wash •Wear a cloth face covering if you will be with other people •Wait 6 feet apart. Avoid close contact. •Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 76 Completed Date: 11/8/2023 Age: From 0 To 5 Total Minutes: 420 Time In: 09:15 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced annual compliance visit today was to monitor this program for compliance with applicable childcare requirements. Upon arrival I was greeted by the Assistant Director, I stated the purpose of my visit and began the walk through and was later joined by Anthony Harrison, Operations manager, and then Asia assisted me with the remainder of the visit. This facility currently operates with a five-star rated license effective August 24, 2022. The NC Secretary of State website was viewed before the visit and DIXON ACADEMY #4 INC was current and active. Children and staff were observed playing in the activity centers, and gross motor physical play outside. Children were also observed transitioning to and from the indoor to outdoor. The facility had all required activity centers accessible to children. This facility has two NC PreK classroom. INSPECTIONS: The last sanitation inspection was conducted 11-02-2023. The last fire inspection was conducted 2022 The last documented fire drill was conducted 10-31-2023. The last documented shelter-in-place or lockdown drill was conducted 8-23-2023. The last documented playground inspection was conducted 10-31-2023. The last documented compliance prior to today’s visit was 87% I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management. This facility currently does not provide transportation. This facility has two NC PreK classroom and was monitored for NC PreK requirements as well as the attached checklist was used to note the requirements we monitored today. 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. Facility has not received a fire inspection for 2023. 10A NCAC 09 .0304(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence), children in infant class two that were over twelve months of age did not have their feeding plans posted. 10A NCAC 09 .0902(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. There was an surge protector in space 108 near the group time area that did not have outlet covers. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. L.B. infant 1, had a date of 10/24/23-10/24/23 for authorization. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. in space 133, there was an trashcan with no lid and the plastic liner was exposed, space140: thee was a plastic bag with clothing in it and a plastic wrapper in the block area, Space 141 and an infant class: there was a cabinet with diapers in a plastic bag, space 147 there were plastic bags in the children cubbies. .0604(q) 1302 Individual applications were not on file for each child. application was not on file for a child. See children's record. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. there were three children files that were observed to not be updated annually, and another child did not have a file at all. .0802(c) 1318 Medical authorization was not present on child's first day. one child did not have the required information. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. there was no medical file to be located for a child. C.B. was enrolled on 9/1/23 and there is no assessment on file and was not completed by a physician. GS110-91(1) 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. the following children did not meet the requirement, the health assessment was older that a year, or was not on file: Q.R., M.D., M.W.,N.G.and Z.M., C.B. was missing the last page of the health assessment that would have the physicians signature notating it was completed. .3005(a) 1766 The health assessment did not include updated immunizations. The following children did not have updated immunizations on file: C.B., M. B. .3005 (a)(2) 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. N.G and M.D did not have medical action plans with the application. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Several staff did not meet this requirement of having this within the 90 days of employment at a new facility. .1102(g) Violations: Comments: Violations: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by November 22, 2022 The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. As outlined in Session Law 2021-127 - Senate Bill (SB); facilities who have been unable to hire/retain staff with the same educational levels in the current star rating are in a hold harmless state. Your facility meets these criteria and therefore will retain your current star rating until six months after Governor Cooper issues an order to rescind Executive Order No. 116 Declaration of a State of Emergency to Coordinate Response and Protective Actions to Prevent the Spread of COVID-19. The state of emergency ended August 15, 2022. You are in the Third Cohort and will be due for reassessment in 2027. An email with details about your cohort was sent in July 2023. Technical Assistance: *Have all staff update their information in the WORKS database. The WORKS database is designed to streamline education evaluation, using a web-based process designed to increase efficiency with which staff can process child care provider applications. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS, (per the files * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. Practice the three W's: Wear, Wait, Wash •Wear a cloth face covering if you will be with other people •Wait 6 feet apart. Avoid close contact. •Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: 1023-188L Visit Date: 10/31/2023 Number Present: 52 Completed Date: 10/31/2023 Age: From 0 To 5 Total Minutes: 105 Time In: 03:30 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today visit was to investigate a complaint received on October 18, 2023, case number 1023-188L, there is a concern that a child was left unsupervised the playground when the teacher and other students returned indoors. I rang the doorbell upon arrival and an administrator greeted me. I stated the purpose of my visit and Octavia Stevens, assisted me with my visit. Staff and administrators were given the opportunity to respond to the report During the visit the classrooms involved and a walk through of the facility was conducted. Official enrollment was not captured today, however there were 53 children onsite. Children were observed actively playing in centers indoors and one infant was sleeping. Capacity, ratios, supervision, license restrictions, license space, , required postings, and emergency care plans were monitored and in compliance. During the visit I was notified that there will be a change in administration and the directors last day is today. Complaint Visit: Allegation section: The report was a self-report which alleged that a child was left unsupervised the playground when the teacher and other students returned indoors. The teacher involved in the incident could not be interviewed as she was terminated due to this and prior incidents. The administrator stated that she viewed the video footage and saw the child standing outside and the teacher ran outside to retrieve the child. The video footage is no longer available as it is only stored for a limited time. Allegations about there are concerns that a child was left unsupervised on the playground, due to staff interviews this allegation is deemed substantiated. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A child was left on the playground briefly alone and unsupervised. .1801(a)(1-5) REQUIRED RESPONSE: You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 92% prior to today’s visit. Violations cited today may negatively affect this score. You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by November 14, 2023. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 100 % prior to today’s visit. Violations cited today may negatively affect this score. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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 .0601 · Violation

Name of Operation: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: 0723-140L Visit Date: 8/2/2023 Number Present: 68 Completed Date: 8/2/2023 Age: From 0 To 5 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate the allegations in the following complaint report: case #0723-140L. Today’s visit was conducted with Rasheka Wheeler, Lead consultant. Upon arrival, I rang the doorbell, and a parent opened the door. Octavia Stephens, the administration, greeted me in the lobby. I stated the nature of the visit, and the administrators and teachers were given an opportunity to respond to the concerns. We proceeded with the walk though and interview of teachers and administration. According to the Reporter, There are concerns that: Groups are out of ratio during the day. When the consultant arrives a message (Code White) is sent to the back of the center to alert staff who then begin moving children to other classrooms to conceal violations. Camp children are grouped with 3-5 y/o children around 12:30 to 1:30 p.m. The ratio is 1:16. This is rest time for the preschoolers and lunch time for the campers. The second teacher is on break. It is unknown if the teacher remains on the premises or if there are enough teachers on the premises to remain in compliance. The sanitizing solution is too strong. It stains clothing. The solution is stored in a bottle on top of the paper towel dispenser in all classrooms. This is not above 5 feet and is within reach of children. Children around 4 and older have taken the container of solution down. A child in the early toddler room has lice. The children do not have assigned beds in that room. The bed and bedding have not been laundered as required. Shared items have not been removed or laundered or cleaned. Other parents have not been informed. The child has a sibling in an older class (3-5 y/o children). Precautions have not been taken in that room. Teachers wipe down the floor using dirty water. The floors are mopped with plain water and no soap or cleaning solution. One bucket of water is passed from room to room. Some teachers change the water, but others do not. Teachers do not enforce handwashing. Examples: Children do not have to wash their hands upon arrival or before lunch or returning from outdoor activities. If they wash their hands, fine. If they do not, the teachers do not require it. One of the teachers who regularly works in the room with infants does not have SIDS training and is alone with the infants at the end of the day and sometimes during the day. There are wasps and wasp nests on the playgrounds. Observation: During the visit all classrooms and outdoor were monitored. Capacity, Supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted, and in compliance. Full enrollment was not captured during this visit. In class 149 I observed children playing in activity centers and writing. Children were transitioned several times between class 149 and class 147. All classrooms were observed in ratio even with the transitions. In class 147 children were observed washing hands and engaged in activity centers. Class 144, 140, 141, and 135 were observed actively engaged on the playground and then transitioning from outdoor to indoor and handwashing. Class 124 were observed in tummy time, diapering routines, and handwashing. In Class 126, children were observed walking around and one was playing with a book. In Class 133, children were engaged in music and movement. Full enrollment was not captured during this visit. Complaint Visit: Allegation section: The allegation concerning, groups are out of ratio during the day; When the consultant arrives a message (Code White) is sent to the back of the center to alert staff who then begin moving children to other classrooms to conceal violations. Camp children are grouped with 3-5 y/o children around 12:30 to 1:30 p.m. The ratio is 1:16. This is rest time for the preschoolers and lunch time for the campers. The second teacher is on break. It is unknown if the teacher remains on the premises or if there are enough teachers on the premises to remain in compliance. We spoke with the administrator concerning the above allegation, the response received was she was hired on June 28th, 2023, and was onsite at the facility the first week in July 2023. She stated that she is getting to know and understand the different codes that are sent throughout the building and wasn’t aware of the specific code white indicator. We inquired about the camp children and the ages of children. The facility does not have any School Age children or pre-k 5-year children that have officially started school as of today’s date. The five (5) camp children are 5 years old and have not started school yet. Ms. Wheeler interviewed two (2) staff members about the ratio in each of their identified classrooms and the response received stated what their ratio is throughout the day and what each code meant when heard over the walkie-talkies. One staff member identified code white as an indicator to alert staff that a consultant is on site, but only an indicator to be aware of their presence. A staff member also stated that they do have a code if they are at their capacity for them to alert the administrator that a ratio concern may be arising soon and for them to plan accordingly. During the walk-through all classrooms were in compliance with ratio and group size. Based on the interviews of the two (2) staff and the observation during the walk-through, this allegation is deemed unsubstantiated. The allegation regarding the sanitizing solution is too strong. It stains clothing. The solution is stored in a bottle on top of the paper towel dispenser in all classrooms. This is not above 5 feet and is within reach of children. Children around 4 and older have taken the container of solution down. During the walk-through of the facility, I monitored the sanitizing/disinfectant solutions location in all classroom environments. The sanitizing/disinfectant solutions were observed in room #144 less than 5 feet from the floor. The bottles were observed inside of the classroom sink. Environmental Health stated “EHS discussed floor cleaning. Facility has a cleaning crew come in to clean every night. Floors are cleaned with appropriate floor cleaning chemicals”. Based on my observation, this allegation is deemed substantiated. The allegation regarding a child in the early toddler room has lice. The children do not have assigned beds in that room. The bed and bedding have not been laundered as required. Shared items have not been removed or laundered or cleaned. Other parents have not been informed. The child has a sibling in an older class (3-5 y/o children). Precautions have not been taken in that room. Ms. Wheeler interviewed the staff members caring for toddler-aged children in both toddler classrooms regarding head lice. All staff members stated that they did have a child with a diagnosed head lice case. She discussed the schedule for laundry, and inquired about the specific days they laundered their bedding or soiled items. The staff member stated that each classroom has a specific date to laundry their linen and in this case was not aware that stuff toys, dramatic play clothing, clothed hats all needed to be clean after the case was made public. Ms. Wheeler reviewed their communicable disease policy and inquired on how they notify families when and if an outbreak occurs when they receive documentation of virus or communicable disease. The information received was not information to gather if information was sent to families. The administrator stated that there was an issue concerning head lice in a toddler classroom and that they informed families of that specific age on Pro-Care Connection. Ms. Wheeler asked if other families of children who had siblings in other classrooms were informed, and the administrator stated they had not. Environmental Health Inspector conducted their own investigation on Monday, July 31st, 2023, and at that time did not find any active cases of head lice at the facility. Ms. Wheeler interviewed two (2) staff members on this specific allegation, and they all mentioned that they could not state if families received information regarding the active case of head lice. Based on the information received during the interviews with staff members and administrator, this allegation is deemed substantiated. The allegation regarding, Teachers wipe down the floor using dirty water. The floors are mopped with plain water and no soap or cleaning solution. One bucket of water is passed from room to room. Some teachers change the water, but others do not. Ms. Wheeler asked three (3) staff members about the allegation of using dirty water to clean floors. One (1) staff member stated that they have changed the water themselves and asked for assistance to get clean water. This same staff member stated that she has observed other co-workers using the same water from other classrooms to clean their floors throughout the day. One (1) staff member stated that dirty water is used, and they have not observed any soap in the water buckets. One (1) staff member chose not to answer the question. The administrator added that they have a cleaning crew that comes to the facility to clean the building. They have a staff onsite that will provide hot water and soap when requested from the kitchen to clean floors. The administrator stated she is not aware or has observed that staff members using dirty water from another classroom to clean their floors. Based on the staff interviews, this allegation is deemed substantiated. The allegation regarding Teachers do not enforce handwashing. Examples: Children do not have to wash their hands upon arrival or before lunch or returning from outdoor activities. If they wash their hands, fine. If they do not, the teachers do not require it. During my walk through of the facility, I observed children in several classrooms washing hands after entering from outside and . This allegation is deemed unsubstantiated. The allegation regarding, one of the teachers who regularly works in the room with infants does not have SIDS training and is alone with the infants at the end of the day and sometimes during the day. We reviewed ITS- SIDS certification for all staff members that care for infants during today’s visit. We captured the staff member’s names that were currently caring for children to verify certifications as well as interviewed the administrator about possible floaters that may care for children throughout the day. During today’s visit, I observed two (2) out of the three (3) staff members possessed current ITS-SIDS certification. The third staff member is currently looking for a class to register for ITS-SIDS and knows that she cannot be left alone with infants without the certification. During the visit, this staff member was observed with another staff member that has ITS-SIDS. The new administrator stated that she has not observed or has placed the staff member that isn’t certified in the infant classroom alone. This allegation is deemed unsubstantiated. The allegation regarding, there are wasps and wasp nests on the playgrounds. During today’s visit, I monitored all outdoor learning environments. I observed wasps on the outdoor learning environment on several play areas inside the wooden playhouses and the wooden covered stage that possessed several small wasp nests. Sanitation conducted a visit on July 31, 2023 and stated “EHS observed there as one wasp viewed outside and what looked like 2 small wasp nests that had been broken up or removed. Mrs. Stephens states they receive pest treatment when issues are observed”. This allegation is deemed substantiated. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There were two wasp observed on the playground. There were several small wasp nest in two of the wooden play structures on the two year old playground, and preschool playground. There was also a nest under the roof ledge of the building. 10A NCAC 09 .0601(a) 875 The center did not follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800. The same mop water is used between several classrooms and are not empty between classes. Soft items (puppets, dolls, pillows), were not laundered after a child was diagnosed with having head lice. 10A NCAC 09 .0804(b)(1) 9999 A violation was found for which there is no item number. EHS 15A NCAC 18A .2820 STORAGEAny product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Sanitation solution was in a sink accessible to children and below five feet. All violations documented above must be corrected immediately. It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address or email below by August 15, 2023. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: Compliance History: You must maintain at least 75% Compliance History for each 18 month period as required by G.S. 110-90(4) (c). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance: Remind teaches of times they need to wash hands: entering the classroom from another class or outside, before/after eating, diapering and toileting, when dealing with bodily fluids (mucus, sneezing in hands). Remind teachers of the ratios to reduce the number of transitions of children. Example: Four year olds are 1/13 and that there can be one staff for naptime in that class. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.nc.gov. This website enables you to view the entire law and Child Care Requirements for North Carolina as well as download required forms. Click on the "What's New" tab for important updates impacting child care in North Carolina. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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 .0804 · Violation

Name of Operation: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: 0723-140L Visit Date: 8/2/2023 Number Present: 68 Completed Date: 8/2/2023 Age: From 0 To 5 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate the allegations in the following complaint report: case #0723-140L. Today’s visit was conducted with Rasheka Wheeler, Lead consultant. Upon arrival, I rang the doorbell, and a parent opened the door. Octavia Stephens, the administration, greeted me in the lobby. I stated the nature of the visit, and the administrators and teachers were given an opportunity to respond to the concerns. We proceeded with the walk though and interview of teachers and administration. According to the Reporter, There are concerns that: Groups are out of ratio during the day. When the consultant arrives a message (Code White) is sent to the back of the center to alert staff who then begin moving children to other classrooms to conceal violations. Camp children are grouped with 3-5 y/o children around 12:30 to 1:30 p.m. The ratio is 1:16. This is rest time for the preschoolers and lunch time for the campers. The second teacher is on break. It is unknown if the teacher remains on the premises or if there are enough teachers on the premises to remain in compliance. The sanitizing solution is too strong. It stains clothing. The solution is stored in a bottle on top of the paper towel dispenser in all classrooms. This is not above 5 feet and is within reach of children. Children around 4 and older have taken the container of solution down. A child in the early toddler room has lice. The children do not have assigned beds in that room. The bed and bedding have not been laundered as required. Shared items have not been removed or laundered or cleaned. Other parents have not been informed. The child has a sibling in an older class (3-5 y/o children). Precautions have not been taken in that room. Teachers wipe down the floor using dirty water. The floors are mopped with plain water and no soap or cleaning solution. One bucket of water is passed from room to room. Some teachers change the water, but others do not. Teachers do not enforce handwashing. Examples: Children do not have to wash their hands upon arrival or before lunch or returning from outdoor activities. If they wash their hands, fine. If they do not, the teachers do not require it. One of the teachers who regularly works in the room with infants does not have SIDS training and is alone with the infants at the end of the day and sometimes during the day. There are wasps and wasp nests on the playgrounds. Observation: During the visit all classrooms and outdoor were monitored. Capacity, Supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted, and in compliance. Full enrollment was not captured during this visit. In class 149 I observed children playing in activity centers and writing. Children were transitioned several times between class 149 and class 147. All classrooms were observed in ratio even with the transitions. In class 147 children were observed washing hands and engaged in activity centers. Class 144, 140, 141, and 135 were observed actively engaged on the playground and then transitioning from outdoor to indoor and handwashing. Class 124 were observed in tummy time, diapering routines, and handwashing. In Class 126, children were observed walking around and one was playing with a book. In Class 133, children were engaged in music and movement. Full enrollment was not captured during this visit. Complaint Visit: Allegation section: The allegation concerning, groups are out of ratio during the day; When the consultant arrives a message (Code White) is sent to the back of the center to alert staff who then begin moving children to other classrooms to conceal violations. Camp children are grouped with 3-5 y/o children around 12:30 to 1:30 p.m. The ratio is 1:16. This is rest time for the preschoolers and lunch time for the campers. The second teacher is on break. It is unknown if the teacher remains on the premises or if there are enough teachers on the premises to remain in compliance. We spoke with the administrator concerning the above allegation, the response received was she was hired on June 28th, 2023, and was onsite at the facility the first week in July 2023. She stated that she is getting to know and understand the different codes that are sent throughout the building and wasn’t aware of the specific code white indicator. We inquired about the camp children and the ages of children. The facility does not have any School Age children or pre-k 5-year children that have officially started school as of today’s date. The five (5) camp children are 5 years old and have not started school yet. Ms. Wheeler interviewed two (2) staff members about the ratio in each of their identified classrooms and the response received stated what their ratio is throughout the day and what each code meant when heard over the walkie-talkies. One staff member identified code white as an indicator to alert staff that a consultant is on site, but only an indicator to be aware of their presence. A staff member also stated that they do have a code if they are at their capacity for them to alert the administrator that a ratio concern may be arising soon and for them to plan accordingly. During the walk-through all classrooms were in compliance with ratio and group size. Based on the interviews of the two (2) staff and the observation during the walk-through, this allegation is deemed unsubstantiated. The allegation regarding the sanitizing solution is too strong. It stains clothing. The solution is stored in a bottle on top of the paper towel dispenser in all classrooms. This is not above 5 feet and is within reach of children. Children around 4 and older have taken the container of solution down. During the walk-through of the facility, I monitored the sanitizing/disinfectant solutions location in all classroom environments. The sanitizing/disinfectant solutions were observed in room #144 less than 5 feet from the floor. The bottles were observed inside of the classroom sink. Environmental Health stated “EHS discussed floor cleaning. Facility has a cleaning crew come in to clean every night. Floors are cleaned with appropriate floor cleaning chemicals”. Based on my observation, this allegation is deemed substantiated. The allegation regarding a child in the early toddler room has lice. The children do not have assigned beds in that room. The bed and bedding have not been laundered as required. Shared items have not been removed or laundered or cleaned. Other parents have not been informed. The child has a sibling in an older class (3-5 y/o children). Precautions have not been taken in that room. Ms. Wheeler interviewed the staff members caring for toddler-aged children in both toddler classrooms regarding head lice. All staff members stated that they did have a child with a diagnosed head lice case. She discussed the schedule for laundry, and inquired about the specific days they laundered their bedding or soiled items. The staff member stated that each classroom has a specific date to laundry their linen and in this case was not aware that stuff toys, dramatic play clothing, clothed hats all needed to be clean after the case was made public. Ms. Wheeler reviewed their communicable disease policy and inquired on how they notify families when and if an outbreak occurs when they receive documentation of virus or communicable disease. The information received was not information to gather if information was sent to families. The administrator stated that there was an issue concerning head lice in a toddler classroom and that they informed families of that specific age on Pro-Care Connection. Ms. Wheeler asked if other families of children who had siblings in other classrooms were informed, and the administrator stated they had not. Environmental Health Inspector conducted their own investigation on Monday, July 31st, 2023, and at that time did not find any active cases of head lice at the facility. Ms. Wheeler interviewed two (2) staff members on this specific allegation, and they all mentioned that they could not state if families received information regarding the active case of head lice. Based on the information received during the interviews with staff members and administrator, this allegation is deemed substantiated. The allegation regarding, Teachers wipe down the floor using dirty water. The floors are mopped with plain water and no soap or cleaning solution. One bucket of water is passed from room to room. Some teachers change the water, but others do not. Ms. Wheeler asked three (3) staff members about the allegation of using dirty water to clean floors. One (1) staff member stated that they have changed the water themselves and asked for assistance to get clean water. This same staff member stated that she has observed other co-workers using the same water from other classrooms to clean their floors throughout the day. One (1) staff member stated that dirty water is used, and they have not observed any soap in the water buckets. One (1) staff member chose not to answer the question. The administrator added that they have a cleaning crew that comes to the facility to clean the building. They have a staff onsite that will provide hot water and soap when requested from the kitchen to clean floors. The administrator stated she is not aware or has observed that staff members using dirty water from another classroom to clean their floors. Based on the staff interviews, this allegation is deemed substantiated. The allegation regarding Teachers do not enforce handwashing. Examples: Children do not have to wash their hands upon arrival or before lunch or returning from outdoor activities. If they wash their hands, fine. If they do not, the teachers do not require it. During my walk through of the facility, I observed children in several classrooms washing hands after entering from outside and . This allegation is deemed unsubstantiated. The allegation regarding, one of the teachers who regularly works in the room with infants does not have SIDS training and is alone with the infants at the end of the day and sometimes during the day. We reviewed ITS- SIDS certification for all staff members that care for infants during today’s visit. We captured the staff member’s names that were currently caring for children to verify certifications as well as interviewed the administrator about possible floaters that may care for children throughout the day. During today’s visit, I observed two (2) out of the three (3) staff members possessed current ITS-SIDS certification. The third staff member is currently looking for a class to register for ITS-SIDS and knows that she cannot be left alone with infants without the certification. During the visit, this staff member was observed with another staff member that has ITS-SIDS. The new administrator stated that she has not observed or has placed the staff member that isn’t certified in the infant classroom alone. This allegation is deemed unsubstantiated. The allegation regarding, there are wasps and wasp nests on the playgrounds. During today’s visit, I monitored all outdoor learning environments. I observed wasps on the outdoor learning environment on several play areas inside the wooden playhouses and the wooden covered stage that possessed several small wasp nests. Sanitation conducted a visit on July 31, 2023 and stated “EHS observed there as one wasp viewed outside and what looked like 2 small wasp nests that had been broken up or removed. Mrs. Stephens states they receive pest treatment when issues are observed”. This allegation is deemed substantiated. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There were two wasp observed on the playground. There were several small wasp nest in two of the wooden play structures on the two year old playground, and preschool playground. There was also a nest under the roof ledge of the building. 10A NCAC 09 .0601(a) 875 The center did not follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800. The same mop water is used between several classrooms and are not empty between classes. Soft items (puppets, dolls, pillows), were not laundered after a child was diagnosed with having head lice. 10A NCAC 09 .0804(b)(1) 9999 A violation was found for which there is no item number. EHS 15A NCAC 18A .2820 STORAGEAny product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Sanitation solution was in a sink accessible to children and below five feet. All violations documented above must be corrected immediately. It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address or email below by August 15, 2023. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: Compliance History: You must maintain at least 75% Compliance History for each 18 month period as required by G.S. 110-90(4) (c). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance: Remind teaches of times they need to wash hands: entering the classroom from another class or outside, before/after eating, diapering and toileting, when dealing with bodily fluids (mucus, sneezing in hands). Remind teachers of the ratios to reduce the number of transitions of children. Example: Four year olds are 1/13 and that there can be one staff for naptime in that class. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.nc.gov. This website enables you to view the entire law and Child Care Requirements for North Carolina as well as download required forms. Click on the "What's New" tab for important updates impacting child care in North Carolina. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: 0723-140L Visit Date: 8/2/2023 Number Present: 68 Completed Date: 8/2/2023 Age: From 0 To 5 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate the allegations in the following complaint report: case #0723-140L. Today’s visit was conducted with Rasheka Wheeler, Lead consultant. Upon arrival, I rang the doorbell, and a parent opened the door. Octavia Stephens, the administration, greeted me in the lobby. I stated the nature of the visit, and the administrators and teachers were given an opportunity to respond to the concerns. We proceeded with the walk though and interview of teachers and administration. According to the Reporter, There are concerns that: Groups are out of ratio during the day. When the consultant arrives a message (Code White) is sent to the back of the center to alert staff who then begin moving children to other classrooms to conceal violations. Camp children are grouped with 3-5 y/o children around 12:30 to 1:30 p.m. The ratio is 1:16. This is rest time for the preschoolers and lunch time for the campers. The second teacher is on break. It is unknown if the teacher remains on the premises or if there are enough teachers on the premises to remain in compliance. The sanitizing solution is too strong. It stains clothing. The solution is stored in a bottle on top of the paper towel dispenser in all classrooms. This is not above 5 feet and is within reach of children. Children around 4 and older have taken the container of solution down. A child in the early toddler room has lice. The children do not have assigned beds in that room. The bed and bedding have not been laundered as required. Shared items have not been removed or laundered or cleaned. Other parents have not been informed. The child has a sibling in an older class (3-5 y/o children). Precautions have not been taken in that room. Teachers wipe down the floor using dirty water. The floors are mopped with plain water and no soap or cleaning solution. One bucket of water is passed from room to room. Some teachers change the water, but others do not. Teachers do not enforce handwashing. Examples: Children do not have to wash their hands upon arrival or before lunch or returning from outdoor activities. If they wash their hands, fine. If they do not, the teachers do not require it. One of the teachers who regularly works in the room with infants does not have SIDS training and is alone with the infants at the end of the day and sometimes during the day. There are wasps and wasp nests on the playgrounds. Observation: During the visit all classrooms and outdoor were monitored. Capacity, Supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted, and in compliance. Full enrollment was not captured during this visit. In class 149 I observed children playing in activity centers and writing. Children were transitioned several times between class 149 and class 147. All classrooms were observed in ratio even with the transitions. In class 147 children were observed washing hands and engaged in activity centers. Class 144, 140, 141, and 135 were observed actively engaged on the playground and then transitioning from outdoor to indoor and handwashing. Class 124 were observed in tummy time, diapering routines, and handwashing. In Class 126, children were observed walking around and one was playing with a book. In Class 133, children were engaged in music and movement. Full enrollment was not captured during this visit. Complaint Visit: Allegation section: The allegation concerning, groups are out of ratio during the day; When the consultant arrives a message (Code White) is sent to the back of the center to alert staff who then begin moving children to other classrooms to conceal violations. Camp children are grouped with 3-5 y/o children around 12:30 to 1:30 p.m. The ratio is 1:16. This is rest time for the preschoolers and lunch time for the campers. The second teacher is on break. It is unknown if the teacher remains on the premises or if there are enough teachers on the premises to remain in compliance. We spoke with the administrator concerning the above allegation, the response received was she was hired on June 28th, 2023, and was onsite at the facility the first week in July 2023. She stated that she is getting to know and understand the different codes that are sent throughout the building and wasn’t aware of the specific code white indicator. We inquired about the camp children and the ages of children. The facility does not have any School Age children or pre-k 5-year children that have officially started school as of today’s date. The five (5) camp children are 5 years old and have not started school yet. Ms. Wheeler interviewed two (2) staff members about the ratio in each of their identified classrooms and the response received stated what their ratio is throughout the day and what each code meant when heard over the walkie-talkies. One staff member identified code white as an indicator to alert staff that a consultant is on site, but only an indicator to be aware of their presence. A staff member also stated that they do have a code if they are at their capacity for them to alert the administrator that a ratio concern may be arising soon and for them to plan accordingly. During the walk-through all classrooms were in compliance with ratio and group size. Based on the interviews of the two (2) staff and the observation during the walk-through, this allegation is deemed unsubstantiated. The allegation regarding the sanitizing solution is too strong. It stains clothing. The solution is stored in a bottle on top of the paper towel dispenser in all classrooms. This is not above 5 feet and is within reach of children. Children around 4 and older have taken the container of solution down. During the walk-through of the facility, I monitored the sanitizing/disinfectant solutions location in all classroom environments. The sanitizing/disinfectant solutions were observed in room #144 less than 5 feet from the floor. The bottles were observed inside of the classroom sink. Environmental Health stated “EHS discussed floor cleaning. Facility has a cleaning crew come in to clean every night. Floors are cleaned with appropriate floor cleaning chemicals”. Based on my observation, this allegation is deemed substantiated. The allegation regarding a child in the early toddler room has lice. The children do not have assigned beds in that room. The bed and bedding have not been laundered as required. Shared items have not been removed or laundered or cleaned. Other parents have not been informed. The child has a sibling in an older class (3-5 y/o children). Precautions have not been taken in that room. Ms. Wheeler interviewed the staff members caring for toddler-aged children in both toddler classrooms regarding head lice. All staff members stated that they did have a child with a diagnosed head lice case. She discussed the schedule for laundry, and inquired about the specific days they laundered their bedding or soiled items. The staff member stated that each classroom has a specific date to laundry their linen and in this case was not aware that stuff toys, dramatic play clothing, clothed hats all needed to be clean after the case was made public. Ms. Wheeler reviewed their communicable disease policy and inquired on how they notify families when and if an outbreak occurs when they receive documentation of virus or communicable disease. The information received was not information to gather if information was sent to families. The administrator stated that there was an issue concerning head lice in a toddler classroom and that they informed families of that specific age on Pro-Care Connection. Ms. Wheeler asked if other families of children who had siblings in other classrooms were informed, and the administrator stated they had not. Environmental Health Inspector conducted their own investigation on Monday, July 31st, 2023, and at that time did not find any active cases of head lice at the facility. Ms. Wheeler interviewed two (2) staff members on this specific allegation, and they all mentioned that they could not state if families received information regarding the active case of head lice. Based on the information received during the interviews with staff members and administrator, this allegation is deemed substantiated. The allegation regarding, Teachers wipe down the floor using dirty water. The floors are mopped with plain water and no soap or cleaning solution. One bucket of water is passed from room to room. Some teachers change the water, but others do not. Ms. Wheeler asked three (3) staff members about the allegation of using dirty water to clean floors. One (1) staff member stated that they have changed the water themselves and asked for assistance to get clean water. This same staff member stated that she has observed other co-workers using the same water from other classrooms to clean their floors throughout the day. One (1) staff member stated that dirty water is used, and they have not observed any soap in the water buckets. One (1) staff member chose not to answer the question. The administrator added that they have a cleaning crew that comes to the facility to clean the building. They have a staff onsite that will provide hot water and soap when requested from the kitchen to clean floors. The administrator stated she is not aware or has observed that staff members using dirty water from another classroom to clean their floors. Based on the staff interviews, this allegation is deemed substantiated. The allegation regarding Teachers do not enforce handwashing. Examples: Children do not have to wash their hands upon arrival or before lunch or returning from outdoor activities. If they wash their hands, fine. If they do not, the teachers do not require it. During my walk through of the facility, I observed children in several classrooms washing hands after entering from outside and . This allegation is deemed unsubstantiated. The allegation regarding, one of the teachers who regularly works in the room with infants does not have SIDS training and is alone with the infants at the end of the day and sometimes during the day. We reviewed ITS- SIDS certification for all staff members that care for infants during today’s visit. We captured the staff member’s names that were currently caring for children to verify certifications as well as interviewed the administrator about possible floaters that may care for children throughout the day. During today’s visit, I observed two (2) out of the three (3) staff members possessed current ITS-SIDS certification. The third staff member is currently looking for a class to register for ITS-SIDS and knows that she cannot be left alone with infants without the certification. During the visit, this staff member was observed with another staff member that has ITS-SIDS. The new administrator stated that she has not observed or has placed the staff member that isn’t certified in the infant classroom alone. This allegation is deemed unsubstantiated. The allegation regarding, there are wasps and wasp nests on the playgrounds. During today’s visit, I monitored all outdoor learning environments. I observed wasps on the outdoor learning environment on several play areas inside the wooden playhouses and the wooden covered stage that possessed several small wasp nests. Sanitation conducted a visit on July 31, 2023 and stated “EHS observed there as one wasp viewed outside and what looked like 2 small wasp nests that had been broken up or removed. Mrs. Stephens states they receive pest treatment when issues are observed”. This allegation is deemed substantiated. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There were two wasp observed on the playground. There were several small wasp nest in two of the wooden play structures on the two year old playground, and preschool playground. There was also a nest under the roof ledge of the building. 10A NCAC 09 .0601(a) 875 The center did not follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800. The same mop water is used between several classrooms and are not empty between classes. Soft items (puppets, dolls, pillows), were not laundered after a child was diagnosed with having head lice. 10A NCAC 09 .0804(b)(1) 9999 A violation was found for which there is no item number. EHS 15A NCAC 18A .2820 STORAGEAny product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Sanitation solution was in a sink accessible to children and below five feet. All violations documented above must be corrected immediately. It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address or email below by August 15, 2023. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: Compliance History: You must maintain at least 75% Compliance History for each 18 month period as required by G.S. 110-90(4) (c). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance: Remind teaches of times they need to wash hands: entering the classroom from another class or outside, before/after eating, diapering and toileting, when dealing with bodily fluids (mucus, sneezing in hands). Remind teachers of the ratios to reduce the number of transitions of children. Example: Four year olds are 1/13 and that there can be one staff for naptime in that class. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.nc.gov. This website enables you to view the entire law and Child Care Requirements for North Carolina as well as download required forms. Click on the "What's New" tab for important updates impacting child care in North Carolina. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: 0723-095L Visit Date: 7/25/2023 Number Present: 31 Completed Date: 7/25/2023 Age: From 0 To 5 Total Minutes: 100 Time In: 03:50 PM Time Out: 05:30 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 investigate a complaint report, case #0723-095L alleging violations concerning supervision. Upon arrival an entry of the facility I was greeted by the Assistant Director. I stated the purpose of my visit, and she guided me to Octavia Stephens, director. I introduced myself and restated the purpose of my visit. I reviewed the allegations with the administrators, and she was given an opportunity to respond to the concerns. During the visit, children were observed participating in outdoor gross motor activities. The following areas were monitored for compliance: supervision, ratios, space, general safety, and required postings. Enrollment was not captured during this visit. Allegations: The report alleges that There are concerns that children were not adequately supervised. Observation: Findings: On 7/25/2023, I spoke with the reporter about the incident. When asked about the incident and to describe what occurred during pick-up, the reporter stated that the child was in the classroom playing with a toy, when he walked to her, she noticed he was chewing on something. She asked him to give it to her and it was a medium sized rock. This information was the same as stated in the supplemental information of the report. When interviewing the director, who has been at the facility for almost month. She was made aware of the incident by the reporter. The director stated she spoke with the teachers and required them to do health check when returning from outside. When asked to interview the teachers, the director stated that the teachers resigned the same week of the incident. Based on the schedule and transition sheets children engage in outdoor activities from at 10:15am-11:00am and 3:30pm-4:15pm. Children from Toddler two transition to the Toddler one class at 3:30pm. -Allegation regarding children were not adequately supervised is deemed substantiated due to findings and reports. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A child had a rock in his mouth when he was picked up and staff were not aware. .1801(a)(1-5) Violations: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address or email below by August 8, 2023 The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: 0723-019L Visit Date: 7/11/2023 Number Present: 65 Completed Date: 7/11/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 01:30 PM Time Out: 05:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report, there are concerns that: An 11-month-old infant did not receive appropriate supervision/care. The infant reportedly fell but was not checked for injury. A quarter sized red knot was unattended/unnoticed on the infant’s forehead. And The staff to child ratio was 1:6 in the above infant’s class. Upon arrival, I rang the doorbell and waited. The Education Director opened the door, and she stated that she would get and administrator for me. Ms. Thompson the Operations Manager greeted me in the lobby. I stated the nature of the visit, and the administrators and teachers were given an opportunity to respond to the concerns. During the visit the classrooms involved in the incident were briefly monitored. Children were observed actively engaged in tummy time, one child was eating, and walking around the classroom. Capacity, Supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted, and in compliance. Full enrollment was not captured during this visit. Complaint Visit: Allegation section The report alleges that an 11-month-old infant did not receive appropriate supervision/care. During the interview with the teacher, and administrators via telephone and in person. When asked to describe the incident: It was stated that the teacher did not see the child hit his head by all. The teacher stated that the only time it may have been possible was when they were retuning from outside. She stood him up at the door and he took a step and dropped to his hands but was still standing and then he laid down. The teacher stated that he did not cry, and the other children entered the classroom. The teacher then stated that later she held the child and fed him a bottle. When asked, If she looked at his forehead, she stated I didn’t notice anything as I was trying to supervise the other children while I fed him. When asked what happened next, she stated that she placed the child down for a nap and he was sleep and she later left for her lunch break. Administrators could not determine who relived the teacher for lunch and I was not able to interview anyone concerning the time the staff was on lunch break. The administrator completed and incident report that stated the child was walking in the classroom and fell. After he feel down, he hit the side at his forehead. Allegations about there are concerns that: An 11-month-old infant did not receive appropriate supervision/care. The infant reportedly fell but was not checked for injury. A quarter sized red knot was unattended/unnoticed on the infant’s forehead. Based on the interviews of all parties involved and lack of video footage. The allegation is deemed unsubstantiated. The report alleges that there are concerns that the staff child ratio was 1:6 in the above infant’s class. I received copies of attendance, head count sheets and interviewed teachers about the day in question and the previous day that the child attended. When asked how many teachers were in the classroom it was stated that at drop off and pick up there was one teacher and about six babies. When teachers and administration were asked about who relived them for lunch or who was in the classroom said it was one teacher but no one could remember which staff. Everyone was interviewed at different times and it was stated that one staff covered lunch, opened, closed or was in the class during the days in question. Allegations about there are concerns that: The staff to child ratio was 1:6 in the above infant’s class. Based on the evidence presented and interview this allegation is deem substantiated. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. An eleven month old infant was in a classroom with five one year olds and one teacher on July 3 and July 5th, 2023 GS 110-91(7);.0713(a-d) 491 Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs. Teacher did not do a proper and thorough check for infants and toddlers who are learning to walk, staff witness child stumbling but did not check and no one could explain scratches on child forehead. .0511(b)(1) It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by July 25, 2023. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Comments: On February 24th, NC opened vaccinations to child care staff. This means your staff are eligible, but it does not guarantee a vaccination as there is a limited supply. In view of this, DCDEE has collaborated with CCR&R and Smart Start to assist child care facilities. CCR&R staff will be contacting child care programs to ensure they have information about vaccination events in their respective areas and Smart Start staff are working with local vaccine providers to help make sure they’re ready to give shots to child care staff. For more information, please refer to the “How Child Care Programs Can Help Get Child Care Staff Vaccinated” page on the DCDEE website, under the Coronavirus Information tab. This will provide more information and helpful resources as you prepare to get your spot to take your shot. If you have questions, please email: DCDEE.childcare.vaccine.info@dhhs.nc.gov It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child Care consultants can make unannounced visits. It is the provider’s responsibility to follow all the applicable laws and rules. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: HOWARD LEVINE CHILD DEVELOPMENT CENTER Facility ID: 60004164 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: 0723-019L Visit Date: 7/11/2023 Number Present: 65 Completed Date: 7/11/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 01:30 PM Time Out: 05:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report, there are concerns that: An 11-month-old infant did not receive appropriate supervision/care. The infant reportedly fell but was not checked for injury. A quarter sized red knot was unattended/unnoticed on the infant’s forehead. And The staff to child ratio was 1:6 in the above infant’s class. Upon arrival, I rang the doorbell and waited. The Education Director opened the door, and she stated that she would get and administrator for me. Ms. Thompson the Operations Manager greeted me in the lobby. I stated the nature of the visit, and the administrators and teachers were given an opportunity to respond to the concerns. During the visit the classrooms involved in the incident were briefly monitored. Children were observed actively engaged in tummy time, one child was eating, and walking around the classroom. Capacity, Supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted, and in compliance. Full enrollment was not captured during this visit. Complaint Visit: Allegation section The report alleges that an 11-month-old infant did not receive appropriate supervision/care. During the interview with the teacher, and administrators via telephone and in person. When asked to describe the incident: It was stated that the teacher did not see the child hit his head by all. The teacher stated that the only time it may have been possible was when they were retuning from outside. She stood him up at the door and he took a step and dropped to his hands but was still standing and then he laid down. The teacher stated that he did not cry, and the other children entered the classroom. The teacher then stated that later she held the child and fed him a bottle. When asked, If she looked at his forehead, she stated I didn’t notice anything as I was trying to supervise the other children while I fed him. When asked what happened next, she stated that she placed the child down for a nap and he was sleep and she later left for her lunch break. Administrators could not determine who relived the teacher for lunch and I was not able to interview anyone concerning the time the staff was on lunch break. The administrator completed and incident report that stated the child was walking in the classroom and fell. After he feel down, he hit the side at his forehead. Allegations about there are concerns that: An 11-month-old infant did not receive appropriate supervision/care. The infant reportedly fell but was not checked for injury. A quarter sized red knot was unattended/unnoticed on the infant’s forehead. Based on the interviews of all parties involved and lack of video footage. The allegation is deemed unsubstantiated. The report alleges that there are concerns that the staff child ratio was 1:6 in the above infant’s class. I received copies of attendance, head count sheets and interviewed teachers about the day in question and the previous day that the child attended. When asked how many teachers were in the classroom it was stated that at drop off and pick up there was one teacher and about six babies. When teachers and administration were asked about who relived them for lunch or who was in the classroom said it was one teacher but no one could remember which staff. Everyone was interviewed at different times and it was stated that one staff covered lunch, opened, closed or was in the class during the days in question. Allegations about there are concerns that: The staff to child ratio was 1:6 in the above infant’s class. Based on the evidence presented and interview this allegation is deem substantiated. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. An eleven month old infant was in a classroom with five one year olds and one teacher on July 3 and July 5th, 2023 GS 110-91(7);.0713(a-d) 491 Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs. Teacher did not do a proper and thorough check for infants and toddlers who are learning to walk, staff witness child stumbling but did not check and no one could explain scratches on child forehead. .0511(b)(1) It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by July 25, 2023. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Comments: On February 24th, NC opened vaccinations to child care staff. This means your staff are eligible, but it does not guarantee a vaccination as there is a limited supply. In view of this, DCDEE has collaborated with CCR&R and Smart Start to assist child care facilities. CCR&R staff will be contacting child care programs to ensure they have information about vaccination events in their respective areas and Smart Start staff are working with local vaccine providers to help make sure they’re ready to give shots to child care staff. For more information, please refer to the “How Child Care Programs Can Help Get Child Care Staff Vaccinated” page on the DCDEE website, under the Coronavirus Information tab. This will provide more information and helpful resources as you prepare to get your spot to take your shot. If you have questions, please email: DCDEE.childcare.vaccine.info@dhhs.nc.gov It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child Care consultants can make unannounced visits. It is the provider’s responsibility to follow all the applicable laws and rules. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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