10A NCAC 09 .0604 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0925-044L Visit Date: 9/11/2025 Number Present: 87 Completed Date: 9/11/2025 Age: From 0 To 5 Total Minutes: 200 Time In: 09:15 AM Time Out: 12:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on September 4, 2025. There are allegations of violations of child care requirements, that the center is not being cleaned as required because staff do not have cleaning supplies, center does not provide state-recommended cleaning supplies for staff, there have been illnesses at the center and parents are not told of outbreaks, and children are too ill to be in care and are not sent home. I was greeted by the Owner, Ms. Della Ramsey, and the Director, Ms. Nicolette Roop, and I explained the purpose of the visit. I completed an indoor walkthrough of the center with Director, Ms. Roop and Assistant Director, Ms. Etta Harrison; staff/child ratios met compliance. I observed each classroom space clean and in good repair; the floors walls, and ceilings were in good repair. No ill children were observed in child care spaces. I observed children and staff in classroom spaces washing their hands. In addition I observed soapy water, sanitizer, and disinfectants that were available in the classroom spaces. Soap and paper towels were available for handwashing in each child care space. Dirty were observed in infant child care spaces. An outlet was uncovered in space 13, and a violation was cited. Administrative staff were interviewed. According to administrative staff, the center is reviewing cleaning contracts for hiring a new cleaning company at this time. Currently, staff are cleaning the classrooms, and cleaning is being completed on the weekends; a checklist (cleaning procedures) was provided to teachers to maintain classroom spaces. Administrative staff stated that teachers are responsible cleaning toys, sweeping and mopping after meals, and the center's cleaning staff cleans behind the teachers throughout the day and after hours. Toys from the classroom spaces affected by Hand-Foot-Mouth Disease (HFMD) used the ZONO Machine to clean and sanitize toys. All teachers have access to the ZONO Machine and cleaning supplies such as, wipes, gloves, brooms, mops, soapy water, sanitizers, and disinfectants are available for staff cleaning. Administrative staff stated that teachers are encouraged to remind parents/children to wash hands upon arrival. Administrative staff report that there are currently no illnesses, other than the common cold (runny nose/coughing) at this time. It was previously reported that the center had a few cases of HFMD in the infant and toddler classrooms; currently no HFMD at this time. Parent and teachers were notified of HFMD. Staff (teachers) were interviewed. According to staff interviewed, cleaning supplies are available to staff to use such as, the ZONO machine, soapy water/rinse, brooms, mops, vacuum, wipes, bleach, and a mopping solution. In addition to cleaning supplies, staff interviewed stated that they have been provided a Daily Procedures Checklist. I did observe the checklist posted in the center. Staff interviewed stated that the staff and parents were informed in writing (email notification) of a recent outbreak of HFMD; currently no cases. According to staff children are sent home if children are ill. Based on administrative interviews and staff interviews, the allegations that the center is not being cleaned as required because staff do not have cleaning supplies, the center does not provide state-recommended cleaning supplies for staff, there have been illnesses at the center and parents are not told of outbreaks, and children are too ill to be in care and not sent home, was unconfirmed. One (1) violation was cited that were unrelated to the complaint allegations. Violation Number Comment Rule 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. An outlet in space 13 was uncovered. 10A NCAC 09 .0604(c) The ZONO™ Cabinet (ZONO machine) can disinfect and sanitize just about anything in child care centers, without any harsh liquid chemicals. The following Technical Assistance (TA) was provided: -The center's floors walls and ceilings in each child care space was visibly clean and in good repair. All floors, walls, and ceilings must be kept clean and in good repair (Sanitation Rule 15A NCAC 18A .2825 (a)). - A cleaning brochure for toys was emailed to Ms. Roop during the visit. The following reminder was provided according to Sanitation Rule 15A NCAC 18A .2822: (a) Toys, equipment, and furniture provided by a child care center shall be kept clean and in good repair. In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows: (1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices; (2) the items shall be rinsed in clean water; (3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and (4) the items shall be air dried. -Electrical outlets must be covered (Child Care Rule 10A NCAC 09 .0604(c)). -Refer to the Communicable Disease and Exclusion form, that was emailed to the center on August 25, 2025, regarding when to exclude children from child care. -Children and staff should continue to wash hands at appropriate times. (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Sanitation Sanitation 15A NCAC 18A .2803(a)). -Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages Sanitation 15A NCAC 18A .2803(c). -During the visit I noticed "challenging behaviors" in space 4. Ms. Roop was encouraged to have a floater assist the teacher in space 4 during classroom transitions, and to reach out to Child Care Resources Inc., for additional training. A Health Social Behaviors Brochure was emailed to Ms. Roop during the visit. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0925-044L Visit Date: 9/11/2025 Number Present: 87 Completed Date: 9/11/2025 Age: From 0 To 5 Total Minutes: 200 Time In: 09:15 AM Time Out: 12:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on September 4, 2025. There are allegations of violations of child care requirements, that the center is not being cleaned as required because staff do not have cleaning supplies, center does not provide state-recommended cleaning supplies for staff, there have been illnesses at the center and parents are not told of outbreaks, and children are too ill to be in care and are not sent home. I was greeted by the Owner, Ms. Della Ramsey, and the Director, Ms. Nicolette Roop, and I explained the purpose of the visit. I completed an indoor walkthrough of the center with Director, Ms. Roop and Assistant Director, Ms. Etta Harrison; staff/child ratios met compliance. I observed each classroom space clean and in good repair; the floors walls, and ceilings were in good repair. No ill children were observed in child care spaces. I observed children and staff in classroom spaces washing their hands. In addition I observed soapy water, sanitizer, and disinfectants that were available in the classroom spaces. Soap and paper towels were available for handwashing in each child care space. Dirty were observed in infant child care spaces. An outlet was uncovered in space 13, and a violation was cited. Administrative staff were interviewed. According to administrative staff, the center is reviewing cleaning contracts for hiring a new cleaning company at this time. Currently, staff are cleaning the classrooms, and cleaning is being completed on the weekends; a checklist (cleaning procedures) was provided to teachers to maintain classroom spaces. Administrative staff stated that teachers are responsible cleaning toys, sweeping and mopping after meals, and the center's cleaning staff cleans behind the teachers throughout the day and after hours. Toys from the classroom spaces affected by Hand-Foot-Mouth Disease (HFMD) used the ZONO Machine to clean and sanitize toys. All teachers have access to the ZONO Machine and cleaning supplies such as, wipes, gloves, brooms, mops, soapy water, sanitizers, and disinfectants are available for staff cleaning. Administrative staff stated that teachers are encouraged to remind parents/children to wash hands upon arrival. Administrative staff report that there are currently no illnesses, other than the common cold (runny nose/coughing) at this time. It was previously reported that the center had a few cases of HFMD in the infant and toddler classrooms; currently no HFMD at this time. Parent and teachers were notified of HFMD. Staff (teachers) were interviewed. According to staff interviewed, cleaning supplies are available to staff to use such as, the ZONO machine, soapy water/rinse, brooms, mops, vacuum, wipes, bleach, and a mopping solution. In addition to cleaning supplies, staff interviewed stated that they have been provided a Daily Procedures Checklist. I did observe the checklist posted in the center. Staff interviewed stated that the staff and parents were informed in writing (email notification) of a recent outbreak of HFMD; currently no cases. According to staff children are sent home if children are ill. Based on administrative interviews and staff interviews, the allegations that the center is not being cleaned as required because staff do not have cleaning supplies, the center does not provide state-recommended cleaning supplies for staff, there have been illnesses at the center and parents are not told of outbreaks, and children are too ill to be in care and not sent home, was unconfirmed. One (1) violation was cited that were unrelated to the complaint allegations. Violation Number Comment Rule 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. An outlet in space 13 was uncovered. 10A NCAC 09 .0604(c) The ZONO™ Cabinet (ZONO machine) can disinfect and sanitize just about anything in child care centers, without any harsh liquid chemicals. The following Technical Assistance (TA) was provided: -The center's floors walls and ceilings in each child care space was visibly clean and in good repair. All floors, walls, and ceilings must be kept clean and in good repair (Sanitation Rule 15A NCAC 18A .2825 (a)). - A cleaning brochure for toys was emailed to Ms. Roop during the visit. The following reminder was provided according to Sanitation Rule 15A NCAC 18A .2822: (a) Toys, equipment, and furniture provided by a child care center shall be kept clean and in good repair. In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows: (1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices; (2) the items shall be rinsed in clean water; (3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and (4) the items shall be air dried. -Electrical outlets must be covered (Child Care Rule 10A NCAC 09 .0604(c)). -Refer to the Communicable Disease and Exclusion form, that was emailed to the center on August 25, 2025, regarding when to exclude children from child care. -Children and staff should continue to wash hands at appropriate times. (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Sanitation Sanitation 15A NCAC 18A .2803(a)). -Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages Sanitation 15A NCAC 18A .2803(c). -During the visit I noticed "challenging behaviors" in space 4. Ms. Roop was encouraged to have a floater assist the teacher in space 4 during classroom transitions, and to reach out to Child Care Resources Inc., for additional training. A Health Social Behaviors Brochure was emailed to Ms. Roop during the visit. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 8/28/2025 Number Present: 80 Completed Date: 8/28/2025 Age: From 0 To 5 Total Minutes: 290 Time In: 09:30 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the Administrative Action Follow-up Visit. The last annual compliance visit was conducted on November 15, 2024. The center had a compliance history of eighty-six (86) percent prior to today’s visit. The Administrative Action was observed posted. Upon arrival, I observed the center completing a fire drill. I observed the center exit the building in two (2) minutes. The classrooms were observed completing Name-to-Face (NTF) counts with each space, and I observed administrators completing classroom counts during the drill. I was greeted by the Director, Ms. Nicolette Roop, and I explained the purpose of the visit. I completed an indoor/outdoor walkthrough of the center with Ms. Roop. In space 1, I observed the children having circle time. Space 2 and space 3 were observed closed. I observed the children in space 4 and space 5 having supervised outdoor play. The children in space 6 were observed having supervised indoor play. I observed the children in space 7 preparing for outdoor play. The children in space 8 were observed having circle time (singing), and I observed children in space 9 having circle time. A teacher in space 9 was observed reading “Pete The Cat ” by by Eric Litwin, James Dean, and Kimberly Dean. The children in space 10 were observed having circle time. Space 11 was observed closed. The children in space 12 and space 13 were observed combined in space 13. Each child was observed receiving care according to their individual needs. Teachers were observed having supervised “tummy-time.” Arrival times and attendance was observed in each space, and compliance was met. The Name-to-Face documents (Tadpoles App) were observed in each space and was complete. The following was monitored using the 2025 Center Item Number Listing: Supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements. Supervision: Children were observed adequately supervised in approved child care space. Discipline, nurture, or care of children: Nurturing tones were observed when staff spoke with the children. Staff/child ratio: Staff/child ratios were observed meeting compliance. Licensed capacity: Capacity requirements for license were compliant. Permit Restriction: Permit restrictions were met; Administrative Action was observed posted. CPR Training: All staff are current with CPR. First Aid Training: All staff are current with First Aid. ITS-SIDS: The Safe Sleep Policy and Poster were posted, and the Safe Sleep Logs were current; compliance was met. Infant staff met compliance with ITS-SIDS training. Medications: All diapering creams and sunscreens were reviewed, and compliance was met. Emergency medications were reviewed. A violation was cited for a child’s Permission to Administer Medication form. Criminal Record Check: All staff are current with criminal record check. Five (5) new staff files were reviewed, and compliance was met. Adequate supervision was observed during the visit, and the Corrective Action Plan was observed followed according to the plan. One (1) violation was cited. Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child (A.S.) is space 1 did not have a medication authorization. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) -The Provisional License was observed posted. -A visit will be conducted every four (4) to six (6) weeks for the Administrative Action-Provisional License. -Received copy of the meeting agenda and roster on August 5, 2025, for a Staff Meeting that was held on July 31, 2025. -The roster was not able to be reviewed in ABCMS, due to the system was down during the time of the visit; the roster will be reviewed once system is back in operation. The center's printed copy of the roster was reviewed during the visit. Ms. Roop stated that the roster has been completed in ABCMS. One (1) staff that began on August 25, 2025, will be added to the roster. -Two (2) new assistant directors have been hired. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 11, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -A parent may give a caregiver standing authorization for up to six (6) months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: the child's name, the subject medical conditions or allergic reactions; the names of the authorized over-the-counter medications, the criteria for the administration of the medication, the amount and frequency of the dosages, the manner in which the medication shall be administered, the signature of the parent, the date the authorization was signed by the parent, and the length of time the authorization is valid, if less than six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i)). -Ms. Roop stated that a parent reported on August 26, 2025, that a child was diagnosed with Hand-Foot-Mouth Disease, and Ms. Roop stated that parents were notified by email on August 26, 2025. Ms. Roop was informed to post the notice in the center visible to parents, and provide information, such as symptoms: Tiny blisters in the mouth, on the fingers, palms or hands, buttocks, and soles of feet, and common cold like symptoms (sore throat, runny nose, cough, fever). The following preventative measures should be practiced: When coughing or sneezing cover mouths and noses with a disposable tissue, regular and thorough handwashing especially after handling contaminated tissues or changing diapers, and ensure proper disinfection. No exclusion is required for Hand-Foot-Mouth Disease. An exclusion list was emailed to Ms. Roop during the visit. -Continue to adhere to the center's Name-to-Face (NTF) policy, and document in Tadpole center's staff/child ratios according to the policy. Ensure that staff are adhering to the center's (NTF) policy, and document when children are moved for staff/child ratios. -The staff/child ratio sheets were posted in each classroom. The center is following the enhanced ratios according to the child care license. Monitor each classroom to ensure that staff child ratios are in compliance. Enhanced staff/child ratios and group sizes for the number and ages of children in care must be met (Child Care Rule 10A NCAC 09 .2818). -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. -The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and host webinars. • In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within twelve (12) months based on the pathway chosen. -We’re excited to announce that the Child Care Consultants from Mecklenburg County will host upcoming training session on QRIS! Please mark your calendars and save the date. You only need to attend one session. FCCH Date: Tuesday September 9 Time: 6:30pm-8:30pm Location: Child Care Resources Regency Executive Drive Charlotte Date: Thursday September 11 Time: 6:30pm-8:30pm Location: Child Care Resources Regency Executive Drive Charlotte The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. -Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Please review the information on the NCRLAP's website to become familiar with the new third edition. -An email was issued on July 31, 2025, regarding the Quality Every Day (QED) Program. Quality Every Day (QED) is a quality initiative at Child Care Resources Inc., funded by Smart Start of Mecklenburg County. They are recruiting for the QED Program this year for those that may be interested in coaching and training for teachers and directors. There are different tracks for participation (Licensing renewal, Program start-up, staff-child interactions and director support); and there are new opportunities this year like updated ERS-3 trainings, Leadership college coursework for administrators and Communities of Practice for both Child Care Directors and Family Child Care providers. They still have opportunities for college coursework and stipends for coursework completion. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2818 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 8/28/2025 Number Present: 80 Completed Date: 8/28/2025 Age: From 0 To 5 Total Minutes: 290 Time In: 09:30 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the Administrative Action Follow-up Visit. The last annual compliance visit was conducted on November 15, 2024. The center had a compliance history of eighty-six (86) percent prior to today’s visit. The Administrative Action was observed posted. Upon arrival, I observed the center completing a fire drill. I observed the center exit the building in two (2) minutes. The classrooms were observed completing Name-to-Face (NTF) counts with each space, and I observed administrators completing classroom counts during the drill. I was greeted by the Director, Ms. Nicolette Roop, and I explained the purpose of the visit. I completed an indoor/outdoor walkthrough of the center with Ms. Roop. In space 1, I observed the children having circle time. Space 2 and space 3 were observed closed. I observed the children in space 4 and space 5 having supervised outdoor play. The children in space 6 were observed having supervised indoor play. I observed the children in space 7 preparing for outdoor play. The children in space 8 were observed having circle time (singing), and I observed children in space 9 having circle time. A teacher in space 9 was observed reading “Pete The Cat ” by by Eric Litwin, James Dean, and Kimberly Dean. The children in space 10 were observed having circle time. Space 11 was observed closed. The children in space 12 and space 13 were observed combined in space 13. Each child was observed receiving care according to their individual needs. Teachers were observed having supervised “tummy-time.” Arrival times and attendance was observed in each space, and compliance was met. The Name-to-Face documents (Tadpoles App) were observed in each space and was complete. The following was monitored using the 2025 Center Item Number Listing: Supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements. Supervision: Children were observed adequately supervised in approved child care space. Discipline, nurture, or care of children: Nurturing tones were observed when staff spoke with the children. Staff/child ratio: Staff/child ratios were observed meeting compliance. Licensed capacity: Capacity requirements for license were compliant. Permit Restriction: Permit restrictions were met; Administrative Action was observed posted. CPR Training: All staff are current with CPR. First Aid Training: All staff are current with First Aid. ITS-SIDS: The Safe Sleep Policy and Poster were posted, and the Safe Sleep Logs were current; compliance was met. Infant staff met compliance with ITS-SIDS training. Medications: All diapering creams and sunscreens were reviewed, and compliance was met. Emergency medications were reviewed. A violation was cited for a child’s Permission to Administer Medication form. Criminal Record Check: All staff are current with criminal record check. Five (5) new staff files were reviewed, and compliance was met. Adequate supervision was observed during the visit, and the Corrective Action Plan was observed followed according to the plan. One (1) violation was cited. Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child (A.S.) is space 1 did not have a medication authorization. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) -The Provisional License was observed posted. -A visit will be conducted every four (4) to six (6) weeks for the Administrative Action-Provisional License. -Received copy of the meeting agenda and roster on August 5, 2025, for a Staff Meeting that was held on July 31, 2025. -The roster was not able to be reviewed in ABCMS, due to the system was down during the time of the visit; the roster will be reviewed once system is back in operation. The center's printed copy of the roster was reviewed during the visit. Ms. Roop stated that the roster has been completed in ABCMS. One (1) staff that began on August 25, 2025, will be added to the roster. -Two (2) new assistant directors have been hired. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 11, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -A parent may give a caregiver standing authorization for up to six (6) months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: the child's name, the subject medical conditions or allergic reactions; the names of the authorized over-the-counter medications, the criteria for the administration of the medication, the amount and frequency of the dosages, the manner in which the medication shall be administered, the signature of the parent, the date the authorization was signed by the parent, and the length of time the authorization is valid, if less than six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i)). -Ms. Roop stated that a parent reported on August 26, 2025, that a child was diagnosed with Hand-Foot-Mouth Disease, and Ms. Roop stated that parents were notified by email on August 26, 2025. Ms. Roop was informed to post the notice in the center visible to parents, and provide information, such as symptoms: Tiny blisters in the mouth, on the fingers, palms or hands, buttocks, and soles of feet, and common cold like symptoms (sore throat, runny nose, cough, fever). The following preventative measures should be practiced: When coughing or sneezing cover mouths and noses with a disposable tissue, regular and thorough handwashing especially after handling contaminated tissues or changing diapers, and ensure proper disinfection. No exclusion is required for Hand-Foot-Mouth Disease. An exclusion list was emailed to Ms. Roop during the visit. -Continue to adhere to the center's Name-to-Face (NTF) policy, and document in Tadpole center's staff/child ratios according to the policy. Ensure that staff are adhering to the center's (NTF) policy, and document when children are moved for staff/child ratios. -The staff/child ratio sheets were posted in each classroom. The center is following the enhanced ratios according to the child care license. Monitor each classroom to ensure that staff child ratios are in compliance. Enhanced staff/child ratios and group sizes for the number and ages of children in care must be met (Child Care Rule 10A NCAC 09 .2818). -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. -The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and host webinars. • In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within twelve (12) months based on the pathway chosen. -We’re excited to announce that the Child Care Consultants from Mecklenburg County will host upcoming training session on QRIS! Please mark your calendars and save the date. You only need to attend one session. FCCH Date: Tuesday September 9 Time: 6:30pm-8:30pm Location: Child Care Resources Regency Executive Drive Charlotte Date: Thursday September 11 Time: 6:30pm-8:30pm Location: Child Care Resources Regency Executive Drive Charlotte The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. -Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Please review the information on the NCRLAP's website to become familiar with the new third edition. -An email was issued on July 31, 2025, regarding the Quality Every Day (QED) Program. Quality Every Day (QED) is a quality initiative at Child Care Resources Inc., funded by Smart Start of Mecklenburg County. They are recruiting for the QED Program this year for those that may be interested in coaching and training for teachers and directors. There are different tracks for participation (Licensing renewal, Program start-up, staff-child interactions and director support); and there are new opportunities this year like updated ERS-3 trainings, Leadership college coursework for administrators and Communities of Practice for both Child Care Directors and Family Child Care providers. They still have opportunities for college coursework and stipends for coursework completion. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 8/28/2025 Number Present: 80 Completed Date: 8/28/2025 Age: From 0 To 5 Total Minutes: 290 Time In: 09:30 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the Administrative Action Follow-up Visit. The last annual compliance visit was conducted on November 15, 2024. The center had a compliance history of eighty-six (86) percent prior to today’s visit. The Administrative Action was observed posted. Upon arrival, I observed the center completing a fire drill. I observed the center exit the building in two (2) minutes. The classrooms were observed completing Name-to-Face (NTF) counts with each space, and I observed administrators completing classroom counts during the drill. I was greeted by the Director, Ms. Nicolette Roop, and I explained the purpose of the visit. I completed an indoor/outdoor walkthrough of the center with Ms. Roop. In space 1, I observed the children having circle time. Space 2 and space 3 were observed closed. I observed the children in space 4 and space 5 having supervised outdoor play. The children in space 6 were observed having supervised indoor play. I observed the children in space 7 preparing for outdoor play. The children in space 8 were observed having circle time (singing), and I observed children in space 9 having circle time. A teacher in space 9 was observed reading “Pete The Cat ” by by Eric Litwin, James Dean, and Kimberly Dean. The children in space 10 were observed having circle time. Space 11 was observed closed. The children in space 12 and space 13 were observed combined in space 13. Each child was observed receiving care according to their individual needs. Teachers were observed having supervised “tummy-time.” Arrival times and attendance was observed in each space, and compliance was met. The Name-to-Face documents (Tadpoles App) were observed in each space and was complete. The following was monitored using the 2025 Center Item Number Listing: Supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements. Supervision: Children were observed adequately supervised in approved child care space. Discipline, nurture, or care of children: Nurturing tones were observed when staff spoke with the children. Staff/child ratio: Staff/child ratios were observed meeting compliance. Licensed capacity: Capacity requirements for license were compliant. Permit Restriction: Permit restrictions were met; Administrative Action was observed posted. CPR Training: All staff are current with CPR. First Aid Training: All staff are current with First Aid. ITS-SIDS: The Safe Sleep Policy and Poster were posted, and the Safe Sleep Logs were current; compliance was met. Infant staff met compliance with ITS-SIDS training. Medications: All diapering creams and sunscreens were reviewed, and compliance was met. Emergency medications were reviewed. A violation was cited for a child’s Permission to Administer Medication form. Criminal Record Check: All staff are current with criminal record check. Five (5) new staff files were reviewed, and compliance was met. Adequate supervision was observed during the visit, and the Corrective Action Plan was observed followed according to the plan. One (1) violation was cited. Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child (A.S.) is space 1 did not have a medication authorization. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) -The Provisional License was observed posted. -A visit will be conducted every four (4) to six (6) weeks for the Administrative Action-Provisional License. -Received copy of the meeting agenda and roster on August 5, 2025, for a Staff Meeting that was held on July 31, 2025. -The roster was not able to be reviewed in ABCMS, due to the system was down during the time of the visit; the roster will be reviewed once system is back in operation. The center's printed copy of the roster was reviewed during the visit. Ms. Roop stated that the roster has been completed in ABCMS. One (1) staff that began on August 25, 2025, will be added to the roster. -Two (2) new assistant directors have been hired. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 11, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -A parent may give a caregiver standing authorization for up to six (6) months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: the child's name, the subject medical conditions or allergic reactions; the names of the authorized over-the-counter medications, the criteria for the administration of the medication, the amount and frequency of the dosages, the manner in which the medication shall be administered, the signature of the parent, the date the authorization was signed by the parent, and the length of time the authorization is valid, if less than six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i)). -Ms. Roop stated that a parent reported on August 26, 2025, that a child was diagnosed with Hand-Foot-Mouth Disease, and Ms. Roop stated that parents were notified by email on August 26, 2025. Ms. Roop was informed to post the notice in the center visible to parents, and provide information, such as symptoms: Tiny blisters in the mouth, on the fingers, palms or hands, buttocks, and soles of feet, and common cold like symptoms (sore throat, runny nose, cough, fever). The following preventative measures should be practiced: When coughing or sneezing cover mouths and noses with a disposable tissue, regular and thorough handwashing especially after handling contaminated tissues or changing diapers, and ensure proper disinfection. No exclusion is required for Hand-Foot-Mouth Disease. An exclusion list was emailed to Ms. Roop during the visit. -Continue to adhere to the center's Name-to-Face (NTF) policy, and document in Tadpole center's staff/child ratios according to the policy. Ensure that staff are adhering to the center's (NTF) policy, and document when children are moved for staff/child ratios. -The staff/child ratio sheets were posted in each classroom. The center is following the enhanced ratios according to the child care license. Monitor each classroom to ensure that staff child ratios are in compliance. Enhanced staff/child ratios and group sizes for the number and ages of children in care must be met (Child Care Rule 10A NCAC 09 .2818). -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. -The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and host webinars. • In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within twelve (12) months based on the pathway chosen. -We’re excited to announce that the Child Care Consultants from Mecklenburg County will host upcoming training session on QRIS! Please mark your calendars and save the date. You only need to attend one session. FCCH Date: Tuesday September 9 Time: 6:30pm-8:30pm Location: Child Care Resources Regency Executive Drive Charlotte Date: Thursday September 11 Time: 6:30pm-8:30pm Location: Child Care Resources Regency Executive Drive Charlotte The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. -Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Please review the information on the NCRLAP's website to become familiar with the new third edition. -An email was issued on July 31, 2025, regarding the Quality Every Day (QED) Program. Quality Every Day (QED) is a quality initiative at Child Care Resources Inc., funded by Smart Start of Mecklenburg County. They are recruiting for the QED Program this year for those that may be interested in coaching and training for teachers and directors. There are different tracks for participation (Licensing renewal, Program start-up, staff-child interactions and director support); and there are new opportunities this year like updated ERS-3 trainings, Leadership college coursework for administrators and Communities of Practice for both Child Care Directors and Family Child Care providers. They still have opportunities for college coursework and stipends for coursework completion. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/9/2025 Number Present: 78 Completed Date: 7/9/2025 Age: From 0 To 5 Total Minutes: 100 Time In: 11:40 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the Administrative Action Follow-up Visit. The last annual compliance visit was conducted on November 15, 2024. The center had a compliance history of eighty four (84) percent prior to today’s visit. The Administrative Action was observed posted. I was greeted by the Owner, Ms. Della Ramsey, and the Director, Ms. Nicolette Roop, and I explained the purpose of the visit. Lead Child Care Consultant, Amy Italiano, accompanied me during the visit. I completed an indoor walkthrough of the center with Owner, Ms. Della Ramsey. In space 1, space 2, space 4, space 5, space 9, and space 10 were observed preparing for lunch; handwashing. The following lunch items were posted were observed served: cheese pizza, green beans, peaches and milk; fish sticks were served for children that have a diary allergy. Space 3 was observed closed. The children in space 6 and space 7 were observed having supervised outdoor play. Space 11 was observed closed. Arrival times and attendance was observed in each space, and compliance was met. The Name-to-Face documents (Tadpoles App) were observed in each space and was complete. The following was monitored using the Center Item Number Listing: Supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements. Supervision: Children were observed adequately supervised in approved child care space. Discipline, nurture, or care of children: Nurturing tones were observed when staff spoke with the children. Staff/child ratio: Staff/child ratios were observed meeting compliance. Licensed capacity: Capacity requirements for license was compliant. Permit Restriction: Permit restrictions were met; Administrative Action was observed posted. CPR Training: All staff are current with CPR. First Aid Training: All staff are current with First Aid. ITS-SIDS: The Safe Sleep Policy and Poster were posted, and the Safe Sleep Logs were current; compliance was met. Medications: There are no children with emergency medications. A violation was cited for an over-the-counter medication authorization. Criminal Record Check: All staff are current with criminal record check. Two (2) new staff files were reviewed, and compliance was met. Adequate supervision was observed during the visit, and the Corrective Action Plan was observed followed according to the plan. Two (2) violations were cited. Violation Number Comment Rule 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. In space 1 and space 6 and outlets were uncovered. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. The was not a medication for child (M.M.) in space 13. 10A NCAC 09 .0803(4)(6-9) -The Provisional License was observed posted. -The Supervision Training is scheduled for the evening of July 9, 2025. -A visit will be conducted every four (4) to six (6) weeks for the Administrative Action-Provisional License. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 23, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Electrical outlets and power strips, not in use, which are located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Ms. Ramsey stated that she will remind the new cleaning staff the importance of ensuring electrical outlets are covered (Child Care Rule 10A NCAC 09 .0604(c)). -Parent's medication authorization must include required information. Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: the child's name, the names of the authorized over-the-counter medication, the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label, the signature of the parent, physician or other health professional, and the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to thirty (30) days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule (Child Care Rule 10A NCAC 09 .0803(4)&(6-9)). -It was observed that the temperatures in space 1 and space 2 were warmer throughout the visit. The temperatures in space 1 and space 2 registered at seventy-five degrees Fahrenheit. A work order was submitted for inspection of the HVAC system. -Temperatures should not reach below sixty-five (65) degrees (F). Sanitation Rule 15A NCAC 18A .2826: (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. -The temperatures in the infant/toddler classrooms registered at sixty-eight degrees Fahrenheit. The temperature in a room where infants aged 12 months or younger where sleeping must not exceed seventy- five (75) degrees (Child Care Rule 10A NCAC 09 .0606(a)(5)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/9/2025 Number Present: 78 Completed Date: 7/9/2025 Age: From 0 To 5 Total Minutes: 100 Time In: 11:40 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the Administrative Action Follow-up Visit. The last annual compliance visit was conducted on November 15, 2024. The center had a compliance history of eighty four (84) percent prior to today’s visit. The Administrative Action was observed posted. I was greeted by the Owner, Ms. Della Ramsey, and the Director, Ms. Nicolette Roop, and I explained the purpose of the visit. Lead Child Care Consultant, Amy Italiano, accompanied me during the visit. I completed an indoor walkthrough of the center with Owner, Ms. Della Ramsey. In space 1, space 2, space 4, space 5, space 9, and space 10 were observed preparing for lunch; handwashing. The following lunch items were posted were observed served: cheese pizza, green beans, peaches and milk; fish sticks were served for children that have a diary allergy. Space 3 was observed closed. The children in space 6 and space 7 were observed having supervised outdoor play. Space 11 was observed closed. Arrival times and attendance was observed in each space, and compliance was met. The Name-to-Face documents (Tadpoles App) were observed in each space and was complete. The following was monitored using the Center Item Number Listing: Supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements. Supervision: Children were observed adequately supervised in approved child care space. Discipline, nurture, or care of children: Nurturing tones were observed when staff spoke with the children. Staff/child ratio: Staff/child ratios were observed meeting compliance. Licensed capacity: Capacity requirements for license was compliant. Permit Restriction: Permit restrictions were met; Administrative Action was observed posted. CPR Training: All staff are current with CPR. First Aid Training: All staff are current with First Aid. ITS-SIDS: The Safe Sleep Policy and Poster were posted, and the Safe Sleep Logs were current; compliance was met. Medications: There are no children with emergency medications. A violation was cited for an over-the-counter medication authorization. Criminal Record Check: All staff are current with criminal record check. Two (2) new staff files were reviewed, and compliance was met. Adequate supervision was observed during the visit, and the Corrective Action Plan was observed followed according to the plan. Two (2) violations were cited. Violation Number Comment Rule 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. In space 1 and space 6 and outlets were uncovered. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. The was not a medication for child (M.M.) in space 13. 10A NCAC 09 .0803(4)(6-9) -The Provisional License was observed posted. -The Supervision Training is scheduled for the evening of July 9, 2025. -A visit will be conducted every four (4) to six (6) weeks for the Administrative Action-Provisional License. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 23, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Electrical outlets and power strips, not in use, which are located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Ms. Ramsey stated that she will remind the new cleaning staff the importance of ensuring electrical outlets are covered (Child Care Rule 10A NCAC 09 .0604(c)). -Parent's medication authorization must include required information. Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: the child's name, the names of the authorized over-the-counter medication, the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label, the signature of the parent, physician or other health professional, and the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to thirty (30) days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule (Child Care Rule 10A NCAC 09 .0803(4)&(6-9)). -It was observed that the temperatures in space 1 and space 2 were warmer throughout the visit. The temperatures in space 1 and space 2 registered at seventy-five degrees Fahrenheit. A work order was submitted for inspection of the HVAC system. -Temperatures should not reach below sixty-five (65) degrees (F). Sanitation Rule 15A NCAC 18A .2826: (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. -The temperatures in the infant/toddler classrooms registered at sixty-eight degrees Fahrenheit. The temperature in a room where infants aged 12 months or younger where sleeping must not exceed seventy- five (75) degrees (Child Care Rule 10A NCAC 09 .0606(a)(5)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/9/2025 Number Present: 78 Completed Date: 7/9/2025 Age: From 0 To 5 Total Minutes: 100 Time In: 11:40 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the Administrative Action Follow-up Visit. The last annual compliance visit was conducted on November 15, 2024. The center had a compliance history of eighty four (84) percent prior to today’s visit. The Administrative Action was observed posted. I was greeted by the Owner, Ms. Della Ramsey, and the Director, Ms. Nicolette Roop, and I explained the purpose of the visit. Lead Child Care Consultant, Amy Italiano, accompanied me during the visit. I completed an indoor walkthrough of the center with Owner, Ms. Della Ramsey. In space 1, space 2, space 4, space 5, space 9, and space 10 were observed preparing for lunch; handwashing. The following lunch items were posted were observed served: cheese pizza, green beans, peaches and milk; fish sticks were served for children that have a diary allergy. Space 3 was observed closed. The children in space 6 and space 7 were observed having supervised outdoor play. Space 11 was observed closed. Arrival times and attendance was observed in each space, and compliance was met. The Name-to-Face documents (Tadpoles App) were observed in each space and was complete. The following was monitored using the Center Item Number Listing: Supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements. Supervision: Children were observed adequately supervised in approved child care space. Discipline, nurture, or care of children: Nurturing tones were observed when staff spoke with the children. Staff/child ratio: Staff/child ratios were observed meeting compliance. Licensed capacity: Capacity requirements for license was compliant. Permit Restriction: Permit restrictions were met; Administrative Action was observed posted. CPR Training: All staff are current with CPR. First Aid Training: All staff are current with First Aid. ITS-SIDS: The Safe Sleep Policy and Poster were posted, and the Safe Sleep Logs were current; compliance was met. Medications: There are no children with emergency medications. A violation was cited for an over-the-counter medication authorization. Criminal Record Check: All staff are current with criminal record check. Two (2) new staff files were reviewed, and compliance was met. Adequate supervision was observed during the visit, and the Corrective Action Plan was observed followed according to the plan. Two (2) violations were cited. Violation Number Comment Rule 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. In space 1 and space 6 and outlets were uncovered. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. The was not a medication for child (M.M.) in space 13. 10A NCAC 09 .0803(4)(6-9) -The Provisional License was observed posted. -The Supervision Training is scheduled for the evening of July 9, 2025. -A visit will be conducted every four (4) to six (6) weeks for the Administrative Action-Provisional License. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 23, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Electrical outlets and power strips, not in use, which are located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Ms. Ramsey stated that she will remind the new cleaning staff the importance of ensuring electrical outlets are covered (Child Care Rule 10A NCAC 09 .0604(c)). -Parent's medication authorization must include required information. Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: the child's name, the names of the authorized over-the-counter medication, the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label, the signature of the parent, physician or other health professional, and the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to thirty (30) days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule (Child Care Rule 10A NCAC 09 .0803(4)&(6-9)). -It was observed that the temperatures in space 1 and space 2 were warmer throughout the visit. The temperatures in space 1 and space 2 registered at seventy-five degrees Fahrenheit. A work order was submitted for inspection of the HVAC system. -Temperatures should not reach below sixty-five (65) degrees (F). Sanitation Rule 15A NCAC 18A .2826: (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. -The temperatures in the infant/toddler classrooms registered at sixty-eight degrees Fahrenheit. The temperature in a room where infants aged 12 months or younger where sleeping must not exceed seventy- five (75) degrees (Child Care Rule 10A NCAC 09 .0606(a)(5)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/9/2025 Number Present: 78 Completed Date: 7/9/2025 Age: From 0 To 5 Total Minutes: 100 Time In: 11:40 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the Administrative Action Follow-up Visit. The last annual compliance visit was conducted on November 15, 2024. The center had a compliance history of eighty four (84) percent prior to today’s visit. The Administrative Action was observed posted. I was greeted by the Owner, Ms. Della Ramsey, and the Director, Ms. Nicolette Roop, and I explained the purpose of the visit. Lead Child Care Consultant, Amy Italiano, accompanied me during the visit. I completed an indoor walkthrough of the center with Owner, Ms. Della Ramsey. In space 1, space 2, space 4, space 5, space 9, and space 10 were observed preparing for lunch; handwashing. The following lunch items were posted were observed served: cheese pizza, green beans, peaches and milk; fish sticks were served for children that have a diary allergy. Space 3 was observed closed. The children in space 6 and space 7 were observed having supervised outdoor play. Space 11 was observed closed. Arrival times and attendance was observed in each space, and compliance was met. The Name-to-Face documents (Tadpoles App) were observed in each space and was complete. The following was monitored using the Center Item Number Listing: Supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements. Supervision: Children were observed adequately supervised in approved child care space. Discipline, nurture, or care of children: Nurturing tones were observed when staff spoke with the children. Staff/child ratio: Staff/child ratios were observed meeting compliance. Licensed capacity: Capacity requirements for license was compliant. Permit Restriction: Permit restrictions were met; Administrative Action was observed posted. CPR Training: All staff are current with CPR. First Aid Training: All staff are current with First Aid. ITS-SIDS: The Safe Sleep Policy and Poster were posted, and the Safe Sleep Logs were current; compliance was met. Medications: There are no children with emergency medications. A violation was cited for an over-the-counter medication authorization. Criminal Record Check: All staff are current with criminal record check. Two (2) new staff files were reviewed, and compliance was met. Adequate supervision was observed during the visit, and the Corrective Action Plan was observed followed according to the plan. Two (2) violations were cited. Violation Number Comment Rule 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. In space 1 and space 6 and outlets were uncovered. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. The was not a medication for child (M.M.) in space 13. 10A NCAC 09 .0803(4)(6-9) -The Provisional License was observed posted. -The Supervision Training is scheduled for the evening of July 9, 2025. -A visit will be conducted every four (4) to six (6) weeks for the Administrative Action-Provisional License. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 23, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Electrical outlets and power strips, not in use, which are located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Ms. Ramsey stated that she will remind the new cleaning staff the importance of ensuring electrical outlets are covered (Child Care Rule 10A NCAC 09 .0604(c)). -Parent's medication authorization must include required information. Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: the child's name, the names of the authorized over-the-counter medication, the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label, the signature of the parent, physician or other health professional, and the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to thirty (30) days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule (Child Care Rule 10A NCAC 09 .0803(4)&(6-9)). -It was observed that the temperatures in space 1 and space 2 were warmer throughout the visit. The temperatures in space 1 and space 2 registered at seventy-five degrees Fahrenheit. A work order was submitted for inspection of the HVAC system. -Temperatures should not reach below sixty-five (65) degrees (F). Sanitation Rule 15A NCAC 18A .2826: (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. -The temperatures in the infant/toddler classrooms registered at sixty-eight degrees Fahrenheit. The temperature in a room where infants aged 12 months or younger where sleeping must not exceed seventy- five (75) degrees (Child Care Rule 10A NCAC 09 .0606(a)(5)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/9/2025 Number Present: 78 Completed Date: 7/9/2025 Age: From 0 To 5 Total Minutes: 100 Time In: 11:40 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the Administrative Action Follow-up Visit. The last annual compliance visit was conducted on November 15, 2024. The center had a compliance history of eighty four (84) percent prior to today’s visit. The Administrative Action was observed posted. I was greeted by the Owner, Ms. Della Ramsey, and the Director, Ms. Nicolette Roop, and I explained the purpose of the visit. Lead Child Care Consultant, Amy Italiano, accompanied me during the visit. I completed an indoor walkthrough of the center with Owner, Ms. Della Ramsey. In space 1, space 2, space 4, space 5, space 9, and space 10 were observed preparing for lunch; handwashing. The following lunch items were posted were observed served: cheese pizza, green beans, peaches and milk; fish sticks were served for children that have a diary allergy. Space 3 was observed closed. The children in space 6 and space 7 were observed having supervised outdoor play. Space 11 was observed closed. Arrival times and attendance was observed in each space, and compliance was met. The Name-to-Face documents (Tadpoles App) were observed in each space and was complete. The following was monitored using the Center Item Number Listing: Supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements. Supervision: Children were observed adequately supervised in approved child care space. Discipline, nurture, or care of children: Nurturing tones were observed when staff spoke with the children. Staff/child ratio: Staff/child ratios were observed meeting compliance. Licensed capacity: Capacity requirements for license was compliant. Permit Restriction: Permit restrictions were met; Administrative Action was observed posted. CPR Training: All staff are current with CPR. First Aid Training: All staff are current with First Aid. ITS-SIDS: The Safe Sleep Policy and Poster were posted, and the Safe Sleep Logs were current; compliance was met. Medications: There are no children with emergency medications. A violation was cited for an over-the-counter medication authorization. Criminal Record Check: All staff are current with criminal record check. Two (2) new staff files were reviewed, and compliance was met. Adequate supervision was observed during the visit, and the Corrective Action Plan was observed followed according to the plan. Two (2) violations were cited. Violation Number Comment Rule 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. In space 1 and space 6 and outlets were uncovered. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. The was not a medication for child (M.M.) in space 13. 10A NCAC 09 .0803(4)(6-9) -The Provisional License was observed posted. -The Supervision Training is scheduled for the evening of July 9, 2025. -A visit will be conducted every four (4) to six (6) weeks for the Administrative Action-Provisional License. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 23, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Electrical outlets and power strips, not in use, which are located in space used by children must have safety outlets covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Ms. Ramsey stated that she will remind the new cleaning staff the importance of ensuring electrical outlets are covered (Child Care Rule 10A NCAC 09 .0604(c)). -Parent's medication authorization must include required information. Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: the child's name, the names of the authorized over-the-counter medication, the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label, the signature of the parent, physician or other health professional, and the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to thirty (30) days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule (Child Care Rule 10A NCAC 09 .0803(4)&(6-9)). -It was observed that the temperatures in space 1 and space 2 were warmer throughout the visit. The temperatures in space 1 and space 2 registered at seventy-five degrees Fahrenheit. A work order was submitted for inspection of the HVAC system. -Temperatures should not reach below sixty-five (65) degrees (F). Sanitation Rule 15A NCAC 18A .2826: (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. -The temperatures in the infant/toddler classrooms registered at sixty-eight degrees Fahrenheit. The temperature in a room where infants aged 12 months or younger where sleeping must not exceed seventy- five (75) degrees (Child Care Rule 10A NCAC 09 .0606(a)(5)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0625-086L Visit Date: 7/3/2025 Number Present: 63 Completed Date: 7/3/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 09:20 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to complete a complaint follow-up visit to confirm the violation corrected for the violation received during the complaint visit on June 17, 2025. I was greeted by the Director Ms. Nicolette Roop, and I explained the purpose of the visit. The owner, Ms. Della Ramsey arrived during the visit. A walkthrough of the facility was completed with Ms. Roop and with the Assistant Director, Ms. Yolanda Mitchell. In space 1, I observed the children having group time. The children in space 2 were participating in activity centers. Space 3 was observed closed. I observed the children in space 4 leaving their classroom for supervised outdoor play; the children held on to a walking rope. The children in space 5 were observed preparing for outdoor play. Space 6 was observed closed for the day. I observed children in space 7 having supervised independent play; space 6 and space 7 were combined for the day. In space 8 I observed staff reading to the children, "Where Is Baby's Belly Button." I observed the children in space 9 and in space 10 having supervised outdoor play. Space 11 was observed closed. The children in space 12 were observed returning from outdoor play. The children were observed in the "bye-bye" stroller, and I observed staff remove the children from the stroller, and the children were observed assisted with handwashing. After the children were removed from the stroller, the stroller was observed placed outside the classroom in the stroller storage area. In space 13, I observed staff caring for infant children according to their individual needs. I observed two (2) infants that were in cribs sleeping, one (1) infant was observed having supervised play time, and I observed staff caring for an infant; sleeps charts were reviewed, and compliance was met. I observed an administrator announcing reminders over the intercom, for staff to document name-to-face in the Tadpole App during the visit. The following violation that was cited during the visit on June 17, 2025, was observed compliant: Enhanced staff/child ratios and group sizes were not met. Staff/child ratios were not met on June 9, 2025, for space 10. One (1) teacher was present with eight (8) toddlers at 9:00 a.m. During today's visit, I observed all child care spaces compliant with staff/child ratios. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; Attendance documentation was observed completed. An outlet cover was observed uncovered in the hallway, and a violation was cited. One (1) violation was cited. Violation Number Comment Rule 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. An outlet cover was not covered in the hallway. 10A NCAC 09 .0604(c) -The Provisional License was observed posted. -Door alarms leading to outdoor play area for classrooms were implemented May 27, 2025. The alarms will sound if a child or anyone opens the door to the exterior (playground) of the building. -The compliance letter was received June 18, 2025, for the violation received on July 17, 2025. -I reviewed video surveillance from June 9, 2025, on July 3, 2025. I observed no children cared for in space 10 from 8:50 a.m. to 9:10 a.m.; the space was closed until 9:30 a.m. Previous documentation reviewed indicated that space 10 was out of ratio before 9:00 a.m. The following Technical Assistance (TA) was provided: -The center is following the enhanced ratios according to the child care license. Monitor each classroom to ensure that staff child ratios are in compliance. Enhanced staff/child ratios and group sizes for the number and ages of children in care must be met (Child Care Rule 10A NCAC 09 .2818). -Electrical outlets and power strips, not in use, which are located in space used by children must have safety outlets or are covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -During outdoor play, staff placed the children's walking rope in a backpack (inaccessible to children). Please keep in mind that jump ropes and rubber bands should not be accessible to children under five (5) years of age without adult supervision (Child Care Rule 10A NCAC 09 .0604(q)). -The safe sleep policy was posted where parents and staff can view the policy. I observed a child in a safe sleep sack. Ms. Roop was reminded to review the safe sleep policy with parents upon enrollment, and ensure that new staff have reviewed the safe sleep policy (Child Care Rule 10A .0606(a)(b)). -It was advised to distinguish specifically in the safe sleep policy if safe sleep sacks can be used. Safe sleep sacks are considered to be a wearable blanket. Your current policy states that "we do not allow any objects such as blankets and etc." Inform parents and staff if changes are made to the current policy fourteen (14) days before the effective date, if the center decides to update the safe sleep policy. any changes in the safe sleep policy must be provided in writing fourteen (14) days prior to effect and a copy must be the in child's file (Child Care Rule 10A NCAC 09 .0606(d)). -Ms. Roop stated that she is in the process of altering the outdoor play schedule due to the extreme high temperatures; reminded to update schedules in classroom spaces for the temporary change, due to the weather. Keep in mind the Heat Index when children are playing outside: • 80° fahrenheit or below is considered comfortable • 90° fahrenheit beginning to feel uncomfortable • 100° fahrenheit uncomfortable and may be hazardous • 110° fahrenheit considered dangerous (Child Care Weather Watch) -Continue to provide drinking water to children, especially during outdoor play; water was provided during outdoor play and water was available/accessible in classrooms. Drinking water must be freely available to children of all ages (Child Care Rule 10A NCAC 09 .0901(e)). -Ms. Roop is in the process of entering the roster in ABCMS and has encountered technical issues. TA was provided during the visit. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0625-086L Visit Date: 7/3/2025 Number Present: 63 Completed Date: 7/3/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 09:20 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to complete a complaint follow-up visit to confirm the violation corrected for the violation received during the complaint visit on June 17, 2025. I was greeted by the Director Ms. Nicolette Roop, and I explained the purpose of the visit. The owner, Ms. Della Ramsey arrived during the visit. A walkthrough of the facility was completed with Ms. Roop and with the Assistant Director, Ms. Yolanda Mitchell. In space 1, I observed the children having group time. The children in space 2 were participating in activity centers. Space 3 was observed closed. I observed the children in space 4 leaving their classroom for supervised outdoor play; the children held on to a walking rope. The children in space 5 were observed preparing for outdoor play. Space 6 was observed closed for the day. I observed children in space 7 having supervised independent play; space 6 and space 7 were combined for the day. In space 8 I observed staff reading to the children, "Where Is Baby's Belly Button." I observed the children in space 9 and in space 10 having supervised outdoor play. Space 11 was observed closed. The children in space 12 were observed returning from outdoor play. The children were observed in the "bye-bye" stroller, and I observed staff remove the children from the stroller, and the children were observed assisted with handwashing. After the children were removed from the stroller, the stroller was observed placed outside the classroom in the stroller storage area. In space 13, I observed staff caring for infant children according to their individual needs. I observed two (2) infants that were in cribs sleeping, one (1) infant was observed having supervised play time, and I observed staff caring for an infant; sleeps charts were reviewed, and compliance was met. I observed an administrator announcing reminders over the intercom, for staff to document name-to-face in the Tadpole App during the visit. The following violation that was cited during the visit on June 17, 2025, was observed compliant: Enhanced staff/child ratios and group sizes were not met. Staff/child ratios were not met on June 9, 2025, for space 10. One (1) teacher was present with eight (8) toddlers at 9:00 a.m. During today's visit, I observed all child care spaces compliant with staff/child ratios. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; Attendance documentation was observed completed. An outlet cover was observed uncovered in the hallway, and a violation was cited. One (1) violation was cited. Violation Number Comment Rule 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. An outlet cover was not covered in the hallway. 10A NCAC 09 .0604(c) -The Provisional License was observed posted. -Door alarms leading to outdoor play area for classrooms were implemented May 27, 2025. The alarms will sound if a child or anyone opens the door to the exterior (playground) of the building. -The compliance letter was received June 18, 2025, for the violation received on July 17, 2025. -I reviewed video surveillance from June 9, 2025, on July 3, 2025. I observed no children cared for in space 10 from 8:50 a.m. to 9:10 a.m.; the space was closed until 9:30 a.m. Previous documentation reviewed indicated that space 10 was out of ratio before 9:00 a.m. The following Technical Assistance (TA) was provided: -The center is following the enhanced ratios according to the child care license. Monitor each classroom to ensure that staff child ratios are in compliance. Enhanced staff/child ratios and group sizes for the number and ages of children in care must be met (Child Care Rule 10A NCAC 09 .2818). -Electrical outlets and power strips, not in use, which are located in space used by children must have safety outlets or are covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -During outdoor play, staff placed the children's walking rope in a backpack (inaccessible to children). Please keep in mind that jump ropes and rubber bands should not be accessible to children under five (5) years of age without adult supervision (Child Care Rule 10A NCAC 09 .0604(q)). -The safe sleep policy was posted where parents and staff can view the policy. I observed a child in a safe sleep sack. Ms. Roop was reminded to review the safe sleep policy with parents upon enrollment, and ensure that new staff have reviewed the safe sleep policy (Child Care Rule 10A .0606(a)(b)). -It was advised to distinguish specifically in the safe sleep policy if safe sleep sacks can be used. Safe sleep sacks are considered to be a wearable blanket. Your current policy states that "we do not allow any objects such as blankets and etc." Inform parents and staff if changes are made to the current policy fourteen (14) days before the effective date, if the center decides to update the safe sleep policy. any changes in the safe sleep policy must be provided in writing fourteen (14) days prior to effect and a copy must be the in child's file (Child Care Rule 10A NCAC 09 .0606(d)). -Ms. Roop stated that she is in the process of altering the outdoor play schedule due to the extreme high temperatures; reminded to update schedules in classroom spaces for the temporary change, due to the weather. Keep in mind the Heat Index when children are playing outside: • 80° fahrenheit or below is considered comfortable • 90° fahrenheit beginning to feel uncomfortable • 100° fahrenheit uncomfortable and may be hazardous • 110° fahrenheit considered dangerous (Child Care Weather Watch) -Continue to provide drinking water to children, especially during outdoor play; water was provided during outdoor play and water was available/accessible in classrooms. Drinking water must be freely available to children of all ages (Child Care Rule 10A NCAC 09 .0901(e)). -Ms. Roop is in the process of entering the roster in ABCMS and has encountered technical issues. TA was provided during the visit. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0625-086L Visit Date: 7/3/2025 Number Present: 63 Completed Date: 7/3/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 09:20 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to complete a complaint follow-up visit to confirm the violation corrected for the violation received during the complaint visit on June 17, 2025. I was greeted by the Director Ms. Nicolette Roop, and I explained the purpose of the visit. The owner, Ms. Della Ramsey arrived during the visit. A walkthrough of the facility was completed with Ms. Roop and with the Assistant Director, Ms. Yolanda Mitchell. In space 1, I observed the children having group time. The children in space 2 were participating in activity centers. Space 3 was observed closed. I observed the children in space 4 leaving their classroom for supervised outdoor play; the children held on to a walking rope. The children in space 5 were observed preparing for outdoor play. Space 6 was observed closed for the day. I observed children in space 7 having supervised independent play; space 6 and space 7 were combined for the day. In space 8 I observed staff reading to the children, "Where Is Baby's Belly Button." I observed the children in space 9 and in space 10 having supervised outdoor play. Space 11 was observed closed. The children in space 12 were observed returning from outdoor play. The children were observed in the "bye-bye" stroller, and I observed staff remove the children from the stroller, and the children were observed assisted with handwashing. After the children were removed from the stroller, the stroller was observed placed outside the classroom in the stroller storage area. In space 13, I observed staff caring for infant children according to their individual needs. I observed two (2) infants that were in cribs sleeping, one (1) infant was observed having supervised play time, and I observed staff caring for an infant; sleeps charts were reviewed, and compliance was met. I observed an administrator announcing reminders over the intercom, for staff to document name-to-face in the Tadpole App during the visit. The following violation that was cited during the visit on June 17, 2025, was observed compliant: Enhanced staff/child ratios and group sizes were not met. Staff/child ratios were not met on June 9, 2025, for space 10. One (1) teacher was present with eight (8) toddlers at 9:00 a.m. During today's visit, I observed all child care spaces compliant with staff/child ratios. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; Attendance documentation was observed completed. An outlet cover was observed uncovered in the hallway, and a violation was cited. One (1) violation was cited. Violation Number Comment Rule 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. An outlet cover was not covered in the hallway. 10A NCAC 09 .0604(c) -The Provisional License was observed posted. -Door alarms leading to outdoor play area for classrooms were implemented May 27, 2025. The alarms will sound if a child or anyone opens the door to the exterior (playground) of the building. -The compliance letter was received June 18, 2025, for the violation received on July 17, 2025. -I reviewed video surveillance from June 9, 2025, on July 3, 2025. I observed no children cared for in space 10 from 8:50 a.m. to 9:10 a.m.; the space was closed until 9:30 a.m. Previous documentation reviewed indicated that space 10 was out of ratio before 9:00 a.m. The following Technical Assistance (TA) was provided: -The center is following the enhanced ratios according to the child care license. Monitor each classroom to ensure that staff child ratios are in compliance. Enhanced staff/child ratios and group sizes for the number and ages of children in care must be met (Child Care Rule 10A NCAC 09 .2818). -Electrical outlets and power strips, not in use, which are located in space used by children must have safety outlets or are covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -During outdoor play, staff placed the children's walking rope in a backpack (inaccessible to children). Please keep in mind that jump ropes and rubber bands should not be accessible to children under five (5) years of age without adult supervision (Child Care Rule 10A NCAC 09 .0604(q)). -The safe sleep policy was posted where parents and staff can view the policy. I observed a child in a safe sleep sack. Ms. Roop was reminded to review the safe sleep policy with parents upon enrollment, and ensure that new staff have reviewed the safe sleep policy (Child Care Rule 10A .0606(a)(b)). -It was advised to distinguish specifically in the safe sleep policy if safe sleep sacks can be used. Safe sleep sacks are considered to be a wearable blanket. Your current policy states that "we do not allow any objects such as blankets and etc." Inform parents and staff if changes are made to the current policy fourteen (14) days before the effective date, if the center decides to update the safe sleep policy. any changes in the safe sleep policy must be provided in writing fourteen (14) days prior to effect and a copy must be the in child's file (Child Care Rule 10A NCAC 09 .0606(d)). -Ms. Roop stated that she is in the process of altering the outdoor play schedule due to the extreme high temperatures; reminded to update schedules in classroom spaces for the temporary change, due to the weather. Keep in mind the Heat Index when children are playing outside: • 80° fahrenheit or below is considered comfortable • 90° fahrenheit beginning to feel uncomfortable • 100° fahrenheit uncomfortable and may be hazardous • 110° fahrenheit considered dangerous (Child Care Weather Watch) -Continue to provide drinking water to children, especially during outdoor play; water was provided during outdoor play and water was available/accessible in classrooms. Drinking water must be freely available to children of all ages (Child Care Rule 10A NCAC 09 .0901(e)). -Ms. Roop is in the process of entering the roster in ABCMS and has encountered technical issues. TA was provided during the visit. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0625-086L Visit Date: 7/3/2025 Number Present: 63 Completed Date: 7/3/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 09:20 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to complete a complaint follow-up visit to confirm the violation corrected for the violation received during the complaint visit on June 17, 2025. I was greeted by the Director Ms. Nicolette Roop, and I explained the purpose of the visit. The owner, Ms. Della Ramsey arrived during the visit. A walkthrough of the facility was completed with Ms. Roop and with the Assistant Director, Ms. Yolanda Mitchell. In space 1, I observed the children having group time. The children in space 2 were participating in activity centers. Space 3 was observed closed. I observed the children in space 4 leaving their classroom for supervised outdoor play; the children held on to a walking rope. The children in space 5 were observed preparing for outdoor play. Space 6 was observed closed for the day. I observed children in space 7 having supervised independent play; space 6 and space 7 were combined for the day. In space 8 I observed staff reading to the children, "Where Is Baby's Belly Button." I observed the children in space 9 and in space 10 having supervised outdoor play. Space 11 was observed closed. The children in space 12 were observed returning from outdoor play. The children were observed in the "bye-bye" stroller, and I observed staff remove the children from the stroller, and the children were observed assisted with handwashing. After the children were removed from the stroller, the stroller was observed placed outside the classroom in the stroller storage area. In space 13, I observed staff caring for infant children according to their individual needs. I observed two (2) infants that were in cribs sleeping, one (1) infant was observed having supervised play time, and I observed staff caring for an infant; sleeps charts were reviewed, and compliance was met. I observed an administrator announcing reminders over the intercom, for staff to document name-to-face in the Tadpole App during the visit. The following violation that was cited during the visit on June 17, 2025, was observed compliant: Enhanced staff/child ratios and group sizes were not met. Staff/child ratios were not met on June 9, 2025, for space 10. One (1) teacher was present with eight (8) toddlers at 9:00 a.m. During today's visit, I observed all child care spaces compliant with staff/child ratios. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; Attendance documentation was observed completed. An outlet cover was observed uncovered in the hallway, and a violation was cited. One (1) violation was cited. Violation Number Comment Rule 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. An outlet cover was not covered in the hallway. 10A NCAC 09 .0604(c) -The Provisional License was observed posted. -Door alarms leading to outdoor play area for classrooms were implemented May 27, 2025. The alarms will sound if a child or anyone opens the door to the exterior (playground) of the building. -The compliance letter was received June 18, 2025, for the violation received on July 17, 2025. -I reviewed video surveillance from June 9, 2025, on July 3, 2025. I observed no children cared for in space 10 from 8:50 a.m. to 9:10 a.m.; the space was closed until 9:30 a.m. Previous documentation reviewed indicated that space 10 was out of ratio before 9:00 a.m. The following Technical Assistance (TA) was provided: -The center is following the enhanced ratios according to the child care license. Monitor each classroom to ensure that staff child ratios are in compliance. Enhanced staff/child ratios and group sizes for the number and ages of children in care must be met (Child Care Rule 10A NCAC 09 .2818). -Electrical outlets and power strips, not in use, which are located in space used by children must have safety outlets or are covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -During outdoor play, staff placed the children's walking rope in a backpack (inaccessible to children). Please keep in mind that jump ropes and rubber bands should not be accessible to children under five (5) years of age without adult supervision (Child Care Rule 10A NCAC 09 .0604(q)). -The safe sleep policy was posted where parents and staff can view the policy. I observed a child in a safe sleep sack. Ms. Roop was reminded to review the safe sleep policy with parents upon enrollment, and ensure that new staff have reviewed the safe sleep policy (Child Care Rule 10A .0606(a)(b)). -It was advised to distinguish specifically in the safe sleep policy if safe sleep sacks can be used. Safe sleep sacks are considered to be a wearable blanket. Your current policy states that "we do not allow any objects such as blankets and etc." Inform parents and staff if changes are made to the current policy fourteen (14) days before the effective date, if the center decides to update the safe sleep policy. any changes in the safe sleep policy must be provided in writing fourteen (14) days prior to effect and a copy must be the in child's file (Child Care Rule 10A NCAC 09 .0606(d)). -Ms. Roop stated that she is in the process of altering the outdoor play schedule due to the extreme high temperatures; reminded to update schedules in classroom spaces for the temporary change, due to the weather. Keep in mind the Heat Index when children are playing outside: • 80° fahrenheit or below is considered comfortable • 90° fahrenheit beginning to feel uncomfortable • 100° fahrenheit uncomfortable and may be hazardous • 110° fahrenheit considered dangerous (Child Care Weather Watch) -Continue to provide drinking water to children, especially during outdoor play; water was provided during outdoor play and water was available/accessible in classrooms. Drinking water must be freely available to children of all ages (Child Care Rule 10A NCAC 09 .0901(e)). -Ms. Roop is in the process of entering the roster in ABCMS and has encountered technical issues. TA was provided during the visit. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0625-086L Visit Date: 7/3/2025 Number Present: 63 Completed Date: 7/3/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 09:20 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to complete a complaint follow-up visit to confirm the violation corrected for the violation received during the complaint visit on June 17, 2025. I was greeted by the Director Ms. Nicolette Roop, and I explained the purpose of the visit. The owner, Ms. Della Ramsey arrived during the visit. A walkthrough of the facility was completed with Ms. Roop and with the Assistant Director, Ms. Yolanda Mitchell. In space 1, I observed the children having group time. The children in space 2 were participating in activity centers. Space 3 was observed closed. I observed the children in space 4 leaving their classroom for supervised outdoor play; the children held on to a walking rope. The children in space 5 were observed preparing for outdoor play. Space 6 was observed closed for the day. I observed children in space 7 having supervised independent play; space 6 and space 7 were combined for the day. In space 8 I observed staff reading to the children, "Where Is Baby's Belly Button." I observed the children in space 9 and in space 10 having supervised outdoor play. Space 11 was observed closed. The children in space 12 were observed returning from outdoor play. The children were observed in the "bye-bye" stroller, and I observed staff remove the children from the stroller, and the children were observed assisted with handwashing. After the children were removed from the stroller, the stroller was observed placed outside the classroom in the stroller storage area. In space 13, I observed staff caring for infant children according to their individual needs. I observed two (2) infants that were in cribs sleeping, one (1) infant was observed having supervised play time, and I observed staff caring for an infant; sleeps charts were reviewed, and compliance was met. I observed an administrator announcing reminders over the intercom, for staff to document name-to-face in the Tadpole App during the visit. The following violation that was cited during the visit on June 17, 2025, was observed compliant: Enhanced staff/child ratios and group sizes were not met. Staff/child ratios were not met on June 9, 2025, for space 10. One (1) teacher was present with eight (8) toddlers at 9:00 a.m. During today's visit, I observed all child care spaces compliant with staff/child ratios. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; Attendance documentation was observed completed. An outlet cover was observed uncovered in the hallway, and a violation was cited. One (1) violation was cited. Violation Number Comment Rule 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. An outlet cover was not covered in the hallway. 10A NCAC 09 .0604(c) -The Provisional License was observed posted. -Door alarms leading to outdoor play area for classrooms were implemented May 27, 2025. The alarms will sound if a child or anyone opens the door to the exterior (playground) of the building. -The compliance letter was received June 18, 2025, for the violation received on July 17, 2025. -I reviewed video surveillance from June 9, 2025, on July 3, 2025. I observed no children cared for in space 10 from 8:50 a.m. to 9:10 a.m.; the space was closed until 9:30 a.m. Previous documentation reviewed indicated that space 10 was out of ratio before 9:00 a.m. The following Technical Assistance (TA) was provided: -The center is following the enhanced ratios according to the child care license. Monitor each classroom to ensure that staff child ratios are in compliance. Enhanced staff/child ratios and group sizes for the number and ages of children in care must be met (Child Care Rule 10A NCAC 09 .2818). -Electrical outlets and power strips, not in use, which are located in space used by children must have safety outlets or are covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -During outdoor play, staff placed the children's walking rope in a backpack (inaccessible to children). Please keep in mind that jump ropes and rubber bands should not be accessible to children under five (5) years of age without adult supervision (Child Care Rule 10A NCAC 09 .0604(q)). -The safe sleep policy was posted where parents and staff can view the policy. I observed a child in a safe sleep sack. Ms. Roop was reminded to review the safe sleep policy with parents upon enrollment, and ensure that new staff have reviewed the safe sleep policy (Child Care Rule 10A .0606(a)(b)). -It was advised to distinguish specifically in the safe sleep policy if safe sleep sacks can be used. Safe sleep sacks are considered to be a wearable blanket. Your current policy states that "we do not allow any objects such as blankets and etc." Inform parents and staff if changes are made to the current policy fourteen (14) days before the effective date, if the center decides to update the safe sleep policy. any changes in the safe sleep policy must be provided in writing fourteen (14) days prior to effect and a copy must be the in child's file (Child Care Rule 10A NCAC 09 .0606(d)). -Ms. Roop stated that she is in the process of altering the outdoor play schedule due to the extreme high temperatures; reminded to update schedules in classroom spaces for the temporary change, due to the weather. Keep in mind the Heat Index when children are playing outside: • 80° fahrenheit or below is considered comfortable • 90° fahrenheit beginning to feel uncomfortable • 100° fahrenheit uncomfortable and may be hazardous • 110° fahrenheit considered dangerous (Child Care Weather Watch) -Continue to provide drinking water to children, especially during outdoor play; water was provided during outdoor play and water was available/accessible in classrooms. Drinking water must be freely available to children of all ages (Child Care Rule 10A NCAC 09 .0901(e)). -Ms. Roop is in the process of entering the roster in ABCMS and has encountered technical issues. TA was provided during the visit. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0625-086L Visit Date: 7/3/2025 Number Present: 63 Completed Date: 7/3/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 09:20 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to complete a complaint follow-up visit to confirm the violation corrected for the violation received during the complaint visit on June 17, 2025. I was greeted by the Director Ms. Nicolette Roop, and I explained the purpose of the visit. The owner, Ms. Della Ramsey arrived during the visit. A walkthrough of the facility was completed with Ms. Roop and with the Assistant Director, Ms. Yolanda Mitchell. In space 1, I observed the children having group time. The children in space 2 were participating in activity centers. Space 3 was observed closed. I observed the children in space 4 leaving their classroom for supervised outdoor play; the children held on to a walking rope. The children in space 5 were observed preparing for outdoor play. Space 6 was observed closed for the day. I observed children in space 7 having supervised independent play; space 6 and space 7 were combined for the day. In space 8 I observed staff reading to the children, "Where Is Baby's Belly Button." I observed the children in space 9 and in space 10 having supervised outdoor play. Space 11 was observed closed. The children in space 12 were observed returning from outdoor play. The children were observed in the "bye-bye" stroller, and I observed staff remove the children from the stroller, and the children were observed assisted with handwashing. After the children were removed from the stroller, the stroller was observed placed outside the classroom in the stroller storage area. In space 13, I observed staff caring for infant children according to their individual needs. I observed two (2) infants that were in cribs sleeping, one (1) infant was observed having supervised play time, and I observed staff caring for an infant; sleeps charts were reviewed, and compliance was met. I observed an administrator announcing reminders over the intercom, for staff to document name-to-face in the Tadpole App during the visit. The following violation that was cited during the visit on June 17, 2025, was observed compliant: Enhanced staff/child ratios and group sizes were not met. Staff/child ratios were not met on June 9, 2025, for space 10. One (1) teacher was present with eight (8) toddlers at 9:00 a.m. During today's visit, I observed all child care spaces compliant with staff/child ratios. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; Attendance documentation was observed completed. An outlet cover was observed uncovered in the hallway, and a violation was cited. One (1) violation was cited. Violation Number Comment Rule 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. An outlet cover was not covered in the hallway. 10A NCAC 09 .0604(c) -The Provisional License was observed posted. -Door alarms leading to outdoor play area for classrooms were implemented May 27, 2025. The alarms will sound if a child or anyone opens the door to the exterior (playground) of the building. -The compliance letter was received June 18, 2025, for the violation received on July 17, 2025. -I reviewed video surveillance from June 9, 2025, on July 3, 2025. I observed no children cared for in space 10 from 8:50 a.m. to 9:10 a.m.; the space was closed until 9:30 a.m. Previous documentation reviewed indicated that space 10 was out of ratio before 9:00 a.m. The following Technical Assistance (TA) was provided: -The center is following the enhanced ratios according to the child care license. Monitor each classroom to ensure that staff child ratios are in compliance. Enhanced staff/child ratios and group sizes for the number and ages of children in care must be met (Child Care Rule 10A NCAC 09 .2818). -Electrical outlets and power strips, not in use, which are located in space used by children must have safety outlets or are covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child (Child Care Rule 10A NCAC 09 .0604(c)). -During outdoor play, staff placed the children's walking rope in a backpack (inaccessible to children). Please keep in mind that jump ropes and rubber bands should not be accessible to children under five (5) years of age without adult supervision (Child Care Rule 10A NCAC 09 .0604(q)). -The safe sleep policy was posted where parents and staff can view the policy. I observed a child in a safe sleep sack. Ms. Roop was reminded to review the safe sleep policy with parents upon enrollment, and ensure that new staff have reviewed the safe sleep policy (Child Care Rule 10A .0606(a)(b)). -It was advised to distinguish specifically in the safe sleep policy if safe sleep sacks can be used. Safe sleep sacks are considered to be a wearable blanket. Your current policy states that "we do not allow any objects such as blankets and etc." Inform parents and staff if changes are made to the current policy fourteen (14) days before the effective date, if the center decides to update the safe sleep policy. any changes in the safe sleep policy must be provided in writing fourteen (14) days prior to effect and a copy must be the in child's file (Child Care Rule 10A NCAC 09 .0606(d)). -Ms. Roop stated that she is in the process of altering the outdoor play schedule due to the extreme high temperatures; reminded to update schedules in classroom spaces for the temporary change, due to the weather. Keep in mind the Heat Index when children are playing outside: • 80° fahrenheit or below is considered comfortable • 90° fahrenheit beginning to feel uncomfortable • 100° fahrenheit uncomfortable and may be hazardous • 110° fahrenheit considered dangerous (Child Care Weather Watch) -Continue to provide drinking water to children, especially during outdoor play; water was provided during outdoor play and water was available/accessible in classrooms. Drinking water must be freely available to children of all ages (Child Care Rule 10A NCAC 09 .0901(e)). -Ms. Roop is in the process of entering the roster in ABCMS and has encountered technical issues. TA was provided during the visit. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0713 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0625-086L Visit Date: 6/17/2025 Number Present: 80 Completed Date: 6/17/2025 Age: From 0 To 5 Total Minutes: 365 Time In: 09:30 AM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on June 10, 2025, and on June 11, 2025. There are allegations of violations of child care requirements, regarding staff child ratios and supplies. I was greeted by the Director, Ms. Nicolette Roop, and I explained the purpose of the visit. I completed an indoor walkthrough of the center with Ms. Roop, and Owner, Ms. Della Ramsey. In space 1, I observed the children having supervised independent play, and in space 2 the children were preparing for a group learning activity. Space 3 was observed closed. I observed the children in space 4 handwashing and transitioning to circle time. In space 5 I observed the children preparing for circle time. I observed the children in space 6 handwashing; and the teachers assisted the children. The children in space 7 were having circle time; the teacher was reading a book to the children. Space 8 was observed closed. I observed the children in space 9 having independent play. In space 10 the children had completed an art activity (finger painting elephants). Space 11 was observed closed. In space 12 I observed three (3) sleeping infants, and I observed infant children having supervised "tummy-time." I observed the children zero (0) to twelve (12) months in space receiving individual care according to their needs, and I observed supervised "tummy-time." In each child care space I observed each child care space compliant with staff/child ratios. The staff/child ratio worksheets were posted in each classroom space; compliance was met. Based on observations made in each classroom space and attendance during today's visit, staff/child ratios were compliant. The name-to-face documents were reviewed for infant/toddler spaces. Based on review of completed name-to-face sheets for June 9, 2025, space 10 was out of ratio, therefore the allegation for staff/child ratio was confirmed. Infant/Toddler staff (classrooms for infant/toddler children) were interviewed and based on interviews with staff, some staff stated that they have enough supplies for children in classrooms that serve infant/toddlers, and a few staff reported that they do not have enough supplies. Toys were observed in each infant/toddler space; toys were observed in the dirty toy container. Diaper changing supplies were observed in hallway closet spaces. Based on space observations, it was unconfirmed that staff do not have supplies. One (1) violation was cited. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. Staff/child ratios were not met on June 9, 2025, for space 10. One (1) teacher was present with eight (8) toddlers at 9:00 a.m. 10A NCAC 09 .2818 The Provisional License was observed posted. -Additional toys have been ordered according to Ms. Ramsey. -New Supply Requisition forms were implemented June 16, 2025; materials and supplies have been ordered; April, May, and June 2025 invoices were reviewed during the visit. -Corporate has implemented a new sign-in/out sheet; verified during the visit. -Phone, walkie-talkie, and Tadpoles (app) are available for staff to notify administrative staff when ratios are approaching capacity. -The Corrective Action Plan was provided during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Continue to post the staff/child ratios worksheet in each classroom (Child Care Rule 10A NCAC 09 .0713(a)(10), (c) & (f)(3); .2818(e)). -The center is following the enhanced ratios according to the child care license. Monitor each classroom to ensure that staff child ratios are in compliance. Enhanced staff/child ratios and group sizes for the number and ages of children in care must be met (Child Care Rule 10A NCAC 09 .2818). -Ms. Roop stated that corporate has implemented a new sign-in/out sheet effective June 16, 2025. -Children can be grouped together during the first part and the last part of the day. The staff/child ratio for the youngest child in the group must be maintained when children ages birth to five years are grouped together for the first and last operating hour of the day (Child Care Rule 10A NCAC 09 .2904(b)). -Infant/Toddler staff stated that they swap out dirty toys (place in dirty toy containers), and additional toys are needed, so that there an adequate amount of clean toys available for play. The center must have developmentally appropriate equipment and materials accessible daily. Extra toys were available in cabinets, and supplies such as wipes that were provided by the center were located in the supply closet; extra pampers were in the closet that parents donated. Ms. Roop stated that materials are on order, and Ms. Roop was was encouraged to provide extra toys. The center has implemented a new supply requisition sheet effective June 16, 2025. (G.S. 110-91(12); Child Care Rule 10 A NCAC 09 .0509(1)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2818 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0625-086L Visit Date: 6/17/2025 Number Present: 80 Completed Date: 6/17/2025 Age: From 0 To 5 Total Minutes: 365 Time In: 09:30 AM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on June 10, 2025, and on June 11, 2025. There are allegations of violations of child care requirements, regarding staff child ratios and supplies. I was greeted by the Director, Ms. Nicolette Roop, and I explained the purpose of the visit. I completed an indoor walkthrough of the center with Ms. Roop, and Owner, Ms. Della Ramsey. In space 1, I observed the children having supervised independent play, and in space 2 the children were preparing for a group learning activity. Space 3 was observed closed. I observed the children in space 4 handwashing and transitioning to circle time. In space 5 I observed the children preparing for circle time. I observed the children in space 6 handwashing; and the teachers assisted the children. The children in space 7 were having circle time; the teacher was reading a book to the children. Space 8 was observed closed. I observed the children in space 9 having independent play. In space 10 the children had completed an art activity (finger painting elephants). Space 11 was observed closed. In space 12 I observed three (3) sleeping infants, and I observed infant children having supervised "tummy-time." I observed the children zero (0) to twelve (12) months in space receiving individual care according to their needs, and I observed supervised "tummy-time." In each child care space I observed each child care space compliant with staff/child ratios. The staff/child ratio worksheets were posted in each classroom space; compliance was met. Based on observations made in each classroom space and attendance during today's visit, staff/child ratios were compliant. The name-to-face documents were reviewed for infant/toddler spaces. Based on review of completed name-to-face sheets for June 9, 2025, space 10 was out of ratio, therefore the allegation for staff/child ratio was confirmed. Infant/Toddler staff (classrooms for infant/toddler children) were interviewed and based on interviews with staff, some staff stated that they have enough supplies for children in classrooms that serve infant/toddlers, and a few staff reported that they do not have enough supplies. Toys were observed in each infant/toddler space; toys were observed in the dirty toy container. Diaper changing supplies were observed in hallway closet spaces. Based on space observations, it was unconfirmed that staff do not have supplies. One (1) violation was cited. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. Staff/child ratios were not met on June 9, 2025, for space 10. One (1) teacher was present with eight (8) toddlers at 9:00 a.m. 10A NCAC 09 .2818 The Provisional License was observed posted. -Additional toys have been ordered according to Ms. Ramsey. -New Supply Requisition forms were implemented June 16, 2025; materials and supplies have been ordered; April, May, and June 2025 invoices were reviewed during the visit. -Corporate has implemented a new sign-in/out sheet; verified during the visit. -Phone, walkie-talkie, and Tadpoles (app) are available for staff to notify administrative staff when ratios are approaching capacity. -The Corrective Action Plan was provided during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Continue to post the staff/child ratios worksheet in each classroom (Child Care Rule 10A NCAC 09 .0713(a)(10), (c) & (f)(3); .2818(e)). -The center is following the enhanced ratios according to the child care license. Monitor each classroom to ensure that staff child ratios are in compliance. Enhanced staff/child ratios and group sizes for the number and ages of children in care must be met (Child Care Rule 10A NCAC 09 .2818). -Ms. Roop stated that corporate has implemented a new sign-in/out sheet effective June 16, 2025. -Children can be grouped together during the first part and the last part of the day. The staff/child ratio for the youngest child in the group must be maintained when children ages birth to five years are grouped together for the first and last operating hour of the day (Child Care Rule 10A NCAC 09 .2904(b)). -Infant/Toddler staff stated that they swap out dirty toys (place in dirty toy containers), and additional toys are needed, so that there an adequate amount of clean toys available for play. The center must have developmentally appropriate equipment and materials accessible daily. Extra toys were available in cabinets, and supplies such as wipes that were provided by the center were located in the supply closet; extra pampers were in the closet that parents donated. Ms. Roop stated that materials are on order, and Ms. Roop was was encouraged to provide extra toys. The center has implemented a new supply requisition sheet effective June 16, 2025. (G.S. 110-91(12); Child Care Rule 10 A NCAC 09 .0509(1)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2904 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0625-086L Visit Date: 6/17/2025 Number Present: 80 Completed Date: 6/17/2025 Age: From 0 To 5 Total Minutes: 365 Time In: 09:30 AM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on June 10, 2025, and on June 11, 2025. There are allegations of violations of child care requirements, regarding staff child ratios and supplies. I was greeted by the Director, Ms. Nicolette Roop, and I explained the purpose of the visit. I completed an indoor walkthrough of the center with Ms. Roop, and Owner, Ms. Della Ramsey. In space 1, I observed the children having supervised independent play, and in space 2 the children were preparing for a group learning activity. Space 3 was observed closed. I observed the children in space 4 handwashing and transitioning to circle time. In space 5 I observed the children preparing for circle time. I observed the children in space 6 handwashing; and the teachers assisted the children. The children in space 7 were having circle time; the teacher was reading a book to the children. Space 8 was observed closed. I observed the children in space 9 having independent play. In space 10 the children had completed an art activity (finger painting elephants). Space 11 was observed closed. In space 12 I observed three (3) sleeping infants, and I observed infant children having supervised "tummy-time." I observed the children zero (0) to twelve (12) months in space receiving individual care according to their needs, and I observed supervised "tummy-time." In each child care space I observed each child care space compliant with staff/child ratios. The staff/child ratio worksheets were posted in each classroom space; compliance was met. Based on observations made in each classroom space and attendance during today's visit, staff/child ratios were compliant. The name-to-face documents were reviewed for infant/toddler spaces. Based on review of completed name-to-face sheets for June 9, 2025, space 10 was out of ratio, therefore the allegation for staff/child ratio was confirmed. Infant/Toddler staff (classrooms for infant/toddler children) were interviewed and based on interviews with staff, some staff stated that they have enough supplies for children in classrooms that serve infant/toddlers, and a few staff reported that they do not have enough supplies. Toys were observed in each infant/toddler space; toys were observed in the dirty toy container. Diaper changing supplies were observed in hallway closet spaces. Based on space observations, it was unconfirmed that staff do not have supplies. One (1) violation was cited. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. Staff/child ratios were not met on June 9, 2025, for space 10. One (1) teacher was present with eight (8) toddlers at 9:00 a.m. 10A NCAC 09 .2818 The Provisional License was observed posted. -Additional toys have been ordered according to Ms. Ramsey. -New Supply Requisition forms were implemented June 16, 2025; materials and supplies have been ordered; April, May, and June 2025 invoices were reviewed during the visit. -Corporate has implemented a new sign-in/out sheet; verified during the visit. -Phone, walkie-talkie, and Tadpoles (app) are available for staff to notify administrative staff when ratios are approaching capacity. -The Corrective Action Plan was provided during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Continue to post the staff/child ratios worksheet in each classroom (Child Care Rule 10A NCAC 09 .0713(a)(10), (c) & (f)(3); .2818(e)). -The center is following the enhanced ratios according to the child care license. Monitor each classroom to ensure that staff child ratios are in compliance. Enhanced staff/child ratios and group sizes for the number and ages of children in care must be met (Child Care Rule 10A NCAC 09 .2818). -Ms. Roop stated that corporate has implemented a new sign-in/out sheet effective June 16, 2025. -Children can be grouped together during the first part and the last part of the day. The staff/child ratio for the youngest child in the group must be maintained when children ages birth to five years are grouped together for the first and last operating hour of the day (Child Care Rule 10A NCAC 09 .2904(b)). -Infant/Toddler staff stated that they swap out dirty toys (place in dirty toy containers), and additional toys are needed, so that there an adequate amount of clean toys available for play. The center must have developmentally appropriate equipment and materials accessible daily. Extra toys were available in cabinets, and supplies such as wipes that were provided by the center were located in the supply closet; extra pampers were in the closet that parents donated. Ms. Roop stated that materials are on order, and Ms. Roop was was encouraged to provide extra toys. The center has implemented a new supply requisition sheet effective June 16, 2025. (G.S. 110-91(12); Child Care Rule 10 A NCAC 09 .0509(1)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0625-086L Visit Date: 6/17/2025 Number Present: 80 Completed Date: 6/17/2025 Age: From 0 To 5 Total Minutes: 365 Time In: 09:30 AM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on June 10, 2025, and on June 11, 2025. There are allegations of violations of child care requirements, regarding staff child ratios and supplies. I was greeted by the Director, Ms. Nicolette Roop, and I explained the purpose of the visit. I completed an indoor walkthrough of the center with Ms. Roop, and Owner, Ms. Della Ramsey. In space 1, I observed the children having supervised independent play, and in space 2 the children were preparing for a group learning activity. Space 3 was observed closed. I observed the children in space 4 handwashing and transitioning to circle time. In space 5 I observed the children preparing for circle time. I observed the children in space 6 handwashing; and the teachers assisted the children. The children in space 7 were having circle time; the teacher was reading a book to the children. Space 8 was observed closed. I observed the children in space 9 having independent play. In space 10 the children had completed an art activity (finger painting elephants). Space 11 was observed closed. In space 12 I observed three (3) sleeping infants, and I observed infant children having supervised "tummy-time." I observed the children zero (0) to twelve (12) months in space receiving individual care according to their needs, and I observed supervised "tummy-time." In each child care space I observed each child care space compliant with staff/child ratios. The staff/child ratio worksheets were posted in each classroom space; compliance was met. Based on observations made in each classroom space and attendance during today's visit, staff/child ratios were compliant. The name-to-face documents were reviewed for infant/toddler spaces. Based on review of completed name-to-face sheets for June 9, 2025, space 10 was out of ratio, therefore the allegation for staff/child ratio was confirmed. Infant/Toddler staff (classrooms for infant/toddler children) were interviewed and based on interviews with staff, some staff stated that they have enough supplies for children in classrooms that serve infant/toddlers, and a few staff reported that they do not have enough supplies. Toys were observed in each infant/toddler space; toys were observed in the dirty toy container. Diaper changing supplies were observed in hallway closet spaces. Based on space observations, it was unconfirmed that staff do not have supplies. One (1) violation was cited. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. Staff/child ratios were not met on June 9, 2025, for space 10. One (1) teacher was present with eight (8) toddlers at 9:00 a.m. 10A NCAC 09 .2818 The Provisional License was observed posted. -Additional toys have been ordered according to Ms. Ramsey. -New Supply Requisition forms were implemented June 16, 2025; materials and supplies have been ordered; April, May, and June 2025 invoices were reviewed during the visit. -Corporate has implemented a new sign-in/out sheet; verified during the visit. -Phone, walkie-talkie, and Tadpoles (app) are available for staff to notify administrative staff when ratios are approaching capacity. -The Corrective Action Plan was provided during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Continue to post the staff/child ratios worksheet in each classroom (Child Care Rule 10A NCAC 09 .0713(a)(10), (c) & (f)(3); .2818(e)). -The center is following the enhanced ratios according to the child care license. Monitor each classroom to ensure that staff child ratios are in compliance. Enhanced staff/child ratios and group sizes for the number and ages of children in care must be met (Child Care Rule 10A NCAC 09 .2818). -Ms. Roop stated that corporate has implemented a new sign-in/out sheet effective June 16, 2025. -Children can be grouped together during the first part and the last part of the day. The staff/child ratio for the youngest child in the group must be maintained when children ages birth to five years are grouped together for the first and last operating hour of the day (Child Care Rule 10A NCAC 09 .2904(b)). -Infant/Toddler staff stated that they swap out dirty toys (place in dirty toy containers), and additional toys are needed, so that there an adequate amount of clean toys available for play. The center must have developmentally appropriate equipment and materials accessible daily. Extra toys were available in cabinets, and supplies such as wipes that were provided by the center were located in the supply closet; extra pampers were in the closet that parents donated. Ms. Roop stated that materials are on order, and Ms. Roop was was encouraged to provide extra toys. The center has implemented a new supply requisition sheet effective June 16, 2025. (G.S. 110-91(12); Child Care Rule 10 A NCAC 09 .0509(1)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0625-086L Visit Date: 6/17/2025 Number Present: 80 Completed Date: 6/17/2025 Age: From 0 To 5 Total Minutes: 365 Time In: 09:30 AM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on June 10, 2025, and on June 11, 2025. There are allegations of violations of child care requirements, regarding staff child ratios and supplies. I was greeted by the Director, Ms. Nicolette Roop, and I explained the purpose of the visit. I completed an indoor walkthrough of the center with Ms. Roop, and Owner, Ms. Della Ramsey. In space 1, I observed the children having supervised independent play, and in space 2 the children were preparing for a group learning activity. Space 3 was observed closed. I observed the children in space 4 handwashing and transitioning to circle time. In space 5 I observed the children preparing for circle time. I observed the children in space 6 handwashing; and the teachers assisted the children. The children in space 7 were having circle time; the teacher was reading a book to the children. Space 8 was observed closed. I observed the children in space 9 having independent play. In space 10 the children had completed an art activity (finger painting elephants). Space 11 was observed closed. In space 12 I observed three (3) sleeping infants, and I observed infant children having supervised "tummy-time." I observed the children zero (0) to twelve (12) months in space receiving individual care according to their needs, and I observed supervised "tummy-time." In each child care space I observed each child care space compliant with staff/child ratios. The staff/child ratio worksheets were posted in each classroom space; compliance was met. Based on observations made in each classroom space and attendance during today's visit, staff/child ratios were compliant. The name-to-face documents were reviewed for infant/toddler spaces. Based on review of completed name-to-face sheets for June 9, 2025, space 10 was out of ratio, therefore the allegation for staff/child ratio was confirmed. Infant/Toddler staff (classrooms for infant/toddler children) were interviewed and based on interviews with staff, some staff stated that they have enough supplies for children in classrooms that serve infant/toddlers, and a few staff reported that they do not have enough supplies. Toys were observed in each infant/toddler space; toys were observed in the dirty toy container. Diaper changing supplies were observed in hallway closet spaces. Based on space observations, it was unconfirmed that staff do not have supplies. One (1) violation was cited. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. Staff/child ratios were not met on June 9, 2025, for space 10. One (1) teacher was present with eight (8) toddlers at 9:00 a.m. 10A NCAC 09 .2818 The Provisional License was observed posted. -Additional toys have been ordered according to Ms. Ramsey. -New Supply Requisition forms were implemented June 16, 2025; materials and supplies have been ordered; April, May, and June 2025 invoices were reviewed during the visit. -Corporate has implemented a new sign-in/out sheet; verified during the visit. -Phone, walkie-talkie, and Tadpoles (app) are available for staff to notify administrative staff when ratios are approaching capacity. -The Corrective Action Plan was provided during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Continue to post the staff/child ratios worksheet in each classroom (Child Care Rule 10A NCAC 09 .0713(a)(10), (c) & (f)(3); .2818(e)). -The center is following the enhanced ratios according to the child care license. Monitor each classroom to ensure that staff child ratios are in compliance. Enhanced staff/child ratios and group sizes for the number and ages of children in care must be met (Child Care Rule 10A NCAC 09 .2818). -Ms. Roop stated that corporate has implemented a new sign-in/out sheet effective June 16, 2025. -Children can be grouped together during the first part and the last part of the day. The staff/child ratio for the youngest child in the group must be maintained when children ages birth to five years are grouped together for the first and last operating hour of the day (Child Care Rule 10A NCAC 09 .2904(b)). -Infant/Toddler staff stated that they swap out dirty toys (place in dirty toy containers), and additional toys are needed, so that there an adequate amount of clean toys available for play. The center must have developmentally appropriate equipment and materials accessible daily. Extra toys were available in cabinets, and supplies such as wipes that were provided by the center were located in the supply closet; extra pampers were in the closet that parents donated. Ms. Roop stated that materials are on order, and Ms. Roop was was encouraged to provide extra toys. The center has implemented a new supply requisition sheet effective June 16, 2025. (G.S. 110-91(12); Child Care Rule 10 A NCAC 09 .0509(1)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0525-114L Visit Date: 5/28/2025 Number Present: 83 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 225 Time In: 10:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to complete a complaint follow-up visit to confirm the violation corrected for the violation received during the complaint visit on May 15, 2025. I was greeted by the new Director Ms. Nicolette Roop, and Owner Ms. Della Ramsey, and I explained the purpose of the visit. A walkthrough of the facility was completed with Ms. Roop. In space 1, I observed the children preparing for outdoor play. The teachers in space 1 were observed completing the name-to-face counts, by calling each child's name, and documenting on the name-to-face document. As the children entered the outdoor play area, the teachers completed the name-to-face counts again. Compliance was met in space 1 for the name-to-face documentation and supervision. I observed the children in space 2 transitioning to a bathroom break (bathroom/handwashing) and preparing for outdoor play. The the teachers completed the name-to-face counts. Compliance was meet for the name-to-face documentation; adequate was provided. Space 3 was observed closed. In space 4, I observed the children transitioning for lunch, by cleaning up their toys. The teacher assisted the children with toy clean-up. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; adequate supervision was provided. I observed the children in space 5 transitioning to naptime. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; adequate supervision was provided. The children in space 6 was observed having independent play, while another teacher in the class was observed assisting other children with bathroom breaks. Adequate supervision was provided. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. I observed the children in space 7 transitioning to outdoor play. The teacher in space 7 was observed completing name-to-face documentation before leaving space 6, and the teacher was observed completing the name-to-face documentation once the children entered the outdoor play area. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. Space 8 was observed closed. In space 9 and in space 10 I observed the the children and teachers preparing for lunch. Adequate supervision was provided. I observed the following lunch items noted on the menu served: Cheese pizza, mixed vegetables, and milk; a violation was cited. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. Space 11 and space 12 were observed closed. I observed an Occupational Therapist, Ms. Lauren Mook, with Shine Therapy LLC, providing services in space 11. Ms. Mook has a current qualifying letter on file with the center. The teachers in space 13 were observed preparing the children for lunch. Adequate supervision was provided. Sleep charts were reviewed and compliance was met. The Safe Sleep Policy was observed posted. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. The following violation that was cited during the visit on May 15, 2025, was observed compliant: Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in space 6 on May 9, 2025. During the visit on May 28, 2025, children were observed receiving adequate supervision. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; Attendance documentation was observed completed. One (1) violation was cited. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The items listed on the menu and the lunch items served did not include a fruit. Items served: Cheese pizza, mixed vegetables, and milk. 10A NCAC 09 .0901(a) -The April 30, 2025 Administrative Action (Provisional License) was observed posted. -The facility provided a compliance letter on May 27, 2025, for the violation received during a complaint/unannounced visit on May 15, 2025. -A Preservice Administrator document was provided to the new director during the visit to complete and return to consultant; the document was provided during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 11, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Meals/snacks must comply with the Meal Patterns for Children in Child Care Programs. A fruit component was missing from the items noted on the menu and the items served during lunch on May 28, 2025, (Child Care Rule 10A NCAC 09 .0901(a)). -Children must be adequately supervised at all times (Child Care Rule 10A NCAC 09 .1801(a)(1-5)). -Ms. Roop is a new administrator (director) at the center, and Ms. Roop stated that she is in the process of adding staff to ABCMS; she has completed the ABCMS training. -In space 13, I observed strawberries (a healthy food item) that were labeled in the refrigerator. The strawberries belonged to staff in space 13, and the staff member was not observed eating the strawberries in front of children. Staff was reminded to 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 (Child Care Rule 10A NCAC 09 .0901(i)). -Caregivers must continue to document compliance with visually checking on sleeping infants aged twelve (12) months or younger and/maintain documentation for a minimum of one (1) month (Child Care Rule 10A NCAC 09 .0606(g)). -Continue to document screen time for children. When children three (3) years and older are in care, screen time used to stimulate a developmental domain, must be limited to thirty (30) minutes a day and no more than a total of two (2) and a half (1/2) hours per week, per child; must be documented on a cumulative log and the activity plan that must be available for review (Child Care Rule 10A NCAC 09 .0510(d)(2)(A-C)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0525-114L Visit Date: 5/28/2025 Number Present: 83 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 225 Time In: 10:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to complete a complaint follow-up visit to confirm the violation corrected for the violation received during the complaint visit on May 15, 2025. I was greeted by the new Director Ms. Nicolette Roop, and Owner Ms. Della Ramsey, and I explained the purpose of the visit. A walkthrough of the facility was completed with Ms. Roop. In space 1, I observed the children preparing for outdoor play. The teachers in space 1 were observed completing the name-to-face counts, by calling each child's name, and documenting on the name-to-face document. As the children entered the outdoor play area, the teachers completed the name-to-face counts again. Compliance was met in space 1 for the name-to-face documentation and supervision. I observed the children in space 2 transitioning to a bathroom break (bathroom/handwashing) and preparing for outdoor play. The the teachers completed the name-to-face counts. Compliance was meet for the name-to-face documentation; adequate was provided. Space 3 was observed closed. In space 4, I observed the children transitioning for lunch, by cleaning up their toys. The teacher assisted the children with toy clean-up. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; adequate supervision was provided. I observed the children in space 5 transitioning to naptime. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; adequate supervision was provided. The children in space 6 was observed having independent play, while another teacher in the class was observed assisting other children with bathroom breaks. Adequate supervision was provided. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. I observed the children in space 7 transitioning to outdoor play. The teacher in space 7 was observed completing name-to-face documentation before leaving space 6, and the teacher was observed completing the name-to-face documentation once the children entered the outdoor play area. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. Space 8 was observed closed. In space 9 and in space 10 I observed the the children and teachers preparing for lunch. Adequate supervision was provided. I observed the following lunch items noted on the menu served: Cheese pizza, mixed vegetables, and milk; a violation was cited. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. Space 11 and space 12 were observed closed. I observed an Occupational Therapist, Ms. Lauren Mook, with Shine Therapy LLC, providing services in space 11. Ms. Mook has a current qualifying letter on file with the center. The teachers in space 13 were observed preparing the children for lunch. Adequate supervision was provided. Sleep charts were reviewed and compliance was met. The Safe Sleep Policy was observed posted. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. The following violation that was cited during the visit on May 15, 2025, was observed compliant: Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in space 6 on May 9, 2025. During the visit on May 28, 2025, children were observed receiving adequate supervision. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; Attendance documentation was observed completed. One (1) violation was cited. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The items listed on the menu and the lunch items served did not include a fruit. Items served: Cheese pizza, mixed vegetables, and milk. 10A NCAC 09 .0901(a) -The April 30, 2025 Administrative Action (Provisional License) was observed posted. -The facility provided a compliance letter on May 27, 2025, for the violation received during a complaint/unannounced visit on May 15, 2025. -A Preservice Administrator document was provided to the new director during the visit to complete and return to consultant; the document was provided during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 11, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Meals/snacks must comply with the Meal Patterns for Children in Child Care Programs. A fruit component was missing from the items noted on the menu and the items served during lunch on May 28, 2025, (Child Care Rule 10A NCAC 09 .0901(a)). -Children must be adequately supervised at all times (Child Care Rule 10A NCAC 09 .1801(a)(1-5)). -Ms. Roop is a new administrator (director) at the center, and Ms. Roop stated that she is in the process of adding staff to ABCMS; she has completed the ABCMS training. -In space 13, I observed strawberries (a healthy food item) that were labeled in the refrigerator. The strawberries belonged to staff in space 13, and the staff member was not observed eating the strawberries in front of children. Staff was reminded to 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 (Child Care Rule 10A NCAC 09 .0901(i)). -Caregivers must continue to document compliance with visually checking on sleeping infants aged twelve (12) months or younger and/maintain documentation for a minimum of one (1) month (Child Care Rule 10A NCAC 09 .0606(g)). -Continue to document screen time for children. When children three (3) years and older are in care, screen time used to stimulate a developmental domain, must be limited to thirty (30) minutes a day and no more than a total of two (2) and a half (1/2) hours per week, per child; must be documented on a cumulative log and the activity plan that must be available for review (Child Care Rule 10A NCAC 09 .0510(d)(2)(A-C)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0510 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0525-114L Visit Date: 5/28/2025 Number Present: 83 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 225 Time In: 10:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to complete a complaint follow-up visit to confirm the violation corrected for the violation received during the complaint visit on May 15, 2025. I was greeted by the new Director Ms. Nicolette Roop, and Owner Ms. Della Ramsey, and I explained the purpose of the visit. A walkthrough of the facility was completed with Ms. Roop. In space 1, I observed the children preparing for outdoor play. The teachers in space 1 were observed completing the name-to-face counts, by calling each child's name, and documenting on the name-to-face document. As the children entered the outdoor play area, the teachers completed the name-to-face counts again. Compliance was met in space 1 for the name-to-face documentation and supervision. I observed the children in space 2 transitioning to a bathroom break (bathroom/handwashing) and preparing for outdoor play. The the teachers completed the name-to-face counts. Compliance was meet for the name-to-face documentation; adequate was provided. Space 3 was observed closed. In space 4, I observed the children transitioning for lunch, by cleaning up their toys. The teacher assisted the children with toy clean-up. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; adequate supervision was provided. I observed the children in space 5 transitioning to naptime. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; adequate supervision was provided. The children in space 6 was observed having independent play, while another teacher in the class was observed assisting other children with bathroom breaks. Adequate supervision was provided. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. I observed the children in space 7 transitioning to outdoor play. The teacher in space 7 was observed completing name-to-face documentation before leaving space 6, and the teacher was observed completing the name-to-face documentation once the children entered the outdoor play area. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. Space 8 was observed closed. In space 9 and in space 10 I observed the the children and teachers preparing for lunch. Adequate supervision was provided. I observed the following lunch items noted on the menu served: Cheese pizza, mixed vegetables, and milk; a violation was cited. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. Space 11 and space 12 were observed closed. I observed an Occupational Therapist, Ms. Lauren Mook, with Shine Therapy LLC, providing services in space 11. Ms. Mook has a current qualifying letter on file with the center. The teachers in space 13 were observed preparing the children for lunch. Adequate supervision was provided. Sleep charts were reviewed and compliance was met. The Safe Sleep Policy was observed posted. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. The following violation that was cited during the visit on May 15, 2025, was observed compliant: Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in space 6 on May 9, 2025. During the visit on May 28, 2025, children were observed receiving adequate supervision. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; Attendance documentation was observed completed. One (1) violation was cited. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The items listed on the menu and the lunch items served did not include a fruit. Items served: Cheese pizza, mixed vegetables, and milk. 10A NCAC 09 .0901(a) -The April 30, 2025 Administrative Action (Provisional License) was observed posted. -The facility provided a compliance letter on May 27, 2025, for the violation received during a complaint/unannounced visit on May 15, 2025. -A Preservice Administrator document was provided to the new director during the visit to complete and return to consultant; the document was provided during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 11, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Meals/snacks must comply with the Meal Patterns for Children in Child Care Programs. A fruit component was missing from the items noted on the menu and the items served during lunch on May 28, 2025, (Child Care Rule 10A NCAC 09 .0901(a)). -Children must be adequately supervised at all times (Child Care Rule 10A NCAC 09 .1801(a)(1-5)). -Ms. Roop is a new administrator (director) at the center, and Ms. Roop stated that she is in the process of adding staff to ABCMS; she has completed the ABCMS training. -In space 13, I observed strawberries (a healthy food item) that were labeled in the refrigerator. The strawberries belonged to staff in space 13, and the staff member was not observed eating the strawberries in front of children. Staff was reminded to 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 (Child Care Rule 10A NCAC 09 .0901(i)). -Caregivers must continue to document compliance with visually checking on sleeping infants aged twelve (12) months or younger and/maintain documentation for a minimum of one (1) month (Child Care Rule 10A NCAC 09 .0606(g)). -Continue to document screen time for children. When children three (3) years and older are in care, screen time used to stimulate a developmental domain, must be limited to thirty (30) minutes a day and no more than a total of two (2) and a half (1/2) hours per week, per child; must be documented on a cumulative log and the activity plan that must be available for review (Child Care Rule 10A NCAC 09 .0510(d)(2)(A-C)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0525-114L Visit Date: 5/28/2025 Number Present: 83 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 225 Time In: 10:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to complete a complaint follow-up visit to confirm the violation corrected for the violation received during the complaint visit on May 15, 2025. I was greeted by the new Director Ms. Nicolette Roop, and Owner Ms. Della Ramsey, and I explained the purpose of the visit. A walkthrough of the facility was completed with Ms. Roop. In space 1, I observed the children preparing for outdoor play. The teachers in space 1 were observed completing the name-to-face counts, by calling each child's name, and documenting on the name-to-face document. As the children entered the outdoor play area, the teachers completed the name-to-face counts again. Compliance was met in space 1 for the name-to-face documentation and supervision. I observed the children in space 2 transitioning to a bathroom break (bathroom/handwashing) and preparing for outdoor play. The the teachers completed the name-to-face counts. Compliance was meet for the name-to-face documentation; adequate was provided. Space 3 was observed closed. In space 4, I observed the children transitioning for lunch, by cleaning up their toys. The teacher assisted the children with toy clean-up. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; adequate supervision was provided. I observed the children in space 5 transitioning to naptime. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; adequate supervision was provided. The children in space 6 was observed having independent play, while another teacher in the class was observed assisting other children with bathroom breaks. Adequate supervision was provided. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. I observed the children in space 7 transitioning to outdoor play. The teacher in space 7 was observed completing name-to-face documentation before leaving space 6, and the teacher was observed completing the name-to-face documentation once the children entered the outdoor play area. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. Space 8 was observed closed. In space 9 and in space 10 I observed the the children and teachers preparing for lunch. Adequate supervision was provided. I observed the following lunch items noted on the menu served: Cheese pizza, mixed vegetables, and milk; a violation was cited. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. Space 11 and space 12 were observed closed. I observed an Occupational Therapist, Ms. Lauren Mook, with Shine Therapy LLC, providing services in space 11. Ms. Mook has a current qualifying letter on file with the center. The teachers in space 13 were observed preparing the children for lunch. Adequate supervision was provided. Sleep charts were reviewed and compliance was met. The Safe Sleep Policy was observed posted. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. The following violation that was cited during the visit on May 15, 2025, was observed compliant: Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in space 6 on May 9, 2025. During the visit on May 28, 2025, children were observed receiving adequate supervision. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; Attendance documentation was observed completed. One (1) violation was cited. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The items listed on the menu and the lunch items served did not include a fruit. Items served: Cheese pizza, mixed vegetables, and milk. 10A NCAC 09 .0901(a) -The April 30, 2025 Administrative Action (Provisional License) was observed posted. -The facility provided a compliance letter on May 27, 2025, for the violation received during a complaint/unannounced visit on May 15, 2025. -A Preservice Administrator document was provided to the new director during the visit to complete and return to consultant; the document was provided during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 11, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Meals/snacks must comply with the Meal Patterns for Children in Child Care Programs. A fruit component was missing from the items noted on the menu and the items served during lunch on May 28, 2025, (Child Care Rule 10A NCAC 09 .0901(a)). -Children must be adequately supervised at all times (Child Care Rule 10A NCAC 09 .1801(a)(1-5)). -Ms. Roop is a new administrator (director) at the center, and Ms. Roop stated that she is in the process of adding staff to ABCMS; she has completed the ABCMS training. -In space 13, I observed strawberries (a healthy food item) that were labeled in the refrigerator. The strawberries belonged to staff in space 13, and the staff member was not observed eating the strawberries in front of children. Staff was reminded to 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 (Child Care Rule 10A NCAC 09 .0901(i)). -Caregivers must continue to document compliance with visually checking on sleeping infants aged twelve (12) months or younger and/maintain documentation for a minimum of one (1) month (Child Care Rule 10A NCAC 09 .0606(g)). -Continue to document screen time for children. When children three (3) years and older are in care, screen time used to stimulate a developmental domain, must be limited to thirty (30) minutes a day and no more than a total of two (2) and a half (1/2) hours per week, per child; must be documented on a cumulative log and the activity plan that must be available for review (Child Care Rule 10A NCAC 09 .0510(d)(2)(A-C)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0525-114L Visit Date: 5/28/2025 Number Present: 83 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 225 Time In: 10:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to complete a complaint follow-up visit to confirm the violation corrected for the violation received during the complaint visit on May 15, 2025. I was greeted by the new Director Ms. Nicolette Roop, and Owner Ms. Della Ramsey, and I explained the purpose of the visit. A walkthrough of the facility was completed with Ms. Roop. In space 1, I observed the children preparing for outdoor play. The teachers in space 1 were observed completing the name-to-face counts, by calling each child's name, and documenting on the name-to-face document. As the children entered the outdoor play area, the teachers completed the name-to-face counts again. Compliance was met in space 1 for the name-to-face documentation and supervision. I observed the children in space 2 transitioning to a bathroom break (bathroom/handwashing) and preparing for outdoor play. The the teachers completed the name-to-face counts. Compliance was meet for the name-to-face documentation; adequate was provided. Space 3 was observed closed. In space 4, I observed the children transitioning for lunch, by cleaning up their toys. The teacher assisted the children with toy clean-up. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; adequate supervision was provided. I observed the children in space 5 transitioning to naptime. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; adequate supervision was provided. The children in space 6 was observed having independent play, while another teacher in the class was observed assisting other children with bathroom breaks. Adequate supervision was provided. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. I observed the children in space 7 transitioning to outdoor play. The teacher in space 7 was observed completing name-to-face documentation before leaving space 6, and the teacher was observed completing the name-to-face documentation once the children entered the outdoor play area. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. Space 8 was observed closed. In space 9 and in space 10 I observed the the children and teachers preparing for lunch. Adequate supervision was provided. I observed the following lunch items noted on the menu served: Cheese pizza, mixed vegetables, and milk; a violation was cited. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. Space 11 and space 12 were observed closed. I observed an Occupational Therapist, Ms. Lauren Mook, with Shine Therapy LLC, providing services in space 11. Ms. Mook has a current qualifying letter on file with the center. The teachers in space 13 were observed preparing the children for lunch. Adequate supervision was provided. Sleep charts were reviewed and compliance was met. The Safe Sleep Policy was observed posted. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. The following violation that was cited during the visit on May 15, 2025, was observed compliant: Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in space 6 on May 9, 2025. During the visit on May 28, 2025, children were observed receiving adequate supervision. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; Attendance documentation was observed completed. One (1) violation was cited. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The items listed on the menu and the lunch items served did not include a fruit. Items served: Cheese pizza, mixed vegetables, and milk. 10A NCAC 09 .0901(a) -The April 30, 2025 Administrative Action (Provisional License) was observed posted. -The facility provided a compliance letter on May 27, 2025, for the violation received during a complaint/unannounced visit on May 15, 2025. -A Preservice Administrator document was provided to the new director during the visit to complete and return to consultant; the document was provided during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 11, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Meals/snacks must comply with the Meal Patterns for Children in Child Care Programs. A fruit component was missing from the items noted on the menu and the items served during lunch on May 28, 2025, (Child Care Rule 10A NCAC 09 .0901(a)). -Children must be adequately supervised at all times (Child Care Rule 10A NCAC 09 .1801(a)(1-5)). -Ms. Roop is a new administrator (director) at the center, and Ms. Roop stated that she is in the process of adding staff to ABCMS; she has completed the ABCMS training. -In space 13, I observed strawberries (a healthy food item) that were labeled in the refrigerator. The strawberries belonged to staff in space 13, and the staff member was not observed eating the strawberries in front of children. Staff was reminded to 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 (Child Care Rule 10A NCAC 09 .0901(i)). -Caregivers must continue to document compliance with visually checking on sleeping infants aged twelve (12) months or younger and/maintain documentation for a minimum of one (1) month (Child Care Rule 10A NCAC 09 .0606(g)). -Continue to document screen time for children. When children three (3) years and older are in care, screen time used to stimulate a developmental domain, must be limited to thirty (30) minutes a day and no more than a total of two (2) and a half (1/2) hours per week, per child; must be documented on a cumulative log and the activity plan that must be available for review (Child Care Rule 10A NCAC 09 .0510(d)(2)(A-C)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0525-114L Visit Date: 5/28/2025 Number Present: 83 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 225 Time In: 10:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to complete a complaint follow-up visit to confirm the violation corrected for the violation received during the complaint visit on May 15, 2025. I was greeted by the new Director Ms. Nicolette Roop, and Owner Ms. Della Ramsey, and I explained the purpose of the visit. A walkthrough of the facility was completed with Ms. Roop. In space 1, I observed the children preparing for outdoor play. The teachers in space 1 were observed completing the name-to-face counts, by calling each child's name, and documenting on the name-to-face document. As the children entered the outdoor play area, the teachers completed the name-to-face counts again. Compliance was met in space 1 for the name-to-face documentation and supervision. I observed the children in space 2 transitioning to a bathroom break (bathroom/handwashing) and preparing for outdoor play. The the teachers completed the name-to-face counts. Compliance was meet for the name-to-face documentation; adequate was provided. Space 3 was observed closed. In space 4, I observed the children transitioning for lunch, by cleaning up their toys. The teacher assisted the children with toy clean-up. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; adequate supervision was provided. I observed the children in space 5 transitioning to naptime. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; adequate supervision was provided. The children in space 6 was observed having independent play, while another teacher in the class was observed assisting other children with bathroom breaks. Adequate supervision was provided. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. I observed the children in space 7 transitioning to outdoor play. The teacher in space 7 was observed completing name-to-face documentation before leaving space 6, and the teacher was observed completing the name-to-face documentation once the children entered the outdoor play area. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. Space 8 was observed closed. In space 9 and in space 10 I observed the the children and teachers preparing for lunch. Adequate supervision was provided. I observed the following lunch items noted on the menu served: Cheese pizza, mixed vegetables, and milk; a violation was cited. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. Space 11 and space 12 were observed closed. I observed an Occupational Therapist, Ms. Lauren Mook, with Shine Therapy LLC, providing services in space 11. Ms. Mook has a current qualifying letter on file with the center. The teachers in space 13 were observed preparing the children for lunch. Adequate supervision was provided. Sleep charts were reviewed and compliance was met. The Safe Sleep Policy was observed posted. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation. The following violation that was cited during the visit on May 15, 2025, was observed compliant: Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in space 6 on May 9, 2025. During the visit on May 28, 2025, children were observed receiving adequate supervision. Name-to-face documentation was reviewed, and compliance was met for name-to-face documentation; Attendance documentation was observed completed. One (1) violation was cited. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The items listed on the menu and the lunch items served did not include a fruit. Items served: Cheese pizza, mixed vegetables, and milk. 10A NCAC 09 .0901(a) -The April 30, 2025 Administrative Action (Provisional License) was observed posted. -The facility provided a compliance letter on May 27, 2025, for the violation received during a complaint/unannounced visit on May 15, 2025. -A Preservice Administrator document was provided to the new director during the visit to complete and return to consultant; the document was provided during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 11, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Meals/snacks must comply with the Meal Patterns for Children in Child Care Programs. A fruit component was missing from the items noted on the menu and the items served during lunch on May 28, 2025, (Child Care Rule 10A NCAC 09 .0901(a)). -Children must be adequately supervised at all times (Child Care Rule 10A NCAC 09 .1801(a)(1-5)). -Ms. Roop is a new administrator (director) at the center, and Ms. Roop stated that she is in the process of adding staff to ABCMS; she has completed the ABCMS training. -In space 13, I observed strawberries (a healthy food item) that were labeled in the refrigerator. The strawberries belonged to staff in space 13, and the staff member was not observed eating the strawberries in front of children. Staff was reminded to 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 (Child Care Rule 10A NCAC 09 .0901(i)). -Caregivers must continue to document compliance with visually checking on sleeping infants aged twelve (12) months or younger and/maintain documentation for a minimum of one (1) month (Child Care Rule 10A NCAC 09 .0606(g)). -Continue to document screen time for children. When children three (3) years and older are in care, screen time used to stimulate a developmental domain, must be limited to thirty (30) minutes a day and no more than a total of two (2) and a half (1/2) hours per week, per child; must be documented on a cumulative log and the activity plan that must be available for review (Child Care Rule 10A NCAC 09 .0510(d)(2)(A-C)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0525-114L Visit Date: 5/15/2025 Number Present: 74 Completed Date: 5/15/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 08:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on May 9, 2025. There are allegations of violations of child care requirements. I was greeted by the Owner Ms. Della Ramsey, and the Director Ms. Mecca Williams, and I explained the purpose of the visit. I completed an indoor/outdoor walkthrough of the center with Ms. Williams. In space 1, I observed children in the outdoor play area preparing/practicing for graduation; adequate supervision was provided. I observed completed documentation for name-to-face completed on the classroom clipboard roster (paper), and I observed documentation on the tablet of name-to-face documentation. Documentation is completed every hour for name-to-face. The children in space 2 were observed participating in music and movement, and adequate supervision was provided. Space 3 was observed closed. The children in space 4 were completing an area activity, and the children in space 5 were preparing for outdoor play; adequate supervision was provided. In space 6, space 7, and space 9 I observed the children having supervised independent play, and adequate supervision was provided. Space 8 was observed closed for the day; children in space 8 and the children in space 9 were combined in space 9 for the day. The children having supervised independent play. I observed the children in space 10 having supervised independent play, and the children were adequately supervised. Space 11 was observed closed. The children in space 12 were observed having supervised independent play. A parent was observed dropping off their child for the day; adequate supervision was provided. Space 13 was observed closed for the day. The administrative staff (owner and director) were interviewed. According to staff, a two (2) year-old in space 6 was left alone on May 9, 2025, for approximately twelve (12) minutes. The children in space 6 were leaving the classroom for outdoor play. The teacher in space 6 completed the name-to-face, and a child was left behind in the classroom. The assistant director and the teacher in space 6 discovered the child left alone. An incident report was completed, and the parent was notified. The incident report and the incident log were reviewed during today's visit, and compliance was met. A teacher from space 7 was interviewed that was present in the outdoor play area on the day of the incident. The teacher stated that she observed a teacher from space 6 take two (2) children inside to use the bathroom from the outdoor play area. One (1) child was from space 6, and the other child was from space 7. When the teacher from space 6 returned to the outdoor play area, the teacher from space 6 stated to the teacher from space 7, that a child from space 6 was left inside. Video surveillance was reviewed from May 9, 2025. It was observed that six (6) children were in line to go outside for outdoor play. The teacher appeared to have completed name-to-face, as each child went out of the classroom for outdoor play. As the two (2) year-old that was left alone was getting ready to enter the outdoor play area, the door closed and the child was left inside alone. The child was observed in the classroom alone, and the child attempted to open the door. When the child could not open the door, the child sat in the corner alone; the child was not crying. The child was left alone for approximately twelve (12) minutes. During the video, I observed the assistant director completing rounds in the video obtaining enrollment numbers for the class (space 6). As the assistance director walked in the classroom, the assistant director observed a child in the corner of the classroom alone. As the director was speaking to child, the teacher from space 6 walked into the classroom with two (2) other children. The teacher came back in the classroom, because two (2) children had to use the bathroom. The teacher noticed that the child was left alone and began talking to the child and asking if the child was okay. The classrooms on the playground were in compliance with ratios, and the remaining children that were outside were with staff (teacher and co-teacher) from space 7. Based on interviews with the staff and video surveillance, the allegation that there are allegations of violations of child care requirements was confirmed; a violation was cited for supervision. One (1) violation was cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in space 6 on May 9, 2025. .1801(a)(1-5) -The staff in space 6 is no longer employed at the center. The assistant director was not interviewed during the visit, due to being absent for the day. -Ms. Ramsey stated that the center is currently implementing a transition policy, and Ms. Ramsey stated that she has emailed Child Care Resources, Inc. (CCRI) for training, and she has not received a response. -The April 30, 2025 Administrative Action (Provisional License) was observed posted. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The compliance score of eighty-four (84) percent was reviewed with Ms. Ramsey and with Ms. Williams. -Children must be adequately supervised at all times (Child Care Rule 10A NCAC 09 .1801(a)(1-5)). -Continue to maintain Incident Logs. Incident logs must be completed and maintained as required (Child Care Rule 10A NCAC 09 .0802(g)(1-6)). - Continue to complete Incident Reports, and maintain the Incident Reports in children's files. Incident reports must be completed each time a child is injured, and it must include all the information required in rule: facility identifying information, child's name, date and time of the incident, witness to the incident, time the parent is notified of the incident and by whom, piece of equipment involved if applicable, cause of injury if applicable, type of injury if applicable, body part injured if applicable, where the child received medical treatment if applicable, description of how and where the incident occurred, and the First Aid received, and steps to prevent reoccurrence. The incident report must be signed by the parent and/or it must be maintained in the child's file (Child Care Rule 10A NCAC 09 .0802(e)). -Continue to follow the center's name-to-face policy. -The Corrective Action Plan for the Administrative Action that was received on May 8, 2025, by the center is due fifteen (15) days from May 8, 2025; deadline is May 23, 2025. Once the Corrective Action Plan is reviewed and confirmed correct, a visit will occur every four (4) to six (6) weeks. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0525-114L Visit Date: 5/15/2025 Number Present: 74 Completed Date: 5/15/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 08:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on May 9, 2025. There are allegations of violations of child care requirements. I was greeted by the Owner Ms. Della Ramsey, and the Director Ms. Mecca Williams, and I explained the purpose of the visit. I completed an indoor/outdoor walkthrough of the center with Ms. Williams. In space 1, I observed children in the outdoor play area preparing/practicing for graduation; adequate supervision was provided. I observed completed documentation for name-to-face completed on the classroom clipboard roster (paper), and I observed documentation on the tablet of name-to-face documentation. Documentation is completed every hour for name-to-face. The children in space 2 were observed participating in music and movement, and adequate supervision was provided. Space 3 was observed closed. The children in space 4 were completing an area activity, and the children in space 5 were preparing for outdoor play; adequate supervision was provided. In space 6, space 7, and space 9 I observed the children having supervised independent play, and adequate supervision was provided. Space 8 was observed closed for the day; children in space 8 and the children in space 9 were combined in space 9 for the day. The children having supervised independent play. I observed the children in space 10 having supervised independent play, and the children were adequately supervised. Space 11 was observed closed. The children in space 12 were observed having supervised independent play. A parent was observed dropping off their child for the day; adequate supervision was provided. Space 13 was observed closed for the day. The administrative staff (owner and director) were interviewed. According to staff, a two (2) year-old in space 6 was left alone on May 9, 2025, for approximately twelve (12) minutes. The children in space 6 were leaving the classroom for outdoor play. The teacher in space 6 completed the name-to-face, and a child was left behind in the classroom. The assistant director and the teacher in space 6 discovered the child left alone. An incident report was completed, and the parent was notified. The incident report and the incident log were reviewed during today's visit, and compliance was met. A teacher from space 7 was interviewed that was present in the outdoor play area on the day of the incident. The teacher stated that she observed a teacher from space 6 take two (2) children inside to use the bathroom from the outdoor play area. One (1) child was from space 6, and the other child was from space 7. When the teacher from space 6 returned to the outdoor play area, the teacher from space 6 stated to the teacher from space 7, that a child from space 6 was left inside. Video surveillance was reviewed from May 9, 2025. It was observed that six (6) children were in line to go outside for outdoor play. The teacher appeared to have completed name-to-face, as each child went out of the classroom for outdoor play. As the two (2) year-old that was left alone was getting ready to enter the outdoor play area, the door closed and the child was left inside alone. The child was observed in the classroom alone, and the child attempted to open the door. When the child could not open the door, the child sat in the corner alone; the child was not crying. The child was left alone for approximately twelve (12) minutes. During the video, I observed the assistant director completing rounds in the video obtaining enrollment numbers for the class (space 6). As the assistance director walked in the classroom, the assistant director observed a child in the corner of the classroom alone. As the director was speaking to child, the teacher from space 6 walked into the classroom with two (2) other children. The teacher came back in the classroom, because two (2) children had to use the bathroom. The teacher noticed that the child was left alone and began talking to the child and asking if the child was okay. The classrooms on the playground were in compliance with ratios, and the remaining children that were outside were with staff (teacher and co-teacher) from space 7. Based on interviews with the staff and video surveillance, the allegation that there are allegations of violations of child care requirements was confirmed; a violation was cited for supervision. One (1) violation was cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in space 6 on May 9, 2025. .1801(a)(1-5) -The staff in space 6 is no longer employed at the center. The assistant director was not interviewed during the visit, due to being absent for the day. -Ms. Ramsey stated that the center is currently implementing a transition policy, and Ms. Ramsey stated that she has emailed Child Care Resources, Inc. (CCRI) for training, and she has not received a response. -The April 30, 2025 Administrative Action (Provisional License) was observed posted. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The compliance score of eighty-four (84) percent was reviewed with Ms. Ramsey and with Ms. Williams. -Children must be adequately supervised at all times (Child Care Rule 10A NCAC 09 .1801(a)(1-5)). -Continue to maintain Incident Logs. Incident logs must be completed and maintained as required (Child Care Rule 10A NCAC 09 .0802(g)(1-6)). - Continue to complete Incident Reports, and maintain the Incident Reports in children's files. Incident reports must be completed each time a child is injured, and it must include all the information required in rule: facility identifying information, child's name, date and time of the incident, witness to the incident, time the parent is notified of the incident and by whom, piece of equipment involved if applicable, cause of injury if applicable, type of injury if applicable, body part injured if applicable, where the child received medical treatment if applicable, description of how and where the incident occurred, and the First Aid received, and steps to prevent reoccurrence. The incident report must be signed by the parent and/or it must be maintained in the child's file (Child Care Rule 10A NCAC 09 .0802(e)). -Continue to follow the center's name-to-face policy. -The Corrective Action Plan for the Administrative Action that was received on May 8, 2025, by the center is due fifteen (15) days from May 8, 2025; deadline is May 23, 2025. Once the Corrective Action Plan is reviewed and confirmed correct, a visit will occur every four (4) to six (6) weeks. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0525-114L Visit Date: 5/15/2025 Number Present: 74 Completed Date: 5/15/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 08:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on May 9, 2025. There are allegations of violations of child care requirements. I was greeted by the Owner Ms. Della Ramsey, and the Director Ms. Mecca Williams, and I explained the purpose of the visit. I completed an indoor/outdoor walkthrough of the center with Ms. Williams. In space 1, I observed children in the outdoor play area preparing/practicing for graduation; adequate supervision was provided. I observed completed documentation for name-to-face completed on the classroom clipboard roster (paper), and I observed documentation on the tablet of name-to-face documentation. Documentation is completed every hour for name-to-face. The children in space 2 were observed participating in music and movement, and adequate supervision was provided. Space 3 was observed closed. The children in space 4 were completing an area activity, and the children in space 5 were preparing for outdoor play; adequate supervision was provided. In space 6, space 7, and space 9 I observed the children having supervised independent play, and adequate supervision was provided. Space 8 was observed closed for the day; children in space 8 and the children in space 9 were combined in space 9 for the day. The children having supervised independent play. I observed the children in space 10 having supervised independent play, and the children were adequately supervised. Space 11 was observed closed. The children in space 12 were observed having supervised independent play. A parent was observed dropping off their child for the day; adequate supervision was provided. Space 13 was observed closed for the day. The administrative staff (owner and director) were interviewed. According to staff, a two (2) year-old in space 6 was left alone on May 9, 2025, for approximately twelve (12) minutes. The children in space 6 were leaving the classroom for outdoor play. The teacher in space 6 completed the name-to-face, and a child was left behind in the classroom. The assistant director and the teacher in space 6 discovered the child left alone. An incident report was completed, and the parent was notified. The incident report and the incident log were reviewed during today's visit, and compliance was met. A teacher from space 7 was interviewed that was present in the outdoor play area on the day of the incident. The teacher stated that she observed a teacher from space 6 take two (2) children inside to use the bathroom from the outdoor play area. One (1) child was from space 6, and the other child was from space 7. When the teacher from space 6 returned to the outdoor play area, the teacher from space 6 stated to the teacher from space 7, that a child from space 6 was left inside. Video surveillance was reviewed from May 9, 2025. It was observed that six (6) children were in line to go outside for outdoor play. The teacher appeared to have completed name-to-face, as each child went out of the classroom for outdoor play. As the two (2) year-old that was left alone was getting ready to enter the outdoor play area, the door closed and the child was left inside alone. The child was observed in the classroom alone, and the child attempted to open the door. When the child could not open the door, the child sat in the corner alone; the child was not crying. The child was left alone for approximately twelve (12) minutes. During the video, I observed the assistant director completing rounds in the video obtaining enrollment numbers for the class (space 6). As the assistance director walked in the classroom, the assistant director observed a child in the corner of the classroom alone. As the director was speaking to child, the teacher from space 6 walked into the classroom with two (2) other children. The teacher came back in the classroom, because two (2) children had to use the bathroom. The teacher noticed that the child was left alone and began talking to the child and asking if the child was okay. The classrooms on the playground were in compliance with ratios, and the remaining children that were outside were with staff (teacher and co-teacher) from space 7. Based on interviews with the staff and video surveillance, the allegation that there are allegations of violations of child care requirements was confirmed; a violation was cited for supervision. One (1) violation was cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in space 6 on May 9, 2025. .1801(a)(1-5) -The staff in space 6 is no longer employed at the center. The assistant director was not interviewed during the visit, due to being absent for the day. -Ms. Ramsey stated that the center is currently implementing a transition policy, and Ms. Ramsey stated that she has emailed Child Care Resources, Inc. (CCRI) for training, and she has not received a response. -The April 30, 2025 Administrative Action (Provisional License) was observed posted. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The compliance score of eighty-four (84) percent was reviewed with Ms. Ramsey and with Ms. Williams. -Children must be adequately supervised at all times (Child Care Rule 10A NCAC 09 .1801(a)(1-5)). -Continue to maintain Incident Logs. Incident logs must be completed and maintained as required (Child Care Rule 10A NCAC 09 .0802(g)(1-6)). - Continue to complete Incident Reports, and maintain the Incident Reports in children's files. Incident reports must be completed each time a child is injured, and it must include all the information required in rule: facility identifying information, child's name, date and time of the incident, witness to the incident, time the parent is notified of the incident and by whom, piece of equipment involved if applicable, cause of injury if applicable, type of injury if applicable, body part injured if applicable, where the child received medical treatment if applicable, description of how and where the incident occurred, and the First Aid received, and steps to prevent reoccurrence. The incident report must be signed by the parent and/or it must be maintained in the child's file (Child Care Rule 10A NCAC 09 .0802(e)). -Continue to follow the center's name-to-face policy. -The Corrective Action Plan for the Administrative Action that was received on May 8, 2025, by the center is due fifteen (15) days from May 8, 2025; deadline is May 23, 2025. Once the Corrective Action Plan is reviewed and confirmed correct, a visit will occur every four (4) to six (6) weeks. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0525-114L Visit Date: 5/15/2025 Number Present: 74 Completed Date: 5/15/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 08:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on May 9, 2025. There are allegations of violations of child care requirements. I was greeted by the Owner Ms. Della Ramsey, and the Director Ms. Mecca Williams, and I explained the purpose of the visit. I completed an indoor/outdoor walkthrough of the center with Ms. Williams. In space 1, I observed children in the outdoor play area preparing/practicing for graduation; adequate supervision was provided. I observed completed documentation for name-to-face completed on the classroom clipboard roster (paper), and I observed documentation on the tablet of name-to-face documentation. Documentation is completed every hour for name-to-face. The children in space 2 were observed participating in music and movement, and adequate supervision was provided. Space 3 was observed closed. The children in space 4 were completing an area activity, and the children in space 5 were preparing for outdoor play; adequate supervision was provided. In space 6, space 7, and space 9 I observed the children having supervised independent play, and adequate supervision was provided. Space 8 was observed closed for the day; children in space 8 and the children in space 9 were combined in space 9 for the day. The children having supervised independent play. I observed the children in space 10 having supervised independent play, and the children were adequately supervised. Space 11 was observed closed. The children in space 12 were observed having supervised independent play. A parent was observed dropping off their child for the day; adequate supervision was provided. Space 13 was observed closed for the day. The administrative staff (owner and director) were interviewed. According to staff, a two (2) year-old in space 6 was left alone on May 9, 2025, for approximately twelve (12) minutes. The children in space 6 were leaving the classroom for outdoor play. The teacher in space 6 completed the name-to-face, and a child was left behind in the classroom. The assistant director and the teacher in space 6 discovered the child left alone. An incident report was completed, and the parent was notified. The incident report and the incident log were reviewed during today's visit, and compliance was met. A teacher from space 7 was interviewed that was present in the outdoor play area on the day of the incident. The teacher stated that she observed a teacher from space 6 take two (2) children inside to use the bathroom from the outdoor play area. One (1) child was from space 6, and the other child was from space 7. When the teacher from space 6 returned to the outdoor play area, the teacher from space 6 stated to the teacher from space 7, that a child from space 6 was left inside. Video surveillance was reviewed from May 9, 2025. It was observed that six (6) children were in line to go outside for outdoor play. The teacher appeared to have completed name-to-face, as each child went out of the classroom for outdoor play. As the two (2) year-old that was left alone was getting ready to enter the outdoor play area, the door closed and the child was left inside alone. The child was observed in the classroom alone, and the child attempted to open the door. When the child could not open the door, the child sat in the corner alone; the child was not crying. The child was left alone for approximately twelve (12) minutes. During the video, I observed the assistant director completing rounds in the video obtaining enrollment numbers for the class (space 6). As the assistance director walked in the classroom, the assistant director observed a child in the corner of the classroom alone. As the director was speaking to child, the teacher from space 6 walked into the classroom with two (2) other children. The teacher came back in the classroom, because two (2) children had to use the bathroom. The teacher noticed that the child was left alone and began talking to the child and asking if the child was okay. The classrooms on the playground were in compliance with ratios, and the remaining children that were outside were with staff (teacher and co-teacher) from space 7. Based on interviews with the staff and video surveillance, the allegation that there are allegations of violations of child care requirements was confirmed; a violation was cited for supervision. One (1) violation was cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in space 6 on May 9, 2025. .1801(a)(1-5) -The staff in space 6 is no longer employed at the center. The assistant director was not interviewed during the visit, due to being absent for the day. -Ms. Ramsey stated that the center is currently implementing a transition policy, and Ms. Ramsey stated that she has emailed Child Care Resources, Inc. (CCRI) for training, and she has not received a response. -The April 30, 2025 Administrative Action (Provisional License) was observed posted. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The compliance score of eighty-four (84) percent was reviewed with Ms. Ramsey and with Ms. Williams. -Children must be adequately supervised at all times (Child Care Rule 10A NCAC 09 .1801(a)(1-5)). -Continue to maintain Incident Logs. Incident logs must be completed and maintained as required (Child Care Rule 10A NCAC 09 .0802(g)(1-6)). - Continue to complete Incident Reports, and maintain the Incident Reports in children's files. Incident reports must be completed each time a child is injured, and it must include all the information required in rule: facility identifying information, child's name, date and time of the incident, witness to the incident, time the parent is notified of the incident and by whom, piece of equipment involved if applicable, cause of injury if applicable, type of injury if applicable, body part injured if applicable, where the child received medical treatment if applicable, description of how and where the incident occurred, and the First Aid received, and steps to prevent reoccurrence. The incident report must be signed by the parent and/or it must be maintained in the child's file (Child Care Rule 10A NCAC 09 .0802(e)). -Continue to follow the center's name-to-face policy. -The Corrective Action Plan for the Administrative Action that was received on May 8, 2025, by the center is due fifteen (15) days from May 8, 2025; deadline is May 23, 2025. Once the Corrective Action Plan is reviewed and confirmed correct, a visit will occur every four (4) to six (6) weeks. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0225-246L Visit Date: 3/7/2025 Number Present: 62 Completed Date: 3/7/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 09:05 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on February 24, 2025. The allegations is as follows: There are concerns that sanitary food service practices are not followed. Examples: A teacher picked up food with her bare hands. Children’s uneaten food was moved from one child’s plate to another to be consumed. Beverages were poured from one child’s cup to another. I was greeted by the Assistant Director, Ms. Yolonda Mitchell, and I explained the purpose of the visit. I completed a walkthrough of the center with Ms. Mitchell. According to the menu posted, the following was on the menu to be served for breakfast: Scrambled eggs, Biscuit with Jelly, and milk. I observed a meal substitution noted on the menu for lunch. I observed Biscuits with Jelly, Turkey sausage and Milk served for breakfast; a violation was cited for the menu (breakfast). In space 1, I observed children completing breakfast, and I observed the children washing their hands. I observed the children preparing for circle time, and space 3 was observed closed. The children in space 4 was observed preparing for circle time, and in space 5 I observed the teacher eating breakfast with the children. I observed the children in space 6 transitioning from breakfast to independent play, and I observed children washing their hands. In the hallway, I observed the Chef retrieving unused milk from classrooms to be discarded. The Chef stated that the milk is not reused for later meals, and that the milk is discarded. I observed the children in space 7 and the children in space 8 transitioning from breakfast. Staff were observed assisting children with handwashing. The children in space 7 were observed during lunch. Teachers assisted the children with handwashing. I observed a teacher safely cleaning and sanitizing the tables before the children sat at the table for lunch. The sanitizer was left on the table for the appropriate time of two (2) minutes. The teacher was observed washing their hands before gloves were applied. I observed the teachers serve items listed on the lunch menu: spaghetti with ground turkey, peas, peaches, and milk. A teacher in space 7 was observed eating with the children (modeling meal behavior). Also, a teacher was observed sitting in close proximity to the two (2) tables in the classroom, while children ate. In space 9, I observed children eating breakfast, and I observed the teacher in close proximity to the children, white the children ate breakfast. I observed in space 10, children transitioning from breakfast, and I observed staff assisting the children with handwashing. Space 11 was observed closed, and I observed children in space 12 having supervised independent play. In space 12, I observed staff attending to sleeping infants; the teacher was observed completing documentation of the Safe Sleep Logs. A Speech Therapist, Ms. Samantha Nelson, with Carolina Speech Connections worked independently with a child in space 3. A current Criminal Background Check (CBC) was on file with the center. An Occupational Therapist, Ms. Lauren Mook, with Shine Therapy worked with children from space 3, space 5, and space 7; a current (CBC) was on file with the center. An Occupational Therapist, Ms. Shannon Shulenberger, with Shine Therapy, worked independently with children from space 1, space 2, and space 6. Video Surveillance was reviewed from February 24, 2025, for space 7. I observed the teacher assisting the children with handwashing before the meal was served. I observed the teacher in close proximity to the children while the children ate. Seconds were offered to the children. As the teacher served food to the children, it was observed that the teacher wore gloves when she served food to the children. The teacher was observed pouring milk from a pitcher to the children's cups. The teacher was observed transferring food from one (1) child's plate to another another child's plate. Based on the allegation that a teacher picked up food with her bare hands was UNSUBSTANTIATED, due to the teacher observed wearing gloves. The allegation that children’s uneaten food was moved from one child’s plate to another to be consumed was SUBSTANTIATED. Two (2) violations were cited. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The substituted breakfast item of turkey sausage was not noted on the menu. 10A NCAC 09 .0901(b) 602 Portions of food once served were served again. In space 7, food was shared from one (1) child's plate to another child's plate. 15A NCAC 18A .2808(c) -The September 20, 2024, Administrative Action was observed posted. -It was observed that the food that was placed on a child's plate from another child's place, was not eaten. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Continue to provide close supervision while children eat meals. Children must be adequately supervised at all times (Child Care Rule 10A NCAC 09 .1801(a)(1-5)). -Food substitution of comparable food value must be recorded on the menu prior to the meal or snack being served (Child Care Rule 10A NCAC 09 .0901(b)). -Staff must wash hands after removing gloves (Sanitation Rule 15A NCAC 18A .2803) -Please be reminded that handwashing should occur during the following according to Sanitation Rule 15A NCAC 18A .2803 HANDWASHING: (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. -Food should be prepared and/or served using disposable gloves. Refer to Sanitation Rule .2807 FOOD PREPARATION: (c) Food shall be prepared using utensils, deli paper, or disposable gloves to prevent exposed, ready-to-eat-food from coming into direct contact with an employee's bare hands or exposed skin Food shall be prepared on food-contact surfaces that have been cleaned, rinsed, and sanitized prior to use. Food-contact surfaces and utensils that are exposed to bacterial, viral, fungal, or hazard contaminants during use shall be made clean, free from hazards, and sanitized before continued use (Sanitation Rule 15A NCAC 18A .2807). -Portions of food once served should not be served served again. Food must not be shared from one (1) child plate to another child's plate. According to Sanitation Rule 15A NCAC 18A .2808(c): (c) Food that is leftover after serving shall not be served again unless the original package is unopened and the food is not a potentially hazardous food. Foods that have been placed on the table for family style or self-serve food service are considered served (Sanitation Rule 15A NCAC 18A .2808 (c)). -Staff should continue to 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 (Child Care Rule 10A NCAC 09 .0901(j)). -The facility's compliance score of eighty-four (84) percent was reviewed with the operator. -The facility's address was verified as correct in Regulatory. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0225-246L Visit Date: 3/7/2025 Number Present: 62 Completed Date: 3/7/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 09:05 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on February 24, 2025. The allegations is as follows: There are concerns that sanitary food service practices are not followed. Examples: A teacher picked up food with her bare hands. Children’s uneaten food was moved from one child’s plate to another to be consumed. Beverages were poured from one child’s cup to another. I was greeted by the Assistant Director, Ms. Yolonda Mitchell, and I explained the purpose of the visit. I completed a walkthrough of the center with Ms. Mitchell. According to the menu posted, the following was on the menu to be served for breakfast: Scrambled eggs, Biscuit with Jelly, and milk. I observed a meal substitution noted on the menu for lunch. I observed Biscuits with Jelly, Turkey sausage and Milk served for breakfast; a violation was cited for the menu (breakfast). In space 1, I observed children completing breakfast, and I observed the children washing their hands. I observed the children preparing for circle time, and space 3 was observed closed. The children in space 4 was observed preparing for circle time, and in space 5 I observed the teacher eating breakfast with the children. I observed the children in space 6 transitioning from breakfast to independent play, and I observed children washing their hands. In the hallway, I observed the Chef retrieving unused milk from classrooms to be discarded. The Chef stated that the milk is not reused for later meals, and that the milk is discarded. I observed the children in space 7 and the children in space 8 transitioning from breakfast. Staff were observed assisting children with handwashing. The children in space 7 were observed during lunch. Teachers assisted the children with handwashing. I observed a teacher safely cleaning and sanitizing the tables before the children sat at the table for lunch. The sanitizer was left on the table for the appropriate time of two (2) minutes. The teacher was observed washing their hands before gloves were applied. I observed the teachers serve items listed on the lunch menu: spaghetti with ground turkey, peas, peaches, and milk. A teacher in space 7 was observed eating with the children (modeling meal behavior). Also, a teacher was observed sitting in close proximity to the two (2) tables in the classroom, while children ate. In space 9, I observed children eating breakfast, and I observed the teacher in close proximity to the children, white the children ate breakfast. I observed in space 10, children transitioning from breakfast, and I observed staff assisting the children with handwashing. Space 11 was observed closed, and I observed children in space 12 having supervised independent play. In space 12, I observed staff attending to sleeping infants; the teacher was observed completing documentation of the Safe Sleep Logs. A Speech Therapist, Ms. Samantha Nelson, with Carolina Speech Connections worked independently with a child in space 3. A current Criminal Background Check (CBC) was on file with the center. An Occupational Therapist, Ms. Lauren Mook, with Shine Therapy worked with children from space 3, space 5, and space 7; a current (CBC) was on file with the center. An Occupational Therapist, Ms. Shannon Shulenberger, with Shine Therapy, worked independently with children from space 1, space 2, and space 6. Video Surveillance was reviewed from February 24, 2025, for space 7. I observed the teacher assisting the children with handwashing before the meal was served. I observed the teacher in close proximity to the children while the children ate. Seconds were offered to the children. As the teacher served food to the children, it was observed that the teacher wore gloves when she served food to the children. The teacher was observed pouring milk from a pitcher to the children's cups. The teacher was observed transferring food from one (1) child's plate to another another child's plate. Based on the allegation that a teacher picked up food with her bare hands was UNSUBSTANTIATED, due to the teacher observed wearing gloves. The allegation that children’s uneaten food was moved from one child’s plate to another to be consumed was SUBSTANTIATED. Two (2) violations were cited. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The substituted breakfast item of turkey sausage was not noted on the menu. 10A NCAC 09 .0901(b) 602 Portions of food once served were served again. In space 7, food was shared from one (1) child's plate to another child's plate. 15A NCAC 18A .2808(c) -The September 20, 2024, Administrative Action was observed posted. -It was observed that the food that was placed on a child's plate from another child's place, was not eaten. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Continue to provide close supervision while children eat meals. Children must be adequately supervised at all times (Child Care Rule 10A NCAC 09 .1801(a)(1-5)). -Food substitution of comparable food value must be recorded on the menu prior to the meal or snack being served (Child Care Rule 10A NCAC 09 .0901(b)). -Staff must wash hands after removing gloves (Sanitation Rule 15A NCAC 18A .2803) -Please be reminded that handwashing should occur during the following according to Sanitation Rule 15A NCAC 18A .2803 HANDWASHING: (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. -Food should be prepared and/or served using disposable gloves. Refer to Sanitation Rule .2807 FOOD PREPARATION: (c) Food shall be prepared using utensils, deli paper, or disposable gloves to prevent exposed, ready-to-eat-food from coming into direct contact with an employee's bare hands or exposed skin Food shall be prepared on food-contact surfaces that have been cleaned, rinsed, and sanitized prior to use. Food-contact surfaces and utensils that are exposed to bacterial, viral, fungal, or hazard contaminants during use shall be made clean, free from hazards, and sanitized before continued use (Sanitation Rule 15A NCAC 18A .2807). -Portions of food once served should not be served served again. Food must not be shared from one (1) child plate to another child's plate. According to Sanitation Rule 15A NCAC 18A .2808(c): (c) Food that is leftover after serving shall not be served again unless the original package is unopened and the food is not a potentially hazardous food. Foods that have been placed on the table for family style or self-serve food service are considered served (Sanitation Rule 15A NCAC 18A .2808 (c)). -Staff should continue to 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 (Child Care Rule 10A NCAC 09 .0901(j)). -The facility's compliance score of eighty-four (84) percent was reviewed with the operator. -The facility's address was verified as correct in Regulatory. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0225-246L Visit Date: 3/7/2025 Number Present: 62 Completed Date: 3/7/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 09:05 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on February 24, 2025. The allegations is as follows: There are concerns that sanitary food service practices are not followed. Examples: A teacher picked up food with her bare hands. Children’s uneaten food was moved from one child’s plate to another to be consumed. Beverages were poured from one child’s cup to another. I was greeted by the Assistant Director, Ms. Yolonda Mitchell, and I explained the purpose of the visit. I completed a walkthrough of the center with Ms. Mitchell. According to the menu posted, the following was on the menu to be served for breakfast: Scrambled eggs, Biscuit with Jelly, and milk. I observed a meal substitution noted on the menu for lunch. I observed Biscuits with Jelly, Turkey sausage and Milk served for breakfast; a violation was cited for the menu (breakfast). In space 1, I observed children completing breakfast, and I observed the children washing their hands. I observed the children preparing for circle time, and space 3 was observed closed. The children in space 4 was observed preparing for circle time, and in space 5 I observed the teacher eating breakfast with the children. I observed the children in space 6 transitioning from breakfast to independent play, and I observed children washing their hands. In the hallway, I observed the Chef retrieving unused milk from classrooms to be discarded. The Chef stated that the milk is not reused for later meals, and that the milk is discarded. I observed the children in space 7 and the children in space 8 transitioning from breakfast. Staff were observed assisting children with handwashing. The children in space 7 were observed during lunch. Teachers assisted the children with handwashing. I observed a teacher safely cleaning and sanitizing the tables before the children sat at the table for lunch. The sanitizer was left on the table for the appropriate time of two (2) minutes. The teacher was observed washing their hands before gloves were applied. I observed the teachers serve items listed on the lunch menu: spaghetti with ground turkey, peas, peaches, and milk. A teacher in space 7 was observed eating with the children (modeling meal behavior). Also, a teacher was observed sitting in close proximity to the two (2) tables in the classroom, while children ate. In space 9, I observed children eating breakfast, and I observed the teacher in close proximity to the children, white the children ate breakfast. I observed in space 10, children transitioning from breakfast, and I observed staff assisting the children with handwashing. Space 11 was observed closed, and I observed children in space 12 having supervised independent play. In space 12, I observed staff attending to sleeping infants; the teacher was observed completing documentation of the Safe Sleep Logs. A Speech Therapist, Ms. Samantha Nelson, with Carolina Speech Connections worked independently with a child in space 3. A current Criminal Background Check (CBC) was on file with the center. An Occupational Therapist, Ms. Lauren Mook, with Shine Therapy worked with children from space 3, space 5, and space 7; a current (CBC) was on file with the center. An Occupational Therapist, Ms. Shannon Shulenberger, with Shine Therapy, worked independently with children from space 1, space 2, and space 6. Video Surveillance was reviewed from February 24, 2025, for space 7. I observed the teacher assisting the children with handwashing before the meal was served. I observed the teacher in close proximity to the children while the children ate. Seconds were offered to the children. As the teacher served food to the children, it was observed that the teacher wore gloves when she served food to the children. The teacher was observed pouring milk from a pitcher to the children's cups. The teacher was observed transferring food from one (1) child's plate to another another child's plate. Based on the allegation that a teacher picked up food with her bare hands was UNSUBSTANTIATED, due to the teacher observed wearing gloves. The allegation that children’s uneaten food was moved from one child’s plate to another to be consumed was SUBSTANTIATED. Two (2) violations were cited. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The substituted breakfast item of turkey sausage was not noted on the menu. 10A NCAC 09 .0901(b) 602 Portions of food once served were served again. In space 7, food was shared from one (1) child's plate to another child's plate. 15A NCAC 18A .2808(c) -The September 20, 2024, Administrative Action was observed posted. -It was observed that the food that was placed on a child's plate from another child's place, was not eaten. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Continue to provide close supervision while children eat meals. Children must be adequately supervised at all times (Child Care Rule 10A NCAC 09 .1801(a)(1-5)). -Food substitution of comparable food value must be recorded on the menu prior to the meal or snack being served (Child Care Rule 10A NCAC 09 .0901(b)). -Staff must wash hands after removing gloves (Sanitation Rule 15A NCAC 18A .2803) -Please be reminded that handwashing should occur during the following according to Sanitation Rule 15A NCAC 18A .2803 HANDWASHING: (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. -Food should be prepared and/or served using disposable gloves. Refer to Sanitation Rule .2807 FOOD PREPARATION: (c) Food shall be prepared using utensils, deli paper, or disposable gloves to prevent exposed, ready-to-eat-food from coming into direct contact with an employee's bare hands or exposed skin Food shall be prepared on food-contact surfaces that have been cleaned, rinsed, and sanitized prior to use. Food-contact surfaces and utensils that are exposed to bacterial, viral, fungal, or hazard contaminants during use shall be made clean, free from hazards, and sanitized before continued use (Sanitation Rule 15A NCAC 18A .2807). -Portions of food once served should not be served served again. Food must not be shared from one (1) child plate to another child's plate. According to Sanitation Rule 15A NCAC 18A .2808(c): (c) Food that is leftover after serving shall not be served again unless the original package is unopened and the food is not a potentially hazardous food. Foods that have been placed on the table for family style or self-serve food service are considered served (Sanitation Rule 15A NCAC 18A .2808 (c)). -Staff should continue to 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 (Child Care Rule 10A NCAC 09 .0901(j)). -The facility's compliance score of eighty-four (84) percent was reviewed with the operator. -The facility's address was verified as correct in Regulatory. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0225-246L Visit Date: 3/7/2025 Number Present: 62 Completed Date: 3/7/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 09:05 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on February 24, 2025. The allegations is as follows: There are concerns that sanitary food service practices are not followed. Examples: A teacher picked up food with her bare hands. Children’s uneaten food was moved from one child’s plate to another to be consumed. Beverages were poured from one child’s cup to another. I was greeted by the Assistant Director, Ms. Yolonda Mitchell, and I explained the purpose of the visit. I completed a walkthrough of the center with Ms. Mitchell. According to the menu posted, the following was on the menu to be served for breakfast: Scrambled eggs, Biscuit with Jelly, and milk. I observed a meal substitution noted on the menu for lunch. I observed Biscuits with Jelly, Turkey sausage and Milk served for breakfast; a violation was cited for the menu (breakfast). In space 1, I observed children completing breakfast, and I observed the children washing their hands. I observed the children preparing for circle time, and space 3 was observed closed. The children in space 4 was observed preparing for circle time, and in space 5 I observed the teacher eating breakfast with the children. I observed the children in space 6 transitioning from breakfast to independent play, and I observed children washing their hands. In the hallway, I observed the Chef retrieving unused milk from classrooms to be discarded. The Chef stated that the milk is not reused for later meals, and that the milk is discarded. I observed the children in space 7 and the children in space 8 transitioning from breakfast. Staff were observed assisting children with handwashing. The children in space 7 were observed during lunch. Teachers assisted the children with handwashing. I observed a teacher safely cleaning and sanitizing the tables before the children sat at the table for lunch. The sanitizer was left on the table for the appropriate time of two (2) minutes. The teacher was observed washing their hands before gloves were applied. I observed the teachers serve items listed on the lunch menu: spaghetti with ground turkey, peas, peaches, and milk. A teacher in space 7 was observed eating with the children (modeling meal behavior). Also, a teacher was observed sitting in close proximity to the two (2) tables in the classroom, while children ate. In space 9, I observed children eating breakfast, and I observed the teacher in close proximity to the children, white the children ate breakfast. I observed in space 10, children transitioning from breakfast, and I observed staff assisting the children with handwashing. Space 11 was observed closed, and I observed children in space 12 having supervised independent play. In space 12, I observed staff attending to sleeping infants; the teacher was observed completing documentation of the Safe Sleep Logs. A Speech Therapist, Ms. Samantha Nelson, with Carolina Speech Connections worked independently with a child in space 3. A current Criminal Background Check (CBC) was on file with the center. An Occupational Therapist, Ms. Lauren Mook, with Shine Therapy worked with children from space 3, space 5, and space 7; a current (CBC) was on file with the center. An Occupational Therapist, Ms. Shannon Shulenberger, with Shine Therapy, worked independently with children from space 1, space 2, and space 6. Video Surveillance was reviewed from February 24, 2025, for space 7. I observed the teacher assisting the children with handwashing before the meal was served. I observed the teacher in close proximity to the children while the children ate. Seconds were offered to the children. As the teacher served food to the children, it was observed that the teacher wore gloves when she served food to the children. The teacher was observed pouring milk from a pitcher to the children's cups. The teacher was observed transferring food from one (1) child's plate to another another child's plate. Based on the allegation that a teacher picked up food with her bare hands was UNSUBSTANTIATED, due to the teacher observed wearing gloves. The allegation that children’s uneaten food was moved from one child’s plate to another to be consumed was SUBSTANTIATED. Two (2) violations were cited. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The substituted breakfast item of turkey sausage was not noted on the menu. 10A NCAC 09 .0901(b) 602 Portions of food once served were served again. In space 7, food was shared from one (1) child's plate to another child's plate. 15A NCAC 18A .2808(c) -The September 20, 2024, Administrative Action was observed posted. -It was observed that the food that was placed on a child's plate from another child's place, was not eaten. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance was provided: -Continue to provide close supervision while children eat meals. Children must be adequately supervised at all times (Child Care Rule 10A NCAC 09 .1801(a)(1-5)). -Food substitution of comparable food value must be recorded on the menu prior to the meal or snack being served (Child Care Rule 10A NCAC 09 .0901(b)). -Staff must wash hands after removing gloves (Sanitation Rule 15A NCAC 18A .2803) -Please be reminded that handwashing should occur during the following according to Sanitation Rule 15A NCAC 18A .2803 HANDWASHING: (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. -Food should be prepared and/or served using disposable gloves. Refer to Sanitation Rule .2807 FOOD PREPARATION: (c) Food shall be prepared using utensils, deli paper, or disposable gloves to prevent exposed, ready-to-eat-food from coming into direct contact with an employee's bare hands or exposed skin Food shall be prepared on food-contact surfaces that have been cleaned, rinsed, and sanitized prior to use. Food-contact surfaces and utensils that are exposed to bacterial, viral, fungal, or hazard contaminants during use shall be made clean, free from hazards, and sanitized before continued use (Sanitation Rule 15A NCAC 18A .2807). -Portions of food once served should not be served served again. Food must not be shared from one (1) child plate to another child's plate. According to Sanitation Rule 15A NCAC 18A .2808(c): (c) Food that is leftover after serving shall not be served again unless the original package is unopened and the food is not a potentially hazardous food. Foods that have been placed on the table for family style or self-serve food service are considered served (Sanitation Rule 15A NCAC 18A .2808 (c)). -Staff should continue to 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 (Child Care Rule 10A NCAC 09 .0901(j)). -The facility's compliance score of eighty-four (84) percent was reviewed with the operator. -The facility's address was verified as correct in Regulatory. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0713 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0225-178L Visit Date: 2/18/2025 Number Present: 83 Completed Date: 2/18/2025 Age: From 0 To 5 Total Minutes: 177 Time In: 09:23 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on February 18, 2025. The allegations is as follows: -There is a concern that appropriate ratio was not maintained. I was greeted by the Assistant Director, Ms. Yolonda Mitchell, and I explained the purpose of the visit; The Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, arrived during the visit. I completed a walkthrough of the center with the Ms. Mitchell. In space 1, I observed the children transitioning to circle time. and in space 2 the children were having circle time; going over numbers. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. Space 3 was observed closed. I observed the children in space 4 transitioning to circle time, and in space 5 the children were preparing for outdoor play. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. In space 6 and space 7, I observed the children having supervised independent play. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. I observed children in space 8, space 9, and space 10 having supervised independent play. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. Space 11 was observed closed. In space 12, I observed children cared for according to their individual needed. Supervised "tummy-time" was observed. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. I observed space 13 closed. The following violation documented during the February 11, 2025 visit was monitored for compliance during this visit: -Item #303-Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in the outdoor play area on January 30, 2025. The violation was confirmed corrected during the visit. Children were observed adequately supervised during today's visit. In each child care space the ratios were in compliance during the walkthrough of the center. The name-to-face documents were reviewed for February 18, 2025, and a violation was cited for space 11; was out of ratio according to the name-to-face documentation. Based on the allegation that ratios are not maintained was SUBSTANTIATED. One (1) violation was cited during today's visit. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. The center's license "meets enhanced ratios." The ratio was not maintained in space 11 at 8:00 a.m., according to the name-to-face policy; the ratio was 1:7 for children that were one (1) years-old; the teacher confirmed the name-to-face policy. 10A NCAC 09 .2818 -The September 20, 2024, Administrative Action was observed posted. A Staff Meeting was held February 17, 2025, and the following were included as Agenda Items: Kitchen Rules with Chef, Classroom Checklist Observations/Discussion held, Sanitation Standards, Ratios and Incident Reporting, Job Descriptions and Expectations, Clarification of Roles for Openers and Closers, Shift Transitions/Expectations, and Classroom Work Time. Nineteen (19) staff members were present for the meeting according to the meeting roster. Staff that were not in attendance for the staff meeting, will be scheduled for a one-on-one meeting with an administrator. -An Administrative Action may be issued. The following Technical Assistance (TA) was provided: -Make sure that children are adequately supervised at all times. According to administrative staff and classroom staff, the Name-to-Face Policy is still in place, and staff continue to monitor name-to-face throughout the day. Refer to Child Care Rule 10 A NCAC 09 .1803(a)(1-5). -Enhanced staff/child ratios and group sizes must be met at all times. (Child Care Rule 10A NCAC 09 .2818). -When combining age groups, the staff/child ratio for the youngest child in the group must be maintained for the entire group (Child Care Rule 10A NCAC 09 .0713(a)(1)). -The staff/child ratio for the youngest child must be maintained when children of all ages were cared for together in groups for the first and last operating hour of the day (Child Care Rule 10A NCAC 09 .0713(a) (2)). -Staff/child ratios applicable to a classroom, must be posted in each classroom (Child Care Rule 10A NCAC 09 .0713(a)(10), (c) & (f)(3); .2818(e)). The ratio worksheets were posted in each classroom. -Ms. Williams inquired about when to exclude children from care, due to illness, and the following was explained: 10A NCAC 09 .0804 INFECTIOUS AND CONTAGIOUS DISEASES (a) Centers may provide care for a mildly ill infant or child older than two months who has a Fahrenheit temperature less than 101 degrees and for infants younger than two months who have a Fahrenheit temperature of less than 100.4 by any method including axillary or orally, so long as the child does not have any of the following: (1) more than two stools above the child's normal pattern and diarrhea is not contained by a diaper or when toilet-trained children are having accidents; (2) two or more episodes of vomiting within a 12 hour period; (3) lice, until completion of first treatment; (4) scabies; (5) chicken pox or a rash suggestive of chicken pox; (6) tuberculosis, until a health professional provides a written statement that the child is not infectious; (7) strep throat, until 12 hours after antibiotic treatment has started and no fever is present; (8) pertussis, until five days after treatment has started; (9) hepatitis A virus infection, until one week after onset of illness or jaundice; (10) impetigo, until 24 hours after treatment has started; (11) a physician's or other health professional's written order that the child be separated from other children; or (12) exclusion for symptoms not included in this list shall be required if the symptoms prevent the child from participating comfortably in activities as determined by staff members of the program or the symptoms result in a need for care that is greater than the staff members can provide without compromising the health and safety of other children. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2818 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0225-178L Visit Date: 2/18/2025 Number Present: 83 Completed Date: 2/18/2025 Age: From 0 To 5 Total Minutes: 177 Time In: 09:23 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on February 18, 2025. The allegations is as follows: -There is a concern that appropriate ratio was not maintained. I was greeted by the Assistant Director, Ms. Yolonda Mitchell, and I explained the purpose of the visit; The Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, arrived during the visit. I completed a walkthrough of the center with the Ms. Mitchell. In space 1, I observed the children transitioning to circle time. and in space 2 the children were having circle time; going over numbers. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. Space 3 was observed closed. I observed the children in space 4 transitioning to circle time, and in space 5 the children were preparing for outdoor play. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. In space 6 and space 7, I observed the children having supervised independent play. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. I observed children in space 8, space 9, and space 10 having supervised independent play. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. Space 11 was observed closed. In space 12, I observed children cared for according to their individual needed. Supervised "tummy-time" was observed. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. I observed space 13 closed. The following violation documented during the February 11, 2025 visit was monitored for compliance during this visit: -Item #303-Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in the outdoor play area on January 30, 2025. The violation was confirmed corrected during the visit. Children were observed adequately supervised during today's visit. In each child care space the ratios were in compliance during the walkthrough of the center. The name-to-face documents were reviewed for February 18, 2025, and a violation was cited for space 11; was out of ratio according to the name-to-face documentation. Based on the allegation that ratios are not maintained was SUBSTANTIATED. One (1) violation was cited during today's visit. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. The center's license "meets enhanced ratios." The ratio was not maintained in space 11 at 8:00 a.m., according to the name-to-face policy; the ratio was 1:7 for children that were one (1) years-old; the teacher confirmed the name-to-face policy. 10A NCAC 09 .2818 -The September 20, 2024, Administrative Action was observed posted. A Staff Meeting was held February 17, 2025, and the following were included as Agenda Items: Kitchen Rules with Chef, Classroom Checklist Observations/Discussion held, Sanitation Standards, Ratios and Incident Reporting, Job Descriptions and Expectations, Clarification of Roles for Openers and Closers, Shift Transitions/Expectations, and Classroom Work Time. Nineteen (19) staff members were present for the meeting according to the meeting roster. Staff that were not in attendance for the staff meeting, will be scheduled for a one-on-one meeting with an administrator. -An Administrative Action may be issued. The following Technical Assistance (TA) was provided: -Make sure that children are adequately supervised at all times. According to administrative staff and classroom staff, the Name-to-Face Policy is still in place, and staff continue to monitor name-to-face throughout the day. Refer to Child Care Rule 10 A NCAC 09 .1803(a)(1-5). -Enhanced staff/child ratios and group sizes must be met at all times. (Child Care Rule 10A NCAC 09 .2818). -When combining age groups, the staff/child ratio for the youngest child in the group must be maintained for the entire group (Child Care Rule 10A NCAC 09 .0713(a)(1)). -The staff/child ratio for the youngest child must be maintained when children of all ages were cared for together in groups for the first and last operating hour of the day (Child Care Rule 10A NCAC 09 .0713(a) (2)). -Staff/child ratios applicable to a classroom, must be posted in each classroom (Child Care Rule 10A NCAC 09 .0713(a)(10), (c) & (f)(3); .2818(e)). The ratio worksheets were posted in each classroom. -Ms. Williams inquired about when to exclude children from care, due to illness, and the following was explained: 10A NCAC 09 .0804 INFECTIOUS AND CONTAGIOUS DISEASES (a) Centers may provide care for a mildly ill infant or child older than two months who has a Fahrenheit temperature less than 101 degrees and for infants younger than two months who have a Fahrenheit temperature of less than 100.4 by any method including axillary or orally, so long as the child does not have any of the following: (1) more than two stools above the child's normal pattern and diarrhea is not contained by a diaper or when toilet-trained children are having accidents; (2) two or more episodes of vomiting within a 12 hour period; (3) lice, until completion of first treatment; (4) scabies; (5) chicken pox or a rash suggestive of chicken pox; (6) tuberculosis, until a health professional provides a written statement that the child is not infectious; (7) strep throat, until 12 hours after antibiotic treatment has started and no fever is present; (8) pertussis, until five days after treatment has started; (9) hepatitis A virus infection, until one week after onset of illness or jaundice; (10) impetigo, until 24 hours after treatment has started; (11) a physician's or other health professional's written order that the child be separated from other children; or (12) exclusion for symptoms not included in this list shall be required if the symptoms prevent the child from participating comfortably in activities as determined by staff members of the program or the symptoms result in a need for care that is greater than the staff members can provide without compromising the health and safety of other children. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0713 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0225-178L Visit Date: 2/18/2025 Number Present: 83 Completed Date: 2/18/2025 Age: From 0 To 5 Total Minutes: 177 Time In: 09:23 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on February 18, 2025. The allegations is as follows: -There is a concern that appropriate ratio was not maintained. I was greeted by the Assistant Director, Ms. Yolonda Mitchell, and I explained the purpose of the visit; The Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, arrived during the visit. I completed a walkthrough of the center with the Ms. Mitchell. In space 1, I observed the children transitioning to circle time. and in space 2 the children were having circle time; going over numbers. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. Space 3 was observed closed. I observed the children in space 4 transitioning to circle time, and in space 5 the children were preparing for outdoor play. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. In space 6 and space 7, I observed the children having supervised independent play. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. I observed children in space 8, space 9, and space 10 having supervised independent play. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. Space 11 was observed closed. In space 12, I observed children cared for according to their individual needed. Supervised "tummy-time" was observed. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. I observed space 13 closed. The following violation documented during the February 11, 2025 visit was monitored for compliance during this visit: -Item #303-Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in the outdoor play area on January 30, 2025. The violation was confirmed corrected during the visit. Children were observed adequately supervised during today's visit. In each child care space the ratios were in compliance during the walkthrough of the center. The name-to-face documents were reviewed for February 18, 2025, and a violation was cited for space 11; was out of ratio according to the name-to-face documentation. Based on the allegation that ratios are not maintained was SUBSTANTIATED. One (1) violation was cited during today's visit. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. The center's license "meets enhanced ratios." The ratio was not maintained in space 11 at 8:00 a.m., according to the name-to-face policy; the ratio was 1:7 for children that were one (1) years-old; the teacher confirmed the name-to-face policy. 10A NCAC 09 .2818 -The September 20, 2024, Administrative Action was observed posted. A Staff Meeting was held February 17, 2025, and the following were included as Agenda Items: Kitchen Rules with Chef, Classroom Checklist Observations/Discussion held, Sanitation Standards, Ratios and Incident Reporting, Job Descriptions and Expectations, Clarification of Roles for Openers and Closers, Shift Transitions/Expectations, and Classroom Work Time. Nineteen (19) staff members were present for the meeting according to the meeting roster. Staff that were not in attendance for the staff meeting, will be scheduled for a one-on-one meeting with an administrator. -An Administrative Action may be issued. The following Technical Assistance (TA) was provided: -Make sure that children are adequately supervised at all times. According to administrative staff and classroom staff, the Name-to-Face Policy is still in place, and staff continue to monitor name-to-face throughout the day. Refer to Child Care Rule 10 A NCAC 09 .1803(a)(1-5). -Enhanced staff/child ratios and group sizes must be met at all times. (Child Care Rule 10A NCAC 09 .2818). -When combining age groups, the staff/child ratio for the youngest child in the group must be maintained for the entire group (Child Care Rule 10A NCAC 09 .0713(a)(1)). -The staff/child ratio for the youngest child must be maintained when children of all ages were cared for together in groups for the first and last operating hour of the day (Child Care Rule 10A NCAC 09 .0713(a) (2)). -Staff/child ratios applicable to a classroom, must be posted in each classroom (Child Care Rule 10A NCAC 09 .0713(a)(10), (c) & (f)(3); .2818(e)). The ratio worksheets were posted in each classroom. -Ms. Williams inquired about when to exclude children from care, due to illness, and the following was explained: 10A NCAC 09 .0804 INFECTIOUS AND CONTAGIOUS DISEASES (a) Centers may provide care for a mildly ill infant or child older than two months who has a Fahrenheit temperature less than 101 degrees and for infants younger than two months who have a Fahrenheit temperature of less than 100.4 by any method including axillary or orally, so long as the child does not have any of the following: (1) more than two stools above the child's normal pattern and diarrhea is not contained by a diaper or when toilet-trained children are having accidents; (2) two or more episodes of vomiting within a 12 hour period; (3) lice, until completion of first treatment; (4) scabies; (5) chicken pox or a rash suggestive of chicken pox; (6) tuberculosis, until a health professional provides a written statement that the child is not infectious; (7) strep throat, until 12 hours after antibiotic treatment has started and no fever is present; (8) pertussis, until five days after treatment has started; (9) hepatitis A virus infection, until one week after onset of illness or jaundice; (10) impetigo, until 24 hours after treatment has started; (11) a physician's or other health professional's written order that the child be separated from other children; or (12) exclusion for symptoms not included in this list shall be required if the symptoms prevent the child from participating comfortably in activities as determined by staff members of the program or the symptoms result in a need for care that is greater than the staff members can provide without compromising the health and safety of other children. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0804 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0225-178L Visit Date: 2/18/2025 Number Present: 83 Completed Date: 2/18/2025 Age: From 0 To 5 Total Minutes: 177 Time In: 09:23 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on February 18, 2025. The allegations is as follows: -There is a concern that appropriate ratio was not maintained. I was greeted by the Assistant Director, Ms. Yolonda Mitchell, and I explained the purpose of the visit; The Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, arrived during the visit. I completed a walkthrough of the center with the Ms. Mitchell. In space 1, I observed the children transitioning to circle time. and in space 2 the children were having circle time; going over numbers. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. Space 3 was observed closed. I observed the children in space 4 transitioning to circle time, and in space 5 the children were preparing for outdoor play. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. In space 6 and space 7, I observed the children having supervised independent play. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. I observed children in space 8, space 9, and space 10 having supervised independent play. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. Space 11 was observed closed. In space 12, I observed children cared for according to their individual needed. Supervised "tummy-time" was observed. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. I observed space 13 closed. The following violation documented during the February 11, 2025 visit was monitored for compliance during this visit: -Item #303-Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in the outdoor play area on January 30, 2025. The violation was confirmed corrected during the visit. Children were observed adequately supervised during today's visit. In each child care space the ratios were in compliance during the walkthrough of the center. The name-to-face documents were reviewed for February 18, 2025, and a violation was cited for space 11; was out of ratio according to the name-to-face documentation. Based on the allegation that ratios are not maintained was SUBSTANTIATED. One (1) violation was cited during today's visit. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. The center's license "meets enhanced ratios." The ratio was not maintained in space 11 at 8:00 a.m., according to the name-to-face policy; the ratio was 1:7 for children that were one (1) years-old; the teacher confirmed the name-to-face policy. 10A NCAC 09 .2818 -The September 20, 2024, Administrative Action was observed posted. A Staff Meeting was held February 17, 2025, and the following were included as Agenda Items: Kitchen Rules with Chef, Classroom Checklist Observations/Discussion held, Sanitation Standards, Ratios and Incident Reporting, Job Descriptions and Expectations, Clarification of Roles for Openers and Closers, Shift Transitions/Expectations, and Classroom Work Time. Nineteen (19) staff members were present for the meeting according to the meeting roster. Staff that were not in attendance for the staff meeting, will be scheduled for a one-on-one meeting with an administrator. -An Administrative Action may be issued. The following Technical Assistance (TA) was provided: -Make sure that children are adequately supervised at all times. According to administrative staff and classroom staff, the Name-to-Face Policy is still in place, and staff continue to monitor name-to-face throughout the day. Refer to Child Care Rule 10 A NCAC 09 .1803(a)(1-5). -Enhanced staff/child ratios and group sizes must be met at all times. (Child Care Rule 10A NCAC 09 .2818). -When combining age groups, the staff/child ratio for the youngest child in the group must be maintained for the entire group (Child Care Rule 10A NCAC 09 .0713(a)(1)). -The staff/child ratio for the youngest child must be maintained when children of all ages were cared for together in groups for the first and last operating hour of the day (Child Care Rule 10A NCAC 09 .0713(a) (2)). -Staff/child ratios applicable to a classroom, must be posted in each classroom (Child Care Rule 10A NCAC 09 .0713(a)(10), (c) & (f)(3); .2818(e)). The ratio worksheets were posted in each classroom. -Ms. Williams inquired about when to exclude children from care, due to illness, and the following was explained: 10A NCAC 09 .0804 INFECTIOUS AND CONTAGIOUS DISEASES (a) Centers may provide care for a mildly ill infant or child older than two months who has a Fahrenheit temperature less than 101 degrees and for infants younger than two months who have a Fahrenheit temperature of less than 100.4 by any method including axillary or orally, so long as the child does not have any of the following: (1) more than two stools above the child's normal pattern and diarrhea is not contained by a diaper or when toilet-trained children are having accidents; (2) two or more episodes of vomiting within a 12 hour period; (3) lice, until completion of first treatment; (4) scabies; (5) chicken pox or a rash suggestive of chicken pox; (6) tuberculosis, until a health professional provides a written statement that the child is not infectious; (7) strep throat, until 12 hours after antibiotic treatment has started and no fever is present; (8) pertussis, until five days after treatment has started; (9) hepatitis A virus infection, until one week after onset of illness or jaundice; (10) impetigo, until 24 hours after treatment has started; (11) a physician's or other health professional's written order that the child be separated from other children; or (12) exclusion for symptoms not included in this list shall be required if the symptoms prevent the child from participating comfortably in activities as determined by staff members of the program or the symptoms result in a need for care that is greater than the staff members can provide without compromising the health and safety of other children. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0225-178L Visit Date: 2/18/2025 Number Present: 83 Completed Date: 2/18/2025 Age: From 0 To 5 Total Minutes: 177 Time In: 09:23 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on February 18, 2025. The allegations is as follows: -There is a concern that appropriate ratio was not maintained. I was greeted by the Assistant Director, Ms. Yolonda Mitchell, and I explained the purpose of the visit; The Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, arrived during the visit. I completed a walkthrough of the center with the Ms. Mitchell. In space 1, I observed the children transitioning to circle time. and in space 2 the children were having circle time; going over numbers. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. Space 3 was observed closed. I observed the children in space 4 transitioning to circle time, and in space 5 the children were preparing for outdoor play. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. In space 6 and space 7, I observed the children having supervised independent play. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. I observed children in space 8, space 9, and space 10 having supervised independent play. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. Space 11 was observed closed. In space 12, I observed children cared for according to their individual needed. Supervised "tummy-time" was observed. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. I observed space 13 closed. The following violation documented during the February 11, 2025 visit was monitored for compliance during this visit: -Item #303-Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in the outdoor play area on January 30, 2025. The violation was confirmed corrected during the visit. Children were observed adequately supervised during today's visit. In each child care space the ratios were in compliance during the walkthrough of the center. The name-to-face documents were reviewed for February 18, 2025, and a violation was cited for space 11; was out of ratio according to the name-to-face documentation. Based on the allegation that ratios are not maintained was SUBSTANTIATED. One (1) violation was cited during today's visit. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. The center's license "meets enhanced ratios." The ratio was not maintained in space 11 at 8:00 a.m., according to the name-to-face policy; the ratio was 1:7 for children that were one (1) years-old; the teacher confirmed the name-to-face policy. 10A NCAC 09 .2818 -The September 20, 2024, Administrative Action was observed posted. A Staff Meeting was held February 17, 2025, and the following were included as Agenda Items: Kitchen Rules with Chef, Classroom Checklist Observations/Discussion held, Sanitation Standards, Ratios and Incident Reporting, Job Descriptions and Expectations, Clarification of Roles for Openers and Closers, Shift Transitions/Expectations, and Classroom Work Time. Nineteen (19) staff members were present for the meeting according to the meeting roster. Staff that were not in attendance for the staff meeting, will be scheduled for a one-on-one meeting with an administrator. -An Administrative Action may be issued. The following Technical Assistance (TA) was provided: -Make sure that children are adequately supervised at all times. According to administrative staff and classroom staff, the Name-to-Face Policy is still in place, and staff continue to monitor name-to-face throughout the day. Refer to Child Care Rule 10 A NCAC 09 .1803(a)(1-5). -Enhanced staff/child ratios and group sizes must be met at all times. (Child Care Rule 10A NCAC 09 .2818). -When combining age groups, the staff/child ratio for the youngest child in the group must be maintained for the entire group (Child Care Rule 10A NCAC 09 .0713(a)(1)). -The staff/child ratio for the youngest child must be maintained when children of all ages were cared for together in groups for the first and last operating hour of the day (Child Care Rule 10A NCAC 09 .0713(a) (2)). -Staff/child ratios applicable to a classroom, must be posted in each classroom (Child Care Rule 10A NCAC 09 .0713(a)(10), (c) & (f)(3); .2818(e)). The ratio worksheets were posted in each classroom. -Ms. Williams inquired about when to exclude children from care, due to illness, and the following was explained: 10A NCAC 09 .0804 INFECTIOUS AND CONTAGIOUS DISEASES (a) Centers may provide care for a mildly ill infant or child older than two months who has a Fahrenheit temperature less than 101 degrees and for infants younger than two months who have a Fahrenheit temperature of less than 100.4 by any method including axillary or orally, so long as the child does not have any of the following: (1) more than two stools above the child's normal pattern and diarrhea is not contained by a diaper or when toilet-trained children are having accidents; (2) two or more episodes of vomiting within a 12 hour period; (3) lice, until completion of first treatment; (4) scabies; (5) chicken pox or a rash suggestive of chicken pox; (6) tuberculosis, until a health professional provides a written statement that the child is not infectious; (7) strep throat, until 12 hours after antibiotic treatment has started and no fever is present; (8) pertussis, until five days after treatment has started; (9) hepatitis A virus infection, until one week after onset of illness or jaundice; (10) impetigo, until 24 hours after treatment has started; (11) a physician's or other health professional's written order that the child be separated from other children; or (12) exclusion for symptoms not included in this list shall be required if the symptoms prevent the child from participating comfortably in activities as determined by staff members of the program or the symptoms result in a need for care that is greater than the staff members can provide without compromising the health and safety of other children. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0225-018L Visit Date: 2/11/2025 Number Present: 82 Completed Date: 2/11/2025 Age: From 0 To 5 Total Minutes: 190 Time In: 08:50 AM Time Out: 12:00 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 obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on February 4, 2025. The allegations is as follows: -There is a concern that a child was not adequately supervised. I was greeted by Assistant Director, Ms. Yolonda Mitchell, and I explained the purpose of the visit. I completed a walkthrough of the center with Owner, Ms. Della Ramsey. In space 1 and space 2, I observed the children having circle time. I observed the teacher in space 2 complete the name-to-face with the children in space 2. Adequate supervision was observed. I observed an Early Interventionist, Ms. Lauren Mook, with Shine Therapy LLC, with a child from space 4. A current qualifying letter was on file with the center.. In space 4, I observed children having independent play, and adequate supervised was observed. I observed the children in space 5 having supervised outdoor play. In space 6, space 8, space 9, and space 11, I observed children have indoor independent play; adequate supervision was observed. I observed children in space 7 having circle time (reading), and in space 10 I observed the children having circle time; adequate supervision was observed. In space 12, I observed an infant having supervised "tummy-time," and I observed the teacher assisting with feeding a child; adequate supervision was provided. I observed in space 13, an infant having supervised "tummy-time," and I observed two (2) sleeping infants; adequate supervision was observed. Administrative staff were interviewed. According to staff, the teacher in space 7 immediately reported the incident after the incident occurred on January 30, 2025. There were two (2) classrooms, space 6 and space 7, on the outdoor play area at the same time. The teacher in space 7 completed a head count as the class was leaving the outdoor play area. instead of completing the name-to-face; the name-to-face was not completed. Administrative staff reviewed the video surveillance. It was one (1) teacher in space 7 on the day of the incident, and the staff/child ratio was met based on review of the classroom attendance. The video surveillance was reviewed during today's visit. I observed a child from Space 7 being left in the outdoor play area for approximately seventeen (17) minutes. It was observed that the teacher in space 7 completed a head count, and a child was not in view of the teacher. The child was beside a toy box (out of view) in the corner of the outdoor play area. A child was observed pulling on the door of space 7, and the child knocked on the window of space 6. The teacher in space 6 and space 7, were observed opening their doors to the outdoor play area. I observed the child that was left in the outdoor play area entering space 7. The child appeared not to be hurt, and the administrator stated that the weather was mild the day of the incident. Based on staff interviews and review of the video surveillance of the incident, the allegation that a child was not adequately supervised was SUBSTANTIATED. A violation was cited for supervision. The incident report and the incident log were reviewed. A violation was cited for the incident log, and a violation was cited for the incident report. Three (3) violations were cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in the outdoor play area on January 30, 2025. .1801(a)(1-5) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The time of the incident was incomplete on incident report that was completed on January 30, 2025. .0802 (e) 853 Incident logs were not completed and maintained as required. The incident log was not completed for an incident report that was completed on January 30, 2025. .0802(g)(1-6) -The staff in space in 7 is no longer employed at the center. The teacher in space 6 was not interviewed during the visit; the teacher in space 6 was not present during the visit. -The September 20, 2024, Administrative Action was observed posted. -An Administrative Action may be issued. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 25, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Children must be adequately supervised at all times (Child Care Rule 10A NCAC 09 .1801(a)(1-5)). Ms. Ramsey stated that a staff meeting is scheduled for Monday, February 17,2025; supervision will be discussed. -Incident logs must be completed and maintained as required (Child Care Rule 10A NCAC 09 .0802(g)(1-6)). -Incident reports must be completed each time a child is injured, and it must include all the information required in rule: facility identifying information, child's name, date and time of the incident, witness to the incident, time the parent is notified of the incident and by whom, piece of equipment involved if applicable, cause of injury if applicable, type of injury if applicable, body part injured if applicable, where the child received medical treatment if applicable, description of how and where the incident occurred, and the First Aid received, and steps to prevent reoccurrence. The incident report must be signed by the parent and/or it must be maintained in the child's file (Child Care Rule 10A NCAC 09 .0802(e)). Provide a copy of the updated incident report to the parent; the time of the incident was completed on the incident report. -Continue to follow the center's name-to-face policy. -The compliance history score is eighty-four (84) percent as of February 9, 2025. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1801 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0225-018L Visit Date: 2/11/2025 Number Present: 82 Completed Date: 2/11/2025 Age: From 0 To 5 Total Minutes: 190 Time In: 08:50 AM Time Out: 12:00 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 obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on February 4, 2025. The allegations is as follows: -There is a concern that a child was not adequately supervised. I was greeted by Assistant Director, Ms. Yolonda Mitchell, and I explained the purpose of the visit. I completed a walkthrough of the center with Owner, Ms. Della Ramsey. In space 1 and space 2, I observed the children having circle time. I observed the teacher in space 2 complete the name-to-face with the children in space 2. Adequate supervision was observed. I observed an Early Interventionist, Ms. Lauren Mook, with Shine Therapy LLC, with a child from space 4. A current qualifying letter was on file with the center.. In space 4, I observed children having independent play, and adequate supervised was observed. I observed the children in space 5 having supervised outdoor play. In space 6, space 8, space 9, and space 11, I observed children have indoor independent play; adequate supervision was observed. I observed children in space 7 having circle time (reading), and in space 10 I observed the children having circle time; adequate supervision was observed. In space 12, I observed an infant having supervised "tummy-time," and I observed the teacher assisting with feeding a child; adequate supervision was provided. I observed in space 13, an infant having supervised "tummy-time," and I observed two (2) sleeping infants; adequate supervision was observed. Administrative staff were interviewed. According to staff, the teacher in space 7 immediately reported the incident after the incident occurred on January 30, 2025. There were two (2) classrooms, space 6 and space 7, on the outdoor play area at the same time. The teacher in space 7 completed a head count as the class was leaving the outdoor play area. instead of completing the name-to-face; the name-to-face was not completed. Administrative staff reviewed the video surveillance. It was one (1) teacher in space 7 on the day of the incident, and the staff/child ratio was met based on review of the classroom attendance. The video surveillance was reviewed during today's visit. I observed a child from Space 7 being left in the outdoor play area for approximately seventeen (17) minutes. It was observed that the teacher in space 7 completed a head count, and a child was not in view of the teacher. The child was beside a toy box (out of view) in the corner of the outdoor play area. A child was observed pulling on the door of space 7, and the child knocked on the window of space 6. The teacher in space 6 and space 7, were observed opening their doors to the outdoor play area. I observed the child that was left in the outdoor play area entering space 7. The child appeared not to be hurt, and the administrator stated that the weather was mild the day of the incident. Based on staff interviews and review of the video surveillance of the incident, the allegation that a child was not adequately supervised was SUBSTANTIATED. A violation was cited for supervision. The incident report and the incident log were reviewed. A violation was cited for the incident log, and a violation was cited for the incident report. Three (3) violations were cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in the outdoor play area on January 30, 2025. .1801(a)(1-5) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The time of the incident was incomplete on incident report that was completed on January 30, 2025. .0802 (e) 853 Incident logs were not completed and maintained as required. The incident log was not completed for an incident report that was completed on January 30, 2025. .0802(g)(1-6) -The staff in space in 7 is no longer employed at the center. The teacher in space 6 was not interviewed during the visit; the teacher in space 6 was not present during the visit. -The September 20, 2024, Administrative Action was observed posted. -An Administrative Action may be issued. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 25, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Children must be adequately supervised at all times (Child Care Rule 10A NCAC 09 .1801(a)(1-5)). Ms. Ramsey stated that a staff meeting is scheduled for Monday, February 17,2025; supervision will be discussed. -Incident logs must be completed and maintained as required (Child Care Rule 10A NCAC 09 .0802(g)(1-6)). -Incident reports must be completed each time a child is injured, and it must include all the information required in rule: facility identifying information, child's name, date and time of the incident, witness to the incident, time the parent is notified of the incident and by whom, piece of equipment involved if applicable, cause of injury if applicable, type of injury if applicable, body part injured if applicable, where the child received medical treatment if applicable, description of how and where the incident occurred, and the First Aid received, and steps to prevent reoccurrence. The incident report must be signed by the parent and/or it must be maintained in the child's file (Child Care Rule 10A NCAC 09 .0802(e)). Provide a copy of the updated incident report to the parent; the time of the incident was completed on the incident report. -Continue to follow the center's name-to-face policy. -The compliance history score is eighty-four (84) percent as of February 9, 2025. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0225-018L Visit Date: 2/11/2025 Number Present: 82 Completed Date: 2/11/2025 Age: From 0 To 5 Total Minutes: 190 Time In: 08:50 AM Time Out: 12:00 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 obtain information regarding alleged violations of child care requirements. An allegations was made to the Division of Child Development and Early Education (DCDEE) on February 4, 2025. The allegations is as follows: -There is a concern that a child was not adequately supervised. I was greeted by Assistant Director, Ms. Yolonda Mitchell, and I explained the purpose of the visit. I completed a walkthrough of the center with Owner, Ms. Della Ramsey. In space 1 and space 2, I observed the children having circle time. I observed the teacher in space 2 complete the name-to-face with the children in space 2. Adequate supervision was observed. I observed an Early Interventionist, Ms. Lauren Mook, with Shine Therapy LLC, with a child from space 4. A current qualifying letter was on file with the center.. In space 4, I observed children having independent play, and adequate supervised was observed. I observed the children in space 5 having supervised outdoor play. In space 6, space 8, space 9, and space 11, I observed children have indoor independent play; adequate supervision was observed. I observed children in space 7 having circle time (reading), and in space 10 I observed the children having circle time; adequate supervision was observed. In space 12, I observed an infant having supervised "tummy-time," and I observed the teacher assisting with feeding a child; adequate supervision was provided. I observed in space 13, an infant having supervised "tummy-time," and I observed two (2) sleeping infants; adequate supervision was observed. Administrative staff were interviewed. According to staff, the teacher in space 7 immediately reported the incident after the incident occurred on January 30, 2025. There were two (2) classrooms, space 6 and space 7, on the outdoor play area at the same time. The teacher in space 7 completed a head count as the class was leaving the outdoor play area. instead of completing the name-to-face; the name-to-face was not completed. Administrative staff reviewed the video surveillance. It was one (1) teacher in space 7 on the day of the incident, and the staff/child ratio was met based on review of the classroom attendance. The video surveillance was reviewed during today's visit. I observed a child from Space 7 being left in the outdoor play area for approximately seventeen (17) minutes. It was observed that the teacher in space 7 completed a head count, and a child was not in view of the teacher. The child was beside a toy box (out of view) in the corner of the outdoor play area. A child was observed pulling on the door of space 7, and the child knocked on the window of space 6. The teacher in space 6 and space 7, were observed opening their doors to the outdoor play area. I observed the child that was left in the outdoor play area entering space 7. The child appeared not to be hurt, and the administrator stated that the weather was mild the day of the incident. Based on staff interviews and review of the video surveillance of the incident, the allegation that a child was not adequately supervised was SUBSTANTIATED. A violation was cited for supervision. The incident report and the incident log were reviewed. A violation was cited for the incident log, and a violation was cited for the incident report. Three (3) violations were cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A two (2) year-old child was left unsupervised in the outdoor play area on January 30, 2025. .1801(a)(1-5) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The time of the incident was incomplete on incident report that was completed on January 30, 2025. .0802 (e) 853 Incident logs were not completed and maintained as required. The incident log was not completed for an incident report that was completed on January 30, 2025. .0802(g)(1-6) -The staff in space in 7 is no longer employed at the center. The teacher in space 6 was not interviewed during the visit; the teacher in space 6 was not present during the visit. -The September 20, 2024, Administrative Action was observed posted. -An Administrative Action may be issued. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 25, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Children must be adequately supervised at all times (Child Care Rule 10A NCAC 09 .1801(a)(1-5)). Ms. Ramsey stated that a staff meeting is scheduled for Monday, February 17,2025; supervision will be discussed. -Incident logs must be completed and maintained as required (Child Care Rule 10A NCAC 09 .0802(g)(1-6)). -Incident reports must be completed each time a child is injured, and it must include all the information required in rule: facility identifying information, child's name, date and time of the incident, witness to the incident, time the parent is notified of the incident and by whom, piece of equipment involved if applicable, cause of injury if applicable, type of injury if applicable, body part injured if applicable, where the child received medical treatment if applicable, description of how and where the incident occurred, and the First Aid received, and steps to prevent reoccurrence. The incident report must be signed by the parent and/or it must be maintained in the child's file (Child Care Rule 10A NCAC 09 .0802(e)). Provide a copy of the updated incident report to the parent; the time of the incident was completed on the incident report. -Continue to follow the center's name-to-face policy. -The compliance history score is eighty-four (84) percent as of February 9, 2025. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 12/12/2024 Number Present: 68 Completed Date: 12/12/2024 Age: From 0 To 5 Total Minutes: 174 Time In: 10:51 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s annual compliance follow-up visit was to verify correction of violations documented during the November 15, 2024, annual compliance visit. A letter of compliance was previously submitted and violations remained open. Four (4) violations were not confirmed corrected. The following violations documented during the November 15, 2024 visit was monitored for compliance during this visit: -Item #106-Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. The facility does not have a current fire inspection report; a violation cited (repeat violation). -Item #1874-The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with three (3) staff prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. Two (2) staff did not have a signed acknowledgement with all the required information was not maintained in the staff person's file; one (1) staff is no longer employed with the facility. A violation was cited (repeat violation). -Item #1890- Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One (1) staff did not have medical report, and two (2) staff did not have health questionnaire forms maintained in file. The health questionnaire reports were on file for staff The medical report was not on file for the one (1) staff member; a violation cited (repeat violation). Item #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. Two (2) staff did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff have not completed the training; a violation cited (repeat violation). Four (4) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. The facility does not have a current fire inspection report. 10A NCAC 09 .0304(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) staff did not have a signed acknowledgement with all the required information was not maintained in the staff person's file; one (1) staff is no longer employed with the facility. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaire reports were on file for staff The medical report was not on file for the one (1) staff member. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff have not completed the training. .1102(g) -The copy of the closure letter that was returned to the Division by mail was provided to Mrs. Ramsey during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 28, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The compliance letter will be due December 28, 2024 instead of December 26, 2024, because the facility will be closed closed December 24th and December 25th. The following Technical Assistance (TA) was provided: -The facility's compliance history score is eighty-three (83) percent as of December 11, 2024. The facility must maintain a compliance history score of at least seventy-five percent (G.S. 110-90(4)(d)). -Staff must complete within ninety (90) days Recognizing and Responding to Child Maltreatment Training (Child Care Rule 10A NCAC 09 .1102(g). -The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one (1) week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). The fire inspector informed the consultant that there are multiple outstanding violations for this property, and the inspector have not signed their DCD-0303 form at this time; a re-inspection must will be conducted by December 19, 2024. -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -As reminder, Permission to Administer Medication forms for children with chronic medications must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i)). -Child care forms are listed on the Divisions website under "Provider Forms." The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0608 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 12/12/2024 Number Present: 68 Completed Date: 12/12/2024 Age: From 0 To 5 Total Minutes: 174 Time In: 10:51 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s annual compliance follow-up visit was to verify correction of violations documented during the November 15, 2024, annual compliance visit. A letter of compliance was previously submitted and violations remained open. Four (4) violations were not confirmed corrected. The following violations documented during the November 15, 2024 visit was monitored for compliance during this visit: -Item #106-Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. The facility does not have a current fire inspection report; a violation cited (repeat violation). -Item #1874-The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with three (3) staff prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. Two (2) staff did not have a signed acknowledgement with all the required information was not maintained in the staff person's file; one (1) staff is no longer employed with the facility. A violation was cited (repeat violation). -Item #1890- Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One (1) staff did not have medical report, and two (2) staff did not have health questionnaire forms maintained in file. The health questionnaire reports were on file for staff The medical report was not on file for the one (1) staff member; a violation cited (repeat violation). Item #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. Two (2) staff did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff have not completed the training; a violation cited (repeat violation). Four (4) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. The facility does not have a current fire inspection report. 10A NCAC 09 .0304(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) staff did not have a signed acknowledgement with all the required information was not maintained in the staff person's file; one (1) staff is no longer employed with the facility. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaire reports were on file for staff The medical report was not on file for the one (1) staff member. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff have not completed the training. .1102(g) -The copy of the closure letter that was returned to the Division by mail was provided to Mrs. Ramsey during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 28, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The compliance letter will be due December 28, 2024 instead of December 26, 2024, because the facility will be closed closed December 24th and December 25th. The following Technical Assistance (TA) was provided: -The facility's compliance history score is eighty-three (83) percent as of December 11, 2024. The facility must maintain a compliance history score of at least seventy-five percent (G.S. 110-90(4)(d)). -Staff must complete within ninety (90) days Recognizing and Responding to Child Maltreatment Training (Child Care Rule 10A NCAC 09 .1102(g). -The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one (1) week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). The fire inspector informed the consultant that there are multiple outstanding violations for this property, and the inspector have not signed their DCD-0303 form at this time; a re-inspection must will be conducted by December 19, 2024. -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -As reminder, Permission to Administer Medication forms for children with chronic medications must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i)). -Child care forms are listed on the Divisions website under "Provider Forms." The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 12/12/2024 Number Present: 68 Completed Date: 12/12/2024 Age: From 0 To 5 Total Minutes: 174 Time In: 10:51 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s annual compliance follow-up visit was to verify correction of violations documented during the November 15, 2024, annual compliance visit. A letter of compliance was previously submitted and violations remained open. Four (4) violations were not confirmed corrected. The following violations documented during the November 15, 2024 visit was monitored for compliance during this visit: -Item #106-Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. The facility does not have a current fire inspection report; a violation cited (repeat violation). -Item #1874-The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with three (3) staff prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. Two (2) staff did not have a signed acknowledgement with all the required information was not maintained in the staff person's file; one (1) staff is no longer employed with the facility. A violation was cited (repeat violation). -Item #1890- Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One (1) staff did not have medical report, and two (2) staff did not have health questionnaire forms maintained in file. The health questionnaire reports were on file for staff The medical report was not on file for the one (1) staff member; a violation cited (repeat violation). Item #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. Two (2) staff did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff have not completed the training; a violation cited (repeat violation). Four (4) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. The facility does not have a current fire inspection report. 10A NCAC 09 .0304(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) staff did not have a signed acknowledgement with all the required information was not maintained in the staff person's file; one (1) staff is no longer employed with the facility. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaire reports were on file for staff The medical report was not on file for the one (1) staff member. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff have not completed the training. .1102(g) -The copy of the closure letter that was returned to the Division by mail was provided to Mrs. Ramsey during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 28, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The compliance letter will be due December 28, 2024 instead of December 26, 2024, because the facility will be closed closed December 24th and December 25th. The following Technical Assistance (TA) was provided: -The facility's compliance history score is eighty-three (83) percent as of December 11, 2024. The facility must maintain a compliance history score of at least seventy-five percent (G.S. 110-90(4)(d)). -Staff must complete within ninety (90) days Recognizing and Responding to Child Maltreatment Training (Child Care Rule 10A NCAC 09 .1102(g). -The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one (1) week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). The fire inspector informed the consultant that there are multiple outstanding violations for this property, and the inspector have not signed their DCD-0303 form at this time; a re-inspection must will be conducted by December 19, 2024. -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -As reminder, Permission to Administer Medication forms for children with chronic medications must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i)). -Child care forms are listed on the Divisions website under "Provider Forms." The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 12/12/2024 Number Present: 68 Completed Date: 12/12/2024 Age: From 0 To 5 Total Minutes: 174 Time In: 10:51 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s annual compliance follow-up visit was to verify correction of violations documented during the November 15, 2024, annual compliance visit. A letter of compliance was previously submitted and violations remained open. Four (4) violations were not confirmed corrected. The following violations documented during the November 15, 2024 visit was monitored for compliance during this visit: -Item #106-Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. The facility does not have a current fire inspection report; a violation cited (repeat violation). -Item #1874-The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with three (3) staff prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. Two (2) staff did not have a signed acknowledgement with all the required information was not maintained in the staff person's file; one (1) staff is no longer employed with the facility. A violation was cited (repeat violation). -Item #1890- Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One (1) staff did not have medical report, and two (2) staff did not have health questionnaire forms maintained in file. The health questionnaire reports were on file for staff The medical report was not on file for the one (1) staff member; a violation cited (repeat violation). Item #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. Two (2) staff did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff have not completed the training; a violation cited (repeat violation). Four (4) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. The facility does not have a current fire inspection report. 10A NCAC 09 .0304(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) staff did not have a signed acknowledgement with all the required information was not maintained in the staff person's file; one (1) staff is no longer employed with the facility. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaire reports were on file for staff The medical report was not on file for the one (1) staff member. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff have not completed the training. .1102(g) -The copy of the closure letter that was returned to the Division by mail was provided to Mrs. Ramsey during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 28, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The compliance letter will be due December 28, 2024 instead of December 26, 2024, because the facility will be closed closed December 24th and December 25th. The following Technical Assistance (TA) was provided: -The facility's compliance history score is eighty-three (83) percent as of December 11, 2024. The facility must maintain a compliance history score of at least seventy-five percent (G.S. 110-90(4)(d)). -Staff must complete within ninety (90) days Recognizing and Responding to Child Maltreatment Training (Child Care Rule 10A NCAC 09 .1102(g). -The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one (1) week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). The fire inspector informed the consultant that there are multiple outstanding violations for this property, and the inspector have not signed their DCD-0303 form at this time; a re-inspection must will be conducted by December 19, 2024. -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -As reminder, Permission to Administer Medication forms for children with chronic medications must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i)). -Child care forms are listed on the Divisions website under "Provider Forms." The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 12/12/2024 Number Present: 68 Completed Date: 12/12/2024 Age: From 0 To 5 Total Minutes: 174 Time In: 10:51 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s annual compliance follow-up visit was to verify correction of violations documented during the November 15, 2024, annual compliance visit. A letter of compliance was previously submitted and violations remained open. Four (4) violations were not confirmed corrected. The following violations documented during the November 15, 2024 visit was monitored for compliance during this visit: -Item #106-Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. The facility does not have a current fire inspection report; a violation cited (repeat violation). -Item #1874-The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with three (3) staff prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. Two (2) staff did not have a signed acknowledgement with all the required information was not maintained in the staff person's file; one (1) staff is no longer employed with the facility. A violation was cited (repeat violation). -Item #1890- Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One (1) staff did not have medical report, and two (2) staff did not have health questionnaire forms maintained in file. The health questionnaire reports were on file for staff The medical report was not on file for the one (1) staff member; a violation cited (repeat violation). Item #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. Two (2) staff did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff have not completed the training; a violation cited (repeat violation). Four (4) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. The facility does not have a current fire inspection report. 10A NCAC 09 .0304(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) staff did not have a signed acknowledgement with all the required information was not maintained in the staff person's file; one (1) staff is no longer employed with the facility. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaire reports were on file for staff The medical report was not on file for the one (1) staff member. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff have not completed the training. .1102(g) -The copy of the closure letter that was returned to the Division by mail was provided to Mrs. Ramsey during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 28, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The compliance letter will be due December 28, 2024 instead of December 26, 2024, because the facility will be closed closed December 24th and December 25th. The following Technical Assistance (TA) was provided: -The facility's compliance history score is eighty-three (83) percent as of December 11, 2024. The facility must maintain a compliance history score of at least seventy-five percent (G.S. 110-90(4)(d)). -Staff must complete within ninety (90) days Recognizing and Responding to Child Maltreatment Training (Child Care Rule 10A NCAC 09 .1102(g). -The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one (1) week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). The fire inspector informed the consultant that there are multiple outstanding violations for this property, and the inspector have not signed their DCD-0303 form at this time; a re-inspection must will be conducted by December 19, 2024. -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -As reminder, Permission to Administer Medication forms for children with chronic medications must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i)). -Child care forms are listed on the Divisions website under "Provider Forms." The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 12/12/2024 Number Present: 68 Completed Date: 12/12/2024 Age: From 0 To 5 Total Minutes: 174 Time In: 10:51 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s annual compliance follow-up visit was to verify correction of violations documented during the November 15, 2024, annual compliance visit. A letter of compliance was previously submitted and violations remained open. Four (4) violations were not confirmed corrected. The following violations documented during the November 15, 2024 visit was monitored for compliance during this visit: -Item #106-Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. The facility does not have a current fire inspection report; a violation cited (repeat violation). -Item #1874-The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with three (3) staff prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. Two (2) staff did not have a signed acknowledgement with all the required information was not maintained in the staff person's file; one (1) staff is no longer employed with the facility. A violation was cited (repeat violation). -Item #1890- Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One (1) staff did not have medical report, and two (2) staff did not have health questionnaire forms maintained in file. The health questionnaire reports were on file for staff The medical report was not on file for the one (1) staff member; a violation cited (repeat violation). Item #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. Two (2) staff did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff have not completed the training; a violation cited (repeat violation). Four (4) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. The facility does not have a current fire inspection report. 10A NCAC 09 .0304(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) staff did not have a signed acknowledgement with all the required information was not maintained in the staff person's file; one (1) staff is no longer employed with the facility. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaire reports were on file for staff The medical report was not on file for the one (1) staff member. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff have not completed the training. .1102(g) -The copy of the closure letter that was returned to the Division by mail was provided to Mrs. Ramsey during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 28, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The compliance letter will be due December 28, 2024 instead of December 26, 2024, because the facility will be closed closed December 24th and December 25th. The following Technical Assistance (TA) was provided: -The facility's compliance history score is eighty-three (83) percent as of December 11, 2024. The facility must maintain a compliance history score of at least seventy-five percent (G.S. 110-90(4)(d)). -Staff must complete within ninety (90) days Recognizing and Responding to Child Maltreatment Training (Child Care Rule 10A NCAC 09 .1102(g). -The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one (1) week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). The fire inspector informed the consultant that there are multiple outstanding violations for this property, and the inspector have not signed their DCD-0303 form at this time; a re-inspection must will be conducted by December 19, 2024. -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -As reminder, Permission to Administer Medication forms for children with chronic medications must be completed every six (6) months (Child Care Rule 10A NCAC 09 .0803(6)(a-i)). -Child care forms are listed on the Divisions website under "Provider Forms." The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 91 Completed Date: 11/15/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:50 AM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to complete an annual compliance/unannounced visit to monitor applicable child care laws and rules. I was greeted by the Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, and I explained the purpose of the visit. I completed a walkthrough indoors and outdoors of the facility, and Ms. Williams accompanied me. The facility had a Three-Star License issued April 17, 2024. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum (Life Essentials), as required for all four and five star licensed facilities where four-year-old children are enrolled; compliance was met. The sanitation inspection was completed July 30, 2024 with an “Approved” classification and twenty-two (22) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated June 27, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of November 14, 2024. The NC Secretary of State website was reviewed on November 15, 2024, and Educare Endeavors Inc. was listed as current-active. The children in space 1 and in space 2 were observed having supervised independent play. Space 3 was not in use, and the children in space 4 were observed having circle time. The children in space 5 were observed having supervised outdoor play. I observed the children in space 6, space 8, and space 10 were observed having supervised independent play. Space 7 was closed. The children in space 9 were observed having outdoor supervised play. I observed children in space 11 having supervised independent play. In space 12 and space 13, children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Space 2 did not have paper towels, soap, and toilet paper; space 6 did not have any soap; space 8 did not have paper towels, and a violation was cited. Speech Therapist (Carolina Speech Connections) Brittani Greene and Samantha Nelson worked independently with children in space 3. Current criminal qualifying letter were current and on file. Annual Compliance Monitoring Checklist for Child Care Centers was used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: An Administrative Action, Child Care License, First Aid Poster, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster, and compliance was met. Eleven (11) children’s files were selected for review; A violation was cited for an immunization records, medical records, immunization record with thirty (30) days, medical records over 30 days, a signed Summary of NC Law. Off Premise Form, and Prevention of Shaken Baby Syndrome. Children with allergies were posted. Medications and emergency medications were reviewed. A violation was cited for a child that did not have a Medical Action Plan. Children's diapering creams, ointments, and sunscreens were monitored; a violation was cited for an expired creams, an expired emergency medications; expired creams not returned to parents. The outdoor area was monitored; the area was clean and the area did not have any hazards. The center does not provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement was posted. Fourteen (14) violations were cited violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child (W.B.) did not have a copy of the signed Summary of NC Law in the child's file. GS 110-102 607 Separate lavatories with hot and cold running water, soap, and individual sanitary towels or other approved hand-drying devices were not available for staff in food preparation areas or diaper changing areas. Soap, paper towels, and toilet paper were not available in space 2; soap was not available in space 6; paper towels were not available in space 8. 15A NCAC 18A .2818(b) & (d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Five (5) leftover creams were not returned to parents after the course of treatment in space 8. An emergency medication was expired in space 11 for child (B.N.). .0803(12) 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. A medical assessment and immunization record was not on file for (M.N.), (W.B.) and (K.C.) GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical or health assessment was not on file within thirty (30) days after admission for (M.N.), (W.B.) and (K.C). GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A child (W.B.) did not have a written permission statement for up to twelve months for participation for off premise activities. .1005(b)(4) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child (R.G.), (M.N.), (W.B.) and (K.C.) did not have an immunization record on file within 30 days. 10A NCAC 09 .0302(d)(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. A child (B.N.) in space 11 did not have a medical action plan. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with (K.M.), (M.M.) and (C.T.) prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization expired for a child in space 11 (B.N) and a child (E.M.) did not have a standing medication authorization for up to six months to administer medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff (C.T.) did not have medical report, (J.G.) and (J.D.) did not have health questionnaire maintained in file .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.L.) and (T.M). did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (W.B.) did not have a have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. .0608(b)(1-6) -A visit will be conducted within five (5) days to review staff files; files were not reviewed during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -Ms. Ramsey stated that she contacted the Fire Inspector's Office on June 4, 2024, to schedule a fire inspection, and she was informed that it was not necessary to schedule the inspection; and the fire inspector will come by the center when due. Ms. Ramsey provided a copy of the email. The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -A summary of the NC Child Care Law must be given to parents of every child enrolled in the center (G.S. 110-102. -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child (Child Care Rule 10A NCAC .0302(d)(2); .0304(g); G.S. 110-91(1)). -Medical exam or health assessment records must be on file before or within 30 days after admission (G.S. 110-91(1)). -A written statement from each child's parent giving standing permission which may be valid for up to twelve (12) months for participation in off premise activities that occur on a regular basis must be available in the child's file if the child is taken off premise (Child Care Rule 10A NCAC .1005(b)(4). -Each child must have immunization record on file before or within 30 days after admission (G.S. 110-91(1); Child Care Rule 10A NCAC 09 .0302(d)(2)). -Children's files must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information (Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services must have a medical action plan (Child Care Rule 10A NCAC .0801(b)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization expires and/or medication must be discarded within 72 hours of completion of treatment or withdrawal of authorization; return expired medication including creams/ointments to parents(Child Care Rule 10A NCAC 09 .0803(12). -Permission to Administer Medication for chronic medication is valid up to six (6) months. The forms must be completed every six (6) months and must contain the required information: child's name. medical condition, name of the authorized medication, criteria for the administration of the medication; the amount and frequency, manner in which the medication is administered, the signature of the parent, date the authorization was signed and the length of authorization. (Child Care Rule 10A NCAC 09 .0803 (6)) -Initially place infants ages twelve months or younger on their backs for sleep and document on the safe sleep log that the infant was placed on their back to sleep (Child Care Rule 10A NCAC 09 .0606(a)(1)). -Staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -Each staff member must have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file (Child Care Rule 10A NCAC 09 .0701(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 91 Completed Date: 11/15/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:50 AM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to complete an annual compliance/unannounced visit to monitor applicable child care laws and rules. I was greeted by the Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, and I explained the purpose of the visit. I completed a walkthrough indoors and outdoors of the facility, and Ms. Williams accompanied me. The facility had a Three-Star License issued April 17, 2024. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum (Life Essentials), as required for all four and five star licensed facilities where four-year-old children are enrolled; compliance was met. The sanitation inspection was completed July 30, 2024 with an “Approved” classification and twenty-two (22) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated June 27, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of November 14, 2024. The NC Secretary of State website was reviewed on November 15, 2024, and Educare Endeavors Inc. was listed as current-active. The children in space 1 and in space 2 were observed having supervised independent play. Space 3 was not in use, and the children in space 4 were observed having circle time. The children in space 5 were observed having supervised outdoor play. I observed the children in space 6, space 8, and space 10 were observed having supervised independent play. Space 7 was closed. The children in space 9 were observed having outdoor supervised play. I observed children in space 11 having supervised independent play. In space 12 and space 13, children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Space 2 did not have paper towels, soap, and toilet paper; space 6 did not have any soap; space 8 did not have paper towels, and a violation was cited. Speech Therapist (Carolina Speech Connections) Brittani Greene and Samantha Nelson worked independently with children in space 3. Current criminal qualifying letter were current and on file. Annual Compliance Monitoring Checklist for Child Care Centers was used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: An Administrative Action, Child Care License, First Aid Poster, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster, and compliance was met. Eleven (11) children’s files were selected for review; A violation was cited for an immunization records, medical records, immunization record with thirty (30) days, medical records over 30 days, a signed Summary of NC Law. Off Premise Form, and Prevention of Shaken Baby Syndrome. Children with allergies were posted. Medications and emergency medications were reviewed. A violation was cited for a child that did not have a Medical Action Plan. Children's diapering creams, ointments, and sunscreens were monitored; a violation was cited for an expired creams, an expired emergency medications; expired creams not returned to parents. The outdoor area was monitored; the area was clean and the area did not have any hazards. The center does not provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement was posted. Fourteen (14) violations were cited violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child (W.B.) did not have a copy of the signed Summary of NC Law in the child's file. GS 110-102 607 Separate lavatories with hot and cold running water, soap, and individual sanitary towels or other approved hand-drying devices were not available for staff in food preparation areas or diaper changing areas. Soap, paper towels, and toilet paper were not available in space 2; soap was not available in space 6; paper towels were not available in space 8. 15A NCAC 18A .2818(b) & (d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Five (5) leftover creams were not returned to parents after the course of treatment in space 8. An emergency medication was expired in space 11 for child (B.N.). .0803(12) 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. A medical assessment and immunization record was not on file for (M.N.), (W.B.) and (K.C.) GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical or health assessment was not on file within thirty (30) days after admission for (M.N.), (W.B.) and (K.C). GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A child (W.B.) did not have a written permission statement for up to twelve months for participation for off premise activities. .1005(b)(4) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child (R.G.), (M.N.), (W.B.) and (K.C.) did not have an immunization record on file within 30 days. 10A NCAC 09 .0302(d)(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. A child (B.N.) in space 11 did not have a medical action plan. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with (K.M.), (M.M.) and (C.T.) prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization expired for a child in space 11 (B.N) and a child (E.M.) did not have a standing medication authorization for up to six months to administer medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff (C.T.) did not have medical report, (J.G.) and (J.D.) did not have health questionnaire maintained in file .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.L.) and (T.M). did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (W.B.) did not have a have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. .0608(b)(1-6) -A visit will be conducted within five (5) days to review staff files; files were not reviewed during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -Ms. Ramsey stated that she contacted the Fire Inspector's Office on June 4, 2024, to schedule a fire inspection, and she was informed that it was not necessary to schedule the inspection; and the fire inspector will come by the center when due. Ms. Ramsey provided a copy of the email. The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -A summary of the NC Child Care Law must be given to parents of every child enrolled in the center (G.S. 110-102. -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child (Child Care Rule 10A NCAC .0302(d)(2); .0304(g); G.S. 110-91(1)). -Medical exam or health assessment records must be on file before or within 30 days after admission (G.S. 110-91(1)). -A written statement from each child's parent giving standing permission which may be valid for up to twelve (12) months for participation in off premise activities that occur on a regular basis must be available in the child's file if the child is taken off premise (Child Care Rule 10A NCAC .1005(b)(4). -Each child must have immunization record on file before or within 30 days after admission (G.S. 110-91(1); Child Care Rule 10A NCAC 09 .0302(d)(2)). -Children's files must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information (Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services must have a medical action plan (Child Care Rule 10A NCAC .0801(b)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization expires and/or medication must be discarded within 72 hours of completion of treatment or withdrawal of authorization; return expired medication including creams/ointments to parents(Child Care Rule 10A NCAC 09 .0803(12). -Permission to Administer Medication for chronic medication is valid up to six (6) months. The forms must be completed every six (6) months and must contain the required information: child's name. medical condition, name of the authorized medication, criteria for the administration of the medication; the amount and frequency, manner in which the medication is administered, the signature of the parent, date the authorization was signed and the length of authorization. (Child Care Rule 10A NCAC 09 .0803 (6)) -Initially place infants ages twelve months or younger on their backs for sleep and document on the safe sleep log that the infant was placed on their back to sleep (Child Care Rule 10A NCAC 09 .0606(a)(1)). -Staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -Each staff member must have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file (Child Care Rule 10A NCAC 09 .0701(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 91 Completed Date: 11/15/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:50 AM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to complete an annual compliance/unannounced visit to monitor applicable child care laws and rules. I was greeted by the Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, and I explained the purpose of the visit. I completed a walkthrough indoors and outdoors of the facility, and Ms. Williams accompanied me. The facility had a Three-Star License issued April 17, 2024. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum (Life Essentials), as required for all four and five star licensed facilities where four-year-old children are enrolled; compliance was met. The sanitation inspection was completed July 30, 2024 with an “Approved” classification and twenty-two (22) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated June 27, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of November 14, 2024. The NC Secretary of State website was reviewed on November 15, 2024, and Educare Endeavors Inc. was listed as current-active. The children in space 1 and in space 2 were observed having supervised independent play. Space 3 was not in use, and the children in space 4 were observed having circle time. The children in space 5 were observed having supervised outdoor play. I observed the children in space 6, space 8, and space 10 were observed having supervised independent play. Space 7 was closed. The children in space 9 were observed having outdoor supervised play. I observed children in space 11 having supervised independent play. In space 12 and space 13, children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Space 2 did not have paper towels, soap, and toilet paper; space 6 did not have any soap; space 8 did not have paper towels, and a violation was cited. Speech Therapist (Carolina Speech Connections) Brittani Greene and Samantha Nelson worked independently with children in space 3. Current criminal qualifying letter were current and on file. Annual Compliance Monitoring Checklist for Child Care Centers was used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: An Administrative Action, Child Care License, First Aid Poster, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster, and compliance was met. Eleven (11) children’s files were selected for review; A violation was cited for an immunization records, medical records, immunization record with thirty (30) days, medical records over 30 days, a signed Summary of NC Law. Off Premise Form, and Prevention of Shaken Baby Syndrome. Children with allergies were posted. Medications and emergency medications were reviewed. A violation was cited for a child that did not have a Medical Action Plan. Children's diapering creams, ointments, and sunscreens were monitored; a violation was cited for an expired creams, an expired emergency medications; expired creams not returned to parents. The outdoor area was monitored; the area was clean and the area did not have any hazards. The center does not provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement was posted. Fourteen (14) violations were cited violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child (W.B.) did not have a copy of the signed Summary of NC Law in the child's file. GS 110-102 607 Separate lavatories with hot and cold running water, soap, and individual sanitary towels or other approved hand-drying devices were not available for staff in food preparation areas or diaper changing areas. Soap, paper towels, and toilet paper were not available in space 2; soap was not available in space 6; paper towels were not available in space 8. 15A NCAC 18A .2818(b) & (d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Five (5) leftover creams were not returned to parents after the course of treatment in space 8. An emergency medication was expired in space 11 for child (B.N.). .0803(12) 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. A medical assessment and immunization record was not on file for (M.N.), (W.B.) and (K.C.) GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical or health assessment was not on file within thirty (30) days after admission for (M.N.), (W.B.) and (K.C). GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A child (W.B.) did not have a written permission statement for up to twelve months for participation for off premise activities. .1005(b)(4) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child (R.G.), (M.N.), (W.B.) and (K.C.) did not have an immunization record on file within 30 days. 10A NCAC 09 .0302(d)(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. A child (B.N.) in space 11 did not have a medical action plan. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with (K.M.), (M.M.) and (C.T.) prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization expired for a child in space 11 (B.N) and a child (E.M.) did not have a standing medication authorization for up to six months to administer medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff (C.T.) did not have medical report, (J.G.) and (J.D.) did not have health questionnaire maintained in file .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.L.) and (T.M). did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (W.B.) did not have a have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. .0608(b)(1-6) -A visit will be conducted within five (5) days to review staff files; files were not reviewed during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -Ms. Ramsey stated that she contacted the Fire Inspector's Office on June 4, 2024, to schedule a fire inspection, and she was informed that it was not necessary to schedule the inspection; and the fire inspector will come by the center when due. Ms. Ramsey provided a copy of the email. The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -A summary of the NC Child Care Law must be given to parents of every child enrolled in the center (G.S. 110-102. -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child (Child Care Rule 10A NCAC .0302(d)(2); .0304(g); G.S. 110-91(1)). -Medical exam or health assessment records must be on file before or within 30 days after admission (G.S. 110-91(1)). -A written statement from each child's parent giving standing permission which may be valid for up to twelve (12) months for participation in off premise activities that occur on a regular basis must be available in the child's file if the child is taken off premise (Child Care Rule 10A NCAC .1005(b)(4). -Each child must have immunization record on file before or within 30 days after admission (G.S. 110-91(1); Child Care Rule 10A NCAC 09 .0302(d)(2)). -Children's files must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information (Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services must have a medical action plan (Child Care Rule 10A NCAC .0801(b)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization expires and/or medication must be discarded within 72 hours of completion of treatment or withdrawal of authorization; return expired medication including creams/ointments to parents(Child Care Rule 10A NCAC 09 .0803(12). -Permission to Administer Medication for chronic medication is valid up to six (6) months. The forms must be completed every six (6) months and must contain the required information: child's name. medical condition, name of the authorized medication, criteria for the administration of the medication; the amount and frequency, manner in which the medication is administered, the signature of the parent, date the authorization was signed and the length of authorization. (Child Care Rule 10A NCAC 09 .0803 (6)) -Initially place infants ages twelve months or younger on their backs for sleep and document on the safe sleep log that the infant was placed on their back to sleep (Child Care Rule 10A NCAC 09 .0606(a)(1)). -Staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -Each staff member must have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file (Child Care Rule 10A NCAC 09 .0701(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0608 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 91 Completed Date: 11/15/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:50 AM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to complete an annual compliance/unannounced visit to monitor applicable child care laws and rules. I was greeted by the Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, and I explained the purpose of the visit. I completed a walkthrough indoors and outdoors of the facility, and Ms. Williams accompanied me. The facility had a Three-Star License issued April 17, 2024. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum (Life Essentials), as required for all four and five star licensed facilities where four-year-old children are enrolled; compliance was met. The sanitation inspection was completed July 30, 2024 with an “Approved” classification and twenty-two (22) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated June 27, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of November 14, 2024. The NC Secretary of State website was reviewed on November 15, 2024, and Educare Endeavors Inc. was listed as current-active. The children in space 1 and in space 2 were observed having supervised independent play. Space 3 was not in use, and the children in space 4 were observed having circle time. The children in space 5 were observed having supervised outdoor play. I observed the children in space 6, space 8, and space 10 were observed having supervised independent play. Space 7 was closed. The children in space 9 were observed having outdoor supervised play. I observed children in space 11 having supervised independent play. In space 12 and space 13, children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Space 2 did not have paper towels, soap, and toilet paper; space 6 did not have any soap; space 8 did not have paper towels, and a violation was cited. Speech Therapist (Carolina Speech Connections) Brittani Greene and Samantha Nelson worked independently with children in space 3. Current criminal qualifying letter were current and on file. Annual Compliance Monitoring Checklist for Child Care Centers was used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: An Administrative Action, Child Care License, First Aid Poster, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster, and compliance was met. Eleven (11) children’s files were selected for review; A violation was cited for an immunization records, medical records, immunization record with thirty (30) days, medical records over 30 days, a signed Summary of NC Law. Off Premise Form, and Prevention of Shaken Baby Syndrome. Children with allergies were posted. Medications and emergency medications were reviewed. A violation was cited for a child that did not have a Medical Action Plan. Children's diapering creams, ointments, and sunscreens were monitored; a violation was cited for an expired creams, an expired emergency medications; expired creams not returned to parents. The outdoor area was monitored; the area was clean and the area did not have any hazards. The center does not provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement was posted. Fourteen (14) violations were cited violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child (W.B.) did not have a copy of the signed Summary of NC Law in the child's file. GS 110-102 607 Separate lavatories with hot and cold running water, soap, and individual sanitary towels or other approved hand-drying devices were not available for staff in food preparation areas or diaper changing areas. Soap, paper towels, and toilet paper were not available in space 2; soap was not available in space 6; paper towels were not available in space 8. 15A NCAC 18A .2818(b) & (d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Five (5) leftover creams were not returned to parents after the course of treatment in space 8. An emergency medication was expired in space 11 for child (B.N.). .0803(12) 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. A medical assessment and immunization record was not on file for (M.N.), (W.B.) and (K.C.) GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical or health assessment was not on file within thirty (30) days after admission for (M.N.), (W.B.) and (K.C). GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A child (W.B.) did not have a written permission statement for up to twelve months for participation for off premise activities. .1005(b)(4) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child (R.G.), (M.N.), (W.B.) and (K.C.) did not have an immunization record on file within 30 days. 10A NCAC 09 .0302(d)(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. A child (B.N.) in space 11 did not have a medical action plan. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with (K.M.), (M.M.) and (C.T.) prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization expired for a child in space 11 (B.N) and a child (E.M.) did not have a standing medication authorization for up to six months to administer medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff (C.T.) did not have medical report, (J.G.) and (J.D.) did not have health questionnaire maintained in file .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.L.) and (T.M). did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (W.B.) did not have a have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. .0608(b)(1-6) -A visit will be conducted within five (5) days to review staff files; files were not reviewed during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -Ms. Ramsey stated that she contacted the Fire Inspector's Office on June 4, 2024, to schedule a fire inspection, and she was informed that it was not necessary to schedule the inspection; and the fire inspector will come by the center when due. Ms. Ramsey provided a copy of the email. The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -A summary of the NC Child Care Law must be given to parents of every child enrolled in the center (G.S. 110-102. -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child (Child Care Rule 10A NCAC .0302(d)(2); .0304(g); G.S. 110-91(1)). -Medical exam or health assessment records must be on file before or within 30 days after admission (G.S. 110-91(1)). -A written statement from each child's parent giving standing permission which may be valid for up to twelve (12) months for participation in off premise activities that occur on a regular basis must be available in the child's file if the child is taken off premise (Child Care Rule 10A NCAC .1005(b)(4). -Each child must have immunization record on file before or within 30 days after admission (G.S. 110-91(1); Child Care Rule 10A NCAC 09 .0302(d)(2)). -Children's files must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information (Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services must have a medical action plan (Child Care Rule 10A NCAC .0801(b)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization expires and/or medication must be discarded within 72 hours of completion of treatment or withdrawal of authorization; return expired medication including creams/ointments to parents(Child Care Rule 10A NCAC 09 .0803(12). -Permission to Administer Medication for chronic medication is valid up to six (6) months. The forms must be completed every six (6) months and must contain the required information: child's name. medical condition, name of the authorized medication, criteria for the administration of the medication; the amount and frequency, manner in which the medication is administered, the signature of the parent, date the authorization was signed and the length of authorization. (Child Care Rule 10A NCAC 09 .0803 (6)) -Initially place infants ages twelve months or younger on their backs for sleep and document on the safe sleep log that the infant was placed on their back to sleep (Child Care Rule 10A NCAC 09 .0606(a)(1)). -Staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -Each staff member must have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file (Child Care Rule 10A NCAC 09 .0701(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 91 Completed Date: 11/15/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:50 AM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to complete an annual compliance/unannounced visit to monitor applicable child care laws and rules. I was greeted by the Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, and I explained the purpose of the visit. I completed a walkthrough indoors and outdoors of the facility, and Ms. Williams accompanied me. The facility had a Three-Star License issued April 17, 2024. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum (Life Essentials), as required for all four and five star licensed facilities where four-year-old children are enrolled; compliance was met. The sanitation inspection was completed July 30, 2024 with an “Approved” classification and twenty-two (22) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated June 27, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of November 14, 2024. The NC Secretary of State website was reviewed on November 15, 2024, and Educare Endeavors Inc. was listed as current-active. The children in space 1 and in space 2 were observed having supervised independent play. Space 3 was not in use, and the children in space 4 were observed having circle time. The children in space 5 were observed having supervised outdoor play. I observed the children in space 6, space 8, and space 10 were observed having supervised independent play. Space 7 was closed. The children in space 9 were observed having outdoor supervised play. I observed children in space 11 having supervised independent play. In space 12 and space 13, children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Space 2 did not have paper towels, soap, and toilet paper; space 6 did not have any soap; space 8 did not have paper towels, and a violation was cited. Speech Therapist (Carolina Speech Connections) Brittani Greene and Samantha Nelson worked independently with children in space 3. Current criminal qualifying letter were current and on file. Annual Compliance Monitoring Checklist for Child Care Centers was used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: An Administrative Action, Child Care License, First Aid Poster, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster, and compliance was met. Eleven (11) children’s files were selected for review; A violation was cited for an immunization records, medical records, immunization record with thirty (30) days, medical records over 30 days, a signed Summary of NC Law. Off Premise Form, and Prevention of Shaken Baby Syndrome. Children with allergies were posted. Medications and emergency medications were reviewed. A violation was cited for a child that did not have a Medical Action Plan. Children's diapering creams, ointments, and sunscreens were monitored; a violation was cited for an expired creams, an expired emergency medications; expired creams not returned to parents. The outdoor area was monitored; the area was clean and the area did not have any hazards. The center does not provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement was posted. Fourteen (14) violations were cited violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child (W.B.) did not have a copy of the signed Summary of NC Law in the child's file. GS 110-102 607 Separate lavatories with hot and cold running water, soap, and individual sanitary towels or other approved hand-drying devices were not available for staff in food preparation areas or diaper changing areas. Soap, paper towels, and toilet paper were not available in space 2; soap was not available in space 6; paper towels were not available in space 8. 15A NCAC 18A .2818(b) & (d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Five (5) leftover creams were not returned to parents after the course of treatment in space 8. An emergency medication was expired in space 11 for child (B.N.). .0803(12) 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. A medical assessment and immunization record was not on file for (M.N.), (W.B.) and (K.C.) GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical or health assessment was not on file within thirty (30) days after admission for (M.N.), (W.B.) and (K.C). GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A child (W.B.) did not have a written permission statement for up to twelve months for participation for off premise activities. .1005(b)(4) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child (R.G.), (M.N.), (W.B.) and (K.C.) did not have an immunization record on file within 30 days. 10A NCAC 09 .0302(d)(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. A child (B.N.) in space 11 did not have a medical action plan. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with (K.M.), (M.M.) and (C.T.) prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization expired for a child in space 11 (B.N) and a child (E.M.) did not have a standing medication authorization for up to six months to administer medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff (C.T.) did not have medical report, (J.G.) and (J.D.) did not have health questionnaire maintained in file .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.L.) and (T.M). did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (W.B.) did not have a have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. .0608(b)(1-6) -A visit will be conducted within five (5) days to review staff files; files were not reviewed during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -Ms. Ramsey stated that she contacted the Fire Inspector's Office on June 4, 2024, to schedule a fire inspection, and she was informed that it was not necessary to schedule the inspection; and the fire inspector will come by the center when due. Ms. Ramsey provided a copy of the email. The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -A summary of the NC Child Care Law must be given to parents of every child enrolled in the center (G.S. 110-102. -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child (Child Care Rule 10A NCAC .0302(d)(2); .0304(g); G.S. 110-91(1)). -Medical exam or health assessment records must be on file before or within 30 days after admission (G.S. 110-91(1)). -A written statement from each child's parent giving standing permission which may be valid for up to twelve (12) months for participation in off premise activities that occur on a regular basis must be available in the child's file if the child is taken off premise (Child Care Rule 10A NCAC .1005(b)(4). -Each child must have immunization record on file before or within 30 days after admission (G.S. 110-91(1); Child Care Rule 10A NCAC 09 .0302(d)(2)). -Children's files must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information (Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services must have a medical action plan (Child Care Rule 10A NCAC .0801(b)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization expires and/or medication must be discarded within 72 hours of completion of treatment or withdrawal of authorization; return expired medication including creams/ointments to parents(Child Care Rule 10A NCAC 09 .0803(12). -Permission to Administer Medication for chronic medication is valid up to six (6) months. The forms must be completed every six (6) months and must contain the required information: child's name. medical condition, name of the authorized medication, criteria for the administration of the medication; the amount and frequency, manner in which the medication is administered, the signature of the parent, date the authorization was signed and the length of authorization. (Child Care Rule 10A NCAC 09 .0803 (6)) -Initially place infants ages twelve months or younger on their backs for sleep and document on the safe sleep log that the infant was placed on their back to sleep (Child Care Rule 10A NCAC 09 .0606(a)(1)). -Staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -Each staff member must have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file (Child Care Rule 10A NCAC 09 .0701(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 91 Completed Date: 11/15/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:50 AM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to complete an annual compliance/unannounced visit to monitor applicable child care laws and rules. I was greeted by the Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, and I explained the purpose of the visit. I completed a walkthrough indoors and outdoors of the facility, and Ms. Williams accompanied me. The facility had a Three-Star License issued April 17, 2024. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum (Life Essentials), as required for all four and five star licensed facilities where four-year-old children are enrolled; compliance was met. The sanitation inspection was completed July 30, 2024 with an “Approved” classification and twenty-two (22) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated June 27, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of November 14, 2024. The NC Secretary of State website was reviewed on November 15, 2024, and Educare Endeavors Inc. was listed as current-active. The children in space 1 and in space 2 were observed having supervised independent play. Space 3 was not in use, and the children in space 4 were observed having circle time. The children in space 5 were observed having supervised outdoor play. I observed the children in space 6, space 8, and space 10 were observed having supervised independent play. Space 7 was closed. The children in space 9 were observed having outdoor supervised play. I observed children in space 11 having supervised independent play. In space 12 and space 13, children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Space 2 did not have paper towels, soap, and toilet paper; space 6 did not have any soap; space 8 did not have paper towels, and a violation was cited. Speech Therapist (Carolina Speech Connections) Brittani Greene and Samantha Nelson worked independently with children in space 3. Current criminal qualifying letter were current and on file. Annual Compliance Monitoring Checklist for Child Care Centers was used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: An Administrative Action, Child Care License, First Aid Poster, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster, and compliance was met. Eleven (11) children’s files were selected for review; A violation was cited for an immunization records, medical records, immunization record with thirty (30) days, medical records over 30 days, a signed Summary of NC Law. Off Premise Form, and Prevention of Shaken Baby Syndrome. Children with allergies were posted. Medications and emergency medications were reviewed. A violation was cited for a child that did not have a Medical Action Plan. Children's diapering creams, ointments, and sunscreens were monitored; a violation was cited for an expired creams, an expired emergency medications; expired creams not returned to parents. The outdoor area was monitored; the area was clean and the area did not have any hazards. The center does not provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement was posted. Fourteen (14) violations were cited violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child (W.B.) did not have a copy of the signed Summary of NC Law in the child's file. GS 110-102 607 Separate lavatories with hot and cold running water, soap, and individual sanitary towels or other approved hand-drying devices were not available for staff in food preparation areas or diaper changing areas. Soap, paper towels, and toilet paper were not available in space 2; soap was not available in space 6; paper towels were not available in space 8. 15A NCAC 18A .2818(b) & (d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Five (5) leftover creams were not returned to parents after the course of treatment in space 8. An emergency medication was expired in space 11 for child (B.N.). .0803(12) 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. A medical assessment and immunization record was not on file for (M.N.), (W.B.) and (K.C.) GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical or health assessment was not on file within thirty (30) days after admission for (M.N.), (W.B.) and (K.C). GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A child (W.B.) did not have a written permission statement for up to twelve months for participation for off premise activities. .1005(b)(4) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child (R.G.), (M.N.), (W.B.) and (K.C.) did not have an immunization record on file within 30 days. 10A NCAC 09 .0302(d)(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. A child (B.N.) in space 11 did not have a medical action plan. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with (K.M.), (M.M.) and (C.T.) prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization expired for a child in space 11 (B.N) and a child (E.M.) did not have a standing medication authorization for up to six months to administer medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff (C.T.) did not have medical report, (J.G.) and (J.D.) did not have health questionnaire maintained in file .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.L.) and (T.M). did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (W.B.) did not have a have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. .0608(b)(1-6) -A visit will be conducted within five (5) days to review staff files; files were not reviewed during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -Ms. Ramsey stated that she contacted the Fire Inspector's Office on June 4, 2024, to schedule a fire inspection, and she was informed that it was not necessary to schedule the inspection; and the fire inspector will come by the center when due. Ms. Ramsey provided a copy of the email. The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -A summary of the NC Child Care Law must be given to parents of every child enrolled in the center (G.S. 110-102. -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child (Child Care Rule 10A NCAC .0302(d)(2); .0304(g); G.S. 110-91(1)). -Medical exam or health assessment records must be on file before or within 30 days after admission (G.S. 110-91(1)). -A written statement from each child's parent giving standing permission which may be valid for up to twelve (12) months for participation in off premise activities that occur on a regular basis must be available in the child's file if the child is taken off premise (Child Care Rule 10A NCAC .1005(b)(4). -Each child must have immunization record on file before or within 30 days after admission (G.S. 110-91(1); Child Care Rule 10A NCAC 09 .0302(d)(2)). -Children's files must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information (Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services must have a medical action plan (Child Care Rule 10A NCAC .0801(b)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization expires and/or medication must be discarded within 72 hours of completion of treatment or withdrawal of authorization; return expired medication including creams/ointments to parents(Child Care Rule 10A NCAC 09 .0803(12). -Permission to Administer Medication for chronic medication is valid up to six (6) months. The forms must be completed every six (6) months and must contain the required information: child's name. medical condition, name of the authorized medication, criteria for the administration of the medication; the amount and frequency, manner in which the medication is administered, the signature of the parent, date the authorization was signed and the length of authorization. (Child Care Rule 10A NCAC 09 .0803 (6)) -Initially place infants ages twelve months or younger on their backs for sleep and document on the safe sleep log that the infant was placed on their back to sleep (Child Care Rule 10A NCAC 09 .0606(a)(1)). -Staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -Each staff member must have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file (Child Care Rule 10A NCAC 09 .0701(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 91 Completed Date: 11/15/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:50 AM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to complete an annual compliance/unannounced visit to monitor applicable child care laws and rules. I was greeted by the Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, and I explained the purpose of the visit. I completed a walkthrough indoors and outdoors of the facility, and Ms. Williams accompanied me. The facility had a Three-Star License issued April 17, 2024. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum (Life Essentials), as required for all four and five star licensed facilities where four-year-old children are enrolled; compliance was met. The sanitation inspection was completed July 30, 2024 with an “Approved” classification and twenty-two (22) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated June 27, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of November 14, 2024. The NC Secretary of State website was reviewed on November 15, 2024, and Educare Endeavors Inc. was listed as current-active. The children in space 1 and in space 2 were observed having supervised independent play. Space 3 was not in use, and the children in space 4 were observed having circle time. The children in space 5 were observed having supervised outdoor play. I observed the children in space 6, space 8, and space 10 were observed having supervised independent play. Space 7 was closed. The children in space 9 were observed having outdoor supervised play. I observed children in space 11 having supervised independent play. In space 12 and space 13, children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Space 2 did not have paper towels, soap, and toilet paper; space 6 did not have any soap; space 8 did not have paper towels, and a violation was cited. Speech Therapist (Carolina Speech Connections) Brittani Greene and Samantha Nelson worked independently with children in space 3. Current criminal qualifying letter were current and on file. Annual Compliance Monitoring Checklist for Child Care Centers was used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: An Administrative Action, Child Care License, First Aid Poster, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster, and compliance was met. Eleven (11) children’s files were selected for review; A violation was cited for an immunization records, medical records, immunization record with thirty (30) days, medical records over 30 days, a signed Summary of NC Law. Off Premise Form, and Prevention of Shaken Baby Syndrome. Children with allergies were posted. Medications and emergency medications were reviewed. A violation was cited for a child that did not have a Medical Action Plan. Children's diapering creams, ointments, and sunscreens were monitored; a violation was cited for an expired creams, an expired emergency medications; expired creams not returned to parents. The outdoor area was monitored; the area was clean and the area did not have any hazards. The center does not provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement was posted. Fourteen (14) violations were cited violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child (W.B.) did not have a copy of the signed Summary of NC Law in the child's file. GS 110-102 607 Separate lavatories with hot and cold running water, soap, and individual sanitary towels or other approved hand-drying devices were not available for staff in food preparation areas or diaper changing areas. Soap, paper towels, and toilet paper were not available in space 2; soap was not available in space 6; paper towels were not available in space 8. 15A NCAC 18A .2818(b) & (d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Five (5) leftover creams were not returned to parents after the course of treatment in space 8. An emergency medication was expired in space 11 for child (B.N.). .0803(12) 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. A medical assessment and immunization record was not on file for (M.N.), (W.B.) and (K.C.) GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical or health assessment was not on file within thirty (30) days after admission for (M.N.), (W.B.) and (K.C). GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A child (W.B.) did not have a written permission statement for up to twelve months for participation for off premise activities. .1005(b)(4) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child (R.G.), (M.N.), (W.B.) and (K.C.) did not have an immunization record on file within 30 days. 10A NCAC 09 .0302(d)(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. A child (B.N.) in space 11 did not have a medical action plan. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with (K.M.), (M.M.) and (C.T.) prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization expired for a child in space 11 (B.N) and a child (E.M.) did not have a standing medication authorization for up to six months to administer medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff (C.T.) did not have medical report, (J.G.) and (J.D.) did not have health questionnaire maintained in file .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.L.) and (T.M). did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (W.B.) did not have a have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. .0608(b)(1-6) -A visit will be conducted within five (5) days to review staff files; files were not reviewed during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -Ms. Ramsey stated that she contacted the Fire Inspector's Office on June 4, 2024, to schedule a fire inspection, and she was informed that it was not necessary to schedule the inspection; and the fire inspector will come by the center when due. Ms. Ramsey provided a copy of the email. The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -A summary of the NC Child Care Law must be given to parents of every child enrolled in the center (G.S. 110-102. -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child (Child Care Rule 10A NCAC .0302(d)(2); .0304(g); G.S. 110-91(1)). -Medical exam or health assessment records must be on file before or within 30 days after admission (G.S. 110-91(1)). -A written statement from each child's parent giving standing permission which may be valid for up to twelve (12) months for participation in off premise activities that occur on a regular basis must be available in the child's file if the child is taken off premise (Child Care Rule 10A NCAC .1005(b)(4). -Each child must have immunization record on file before or within 30 days after admission (G.S. 110-91(1); Child Care Rule 10A NCAC 09 .0302(d)(2)). -Children's files must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information (Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services must have a medical action plan (Child Care Rule 10A NCAC .0801(b)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization expires and/or medication must be discarded within 72 hours of completion of treatment or withdrawal of authorization; return expired medication including creams/ointments to parents(Child Care Rule 10A NCAC 09 .0803(12). -Permission to Administer Medication for chronic medication is valid up to six (6) months. The forms must be completed every six (6) months and must contain the required information: child's name. medical condition, name of the authorized medication, criteria for the administration of the medication; the amount and frequency, manner in which the medication is administered, the signature of the parent, date the authorization was signed and the length of authorization. (Child Care Rule 10A NCAC 09 .0803 (6)) -Initially place infants ages twelve months or younger on their backs for sleep and document on the safe sleep log that the infant was placed on their back to sleep (Child Care Rule 10A NCAC 09 .0606(a)(1)). -Staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -Each staff member must have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file (Child Care Rule 10A NCAC 09 .0701(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 91 Completed Date: 11/15/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:50 AM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to complete an annual compliance/unannounced visit to monitor applicable child care laws and rules. I was greeted by the Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, and I explained the purpose of the visit. I completed a walkthrough indoors and outdoors of the facility, and Ms. Williams accompanied me. The facility had a Three-Star License issued April 17, 2024. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum (Life Essentials), as required for all four and five star licensed facilities where four-year-old children are enrolled; compliance was met. The sanitation inspection was completed July 30, 2024 with an “Approved” classification and twenty-two (22) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated June 27, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of November 14, 2024. The NC Secretary of State website was reviewed on November 15, 2024, and Educare Endeavors Inc. was listed as current-active. The children in space 1 and in space 2 were observed having supervised independent play. Space 3 was not in use, and the children in space 4 were observed having circle time. The children in space 5 were observed having supervised outdoor play. I observed the children in space 6, space 8, and space 10 were observed having supervised independent play. Space 7 was closed. The children in space 9 were observed having outdoor supervised play. I observed children in space 11 having supervised independent play. In space 12 and space 13, children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Space 2 did not have paper towels, soap, and toilet paper; space 6 did not have any soap; space 8 did not have paper towels, and a violation was cited. Speech Therapist (Carolina Speech Connections) Brittani Greene and Samantha Nelson worked independently with children in space 3. Current criminal qualifying letter were current and on file. Annual Compliance Monitoring Checklist for Child Care Centers was used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: An Administrative Action, Child Care License, First Aid Poster, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster, and compliance was met. Eleven (11) children’s files were selected for review; A violation was cited for an immunization records, medical records, immunization record with thirty (30) days, medical records over 30 days, a signed Summary of NC Law. Off Premise Form, and Prevention of Shaken Baby Syndrome. Children with allergies were posted. Medications and emergency medications were reviewed. A violation was cited for a child that did not have a Medical Action Plan. Children's diapering creams, ointments, and sunscreens were monitored; a violation was cited for an expired creams, an expired emergency medications; expired creams not returned to parents. The outdoor area was monitored; the area was clean and the area did not have any hazards. The center does not provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement was posted. Fourteen (14) violations were cited violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child (W.B.) did not have a copy of the signed Summary of NC Law in the child's file. GS 110-102 607 Separate lavatories with hot and cold running water, soap, and individual sanitary towels or other approved hand-drying devices were not available for staff in food preparation areas or diaper changing areas. Soap, paper towels, and toilet paper were not available in space 2; soap was not available in space 6; paper towels were not available in space 8. 15A NCAC 18A .2818(b) & (d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Five (5) leftover creams were not returned to parents after the course of treatment in space 8. An emergency medication was expired in space 11 for child (B.N.). .0803(12) 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. A medical assessment and immunization record was not on file for (M.N.), (W.B.) and (K.C.) GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical or health assessment was not on file within thirty (30) days after admission for (M.N.), (W.B.) and (K.C). GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A child (W.B.) did not have a written permission statement for up to twelve months for participation for off premise activities. .1005(b)(4) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child (R.G.), (M.N.), (W.B.) and (K.C.) did not have an immunization record on file within 30 days. 10A NCAC 09 .0302(d)(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. A child (B.N.) in space 11 did not have a medical action plan. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with (K.M.), (M.M.) and (C.T.) prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization expired for a child in space 11 (B.N) and a child (E.M.) did not have a standing medication authorization for up to six months to administer medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff (C.T.) did not have medical report, (J.G.) and (J.D.) did not have health questionnaire maintained in file .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.L.) and (T.M). did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (W.B.) did not have a have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. .0608(b)(1-6) -A visit will be conducted within five (5) days to review staff files; files were not reviewed during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -Ms. Ramsey stated that she contacted the Fire Inspector's Office on June 4, 2024, to schedule a fire inspection, and she was informed that it was not necessary to schedule the inspection; and the fire inspector will come by the center when due. Ms. Ramsey provided a copy of the email. The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -A summary of the NC Child Care Law must be given to parents of every child enrolled in the center (G.S. 110-102. -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child (Child Care Rule 10A NCAC .0302(d)(2); .0304(g); G.S. 110-91(1)). -Medical exam or health assessment records must be on file before or within 30 days after admission (G.S. 110-91(1)). -A written statement from each child's parent giving standing permission which may be valid for up to twelve (12) months for participation in off premise activities that occur on a regular basis must be available in the child's file if the child is taken off premise (Child Care Rule 10A NCAC .1005(b)(4). -Each child must have immunization record on file before or within 30 days after admission (G.S. 110-91(1); Child Care Rule 10A NCAC 09 .0302(d)(2)). -Children's files must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information (Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services must have a medical action plan (Child Care Rule 10A NCAC .0801(b)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization expires and/or medication must be discarded within 72 hours of completion of treatment or withdrawal of authorization; return expired medication including creams/ointments to parents(Child Care Rule 10A NCAC 09 .0803(12). -Permission to Administer Medication for chronic medication is valid up to six (6) months. The forms must be completed every six (6) months and must contain the required information: child's name. medical condition, name of the authorized medication, criteria for the administration of the medication; the amount and frequency, manner in which the medication is administered, the signature of the parent, date the authorization was signed and the length of authorization. (Child Care Rule 10A NCAC 09 .0803 (6)) -Initially place infants ages twelve months or younger on their backs for sleep and document on the safe sleep log that the infant was placed on their back to sleep (Child Care Rule 10A NCAC 09 .0606(a)(1)). -Staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -Each staff member must have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file (Child Care Rule 10A NCAC 09 .0701(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-102 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 91 Completed Date: 11/15/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:50 AM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to complete an annual compliance/unannounced visit to monitor applicable child care laws and rules. I was greeted by the Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, and I explained the purpose of the visit. I completed a walkthrough indoors and outdoors of the facility, and Ms. Williams accompanied me. The facility had a Three-Star License issued April 17, 2024. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum (Life Essentials), as required for all four and five star licensed facilities where four-year-old children are enrolled; compliance was met. The sanitation inspection was completed July 30, 2024 with an “Approved” classification and twenty-two (22) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated June 27, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of November 14, 2024. The NC Secretary of State website was reviewed on November 15, 2024, and Educare Endeavors Inc. was listed as current-active. The children in space 1 and in space 2 were observed having supervised independent play. Space 3 was not in use, and the children in space 4 were observed having circle time. The children in space 5 were observed having supervised outdoor play. I observed the children in space 6, space 8, and space 10 were observed having supervised independent play. Space 7 was closed. The children in space 9 were observed having outdoor supervised play. I observed children in space 11 having supervised independent play. In space 12 and space 13, children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Space 2 did not have paper towels, soap, and toilet paper; space 6 did not have any soap; space 8 did not have paper towels, and a violation was cited. Speech Therapist (Carolina Speech Connections) Brittani Greene and Samantha Nelson worked independently with children in space 3. Current criminal qualifying letter were current and on file. Annual Compliance Monitoring Checklist for Child Care Centers was used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: An Administrative Action, Child Care License, First Aid Poster, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster, and compliance was met. Eleven (11) children’s files were selected for review; A violation was cited for an immunization records, medical records, immunization record with thirty (30) days, medical records over 30 days, a signed Summary of NC Law. Off Premise Form, and Prevention of Shaken Baby Syndrome. Children with allergies were posted. Medications and emergency medications were reviewed. A violation was cited for a child that did not have a Medical Action Plan. Children's diapering creams, ointments, and sunscreens were monitored; a violation was cited for an expired creams, an expired emergency medications; expired creams not returned to parents. The outdoor area was monitored; the area was clean and the area did not have any hazards. The center does not provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement was posted. Fourteen (14) violations were cited violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child (W.B.) did not have a copy of the signed Summary of NC Law in the child's file. GS 110-102 607 Separate lavatories with hot and cold running water, soap, and individual sanitary towels or other approved hand-drying devices were not available for staff in food preparation areas or diaper changing areas. Soap, paper towels, and toilet paper were not available in space 2; soap was not available in space 6; paper towels were not available in space 8. 15A NCAC 18A .2818(b) & (d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Five (5) leftover creams were not returned to parents after the course of treatment in space 8. An emergency medication was expired in space 11 for child (B.N.). .0803(12) 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. A medical assessment and immunization record was not on file for (M.N.), (W.B.) and (K.C.) GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical or health assessment was not on file within thirty (30) days after admission for (M.N.), (W.B.) and (K.C). GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A child (W.B.) did not have a written permission statement for up to twelve months for participation for off premise activities. .1005(b)(4) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child (R.G.), (M.N.), (W.B.) and (K.C.) did not have an immunization record on file within 30 days. 10A NCAC 09 .0302(d)(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. A child (B.N.) in space 11 did not have a medical action plan. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with (K.M.), (M.M.) and (C.T.) prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization expired for a child in space 11 (B.N) and a child (E.M.) did not have a standing medication authorization for up to six months to administer medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff (C.T.) did not have medical report, (J.G.) and (J.D.) did not have health questionnaire maintained in file .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.L.) and (T.M). did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (W.B.) did not have a have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. .0608(b)(1-6) -A visit will be conducted within five (5) days to review staff files; files were not reviewed during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -Ms. Ramsey stated that she contacted the Fire Inspector's Office on June 4, 2024, to schedule a fire inspection, and she was informed that it was not necessary to schedule the inspection; and the fire inspector will come by the center when due. Ms. Ramsey provided a copy of the email. The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -A summary of the NC Child Care Law must be given to parents of every child enrolled in the center (G.S. 110-102. -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child (Child Care Rule 10A NCAC .0302(d)(2); .0304(g); G.S. 110-91(1)). -Medical exam or health assessment records must be on file before or within 30 days after admission (G.S. 110-91(1)). -A written statement from each child's parent giving standing permission which may be valid for up to twelve (12) months for participation in off premise activities that occur on a regular basis must be available in the child's file if the child is taken off premise (Child Care Rule 10A NCAC .1005(b)(4). -Each child must have immunization record on file before or within 30 days after admission (G.S. 110-91(1); Child Care Rule 10A NCAC 09 .0302(d)(2)). -Children's files must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information (Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services must have a medical action plan (Child Care Rule 10A NCAC .0801(b)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization expires and/or medication must be discarded within 72 hours of completion of treatment or withdrawal of authorization; return expired medication including creams/ointments to parents(Child Care Rule 10A NCAC 09 .0803(12). -Permission to Administer Medication for chronic medication is valid up to six (6) months. The forms must be completed every six (6) months and must contain the required information: child's name. medical condition, name of the authorized medication, criteria for the administration of the medication; the amount and frequency, manner in which the medication is administered, the signature of the parent, date the authorization was signed and the length of authorization. (Child Care Rule 10A NCAC 09 .0803 (6)) -Initially place infants ages twelve months or younger on their backs for sleep and document on the safe sleep log that the infant was placed on their back to sleep (Child Care Rule 10A NCAC 09 .0606(a)(1)). -Staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -Each staff member must have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file (Child Care Rule 10A NCAC 09 .0701(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 91 Completed Date: 11/15/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:50 AM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to complete an annual compliance/unannounced visit to monitor applicable child care laws and rules. I was greeted by the Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, and I explained the purpose of the visit. I completed a walkthrough indoors and outdoors of the facility, and Ms. Williams accompanied me. The facility had a Three-Star License issued April 17, 2024. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum (Life Essentials), as required for all four and five star licensed facilities where four-year-old children are enrolled; compliance was met. The sanitation inspection was completed July 30, 2024 with an “Approved” classification and twenty-two (22) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated June 27, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of November 14, 2024. The NC Secretary of State website was reviewed on November 15, 2024, and Educare Endeavors Inc. was listed as current-active. The children in space 1 and in space 2 were observed having supervised independent play. Space 3 was not in use, and the children in space 4 were observed having circle time. The children in space 5 were observed having supervised outdoor play. I observed the children in space 6, space 8, and space 10 were observed having supervised independent play. Space 7 was closed. The children in space 9 were observed having outdoor supervised play. I observed children in space 11 having supervised independent play. In space 12 and space 13, children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Space 2 did not have paper towels, soap, and toilet paper; space 6 did not have any soap; space 8 did not have paper towels, and a violation was cited. Speech Therapist (Carolina Speech Connections) Brittani Greene and Samantha Nelson worked independently with children in space 3. Current criminal qualifying letter were current and on file. Annual Compliance Monitoring Checklist for Child Care Centers was used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: An Administrative Action, Child Care License, First Aid Poster, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster, and compliance was met. Eleven (11) children’s files were selected for review; A violation was cited for an immunization records, medical records, immunization record with thirty (30) days, medical records over 30 days, a signed Summary of NC Law. Off Premise Form, and Prevention of Shaken Baby Syndrome. Children with allergies were posted. Medications and emergency medications were reviewed. A violation was cited for a child that did not have a Medical Action Plan. Children's diapering creams, ointments, and sunscreens were monitored; a violation was cited for an expired creams, an expired emergency medications; expired creams not returned to parents. The outdoor area was monitored; the area was clean and the area did not have any hazards. The center does not provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement was posted. Fourteen (14) violations were cited violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child (W.B.) did not have a copy of the signed Summary of NC Law in the child's file. GS 110-102 607 Separate lavatories with hot and cold running water, soap, and individual sanitary towels or other approved hand-drying devices were not available for staff in food preparation areas or diaper changing areas. Soap, paper towels, and toilet paper were not available in space 2; soap was not available in space 6; paper towels were not available in space 8. 15A NCAC 18A .2818(b) & (d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Five (5) leftover creams were not returned to parents after the course of treatment in space 8. An emergency medication was expired in space 11 for child (B.N.). .0803(12) 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. A medical assessment and immunization record was not on file for (M.N.), (W.B.) and (K.C.) GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical or health assessment was not on file within thirty (30) days after admission for (M.N.), (W.B.) and (K.C). GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A child (W.B.) did not have a written permission statement for up to twelve months for participation for off premise activities. .1005(b)(4) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child (R.G.), (M.N.), (W.B.) and (K.C.) did not have an immunization record on file within 30 days. 10A NCAC 09 .0302(d)(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. A child (B.N.) in space 11 did not have a medical action plan. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with (K.M.), (M.M.) and (C.T.) prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization expired for a child in space 11 (B.N) and a child (E.M.) did not have a standing medication authorization for up to six months to administer medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff (C.T.) did not have medical report, (J.G.) and (J.D.) did not have health questionnaire maintained in file .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.L.) and (T.M). did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (W.B.) did not have a have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. .0608(b)(1-6) -A visit will be conducted within five (5) days to review staff files; files were not reviewed during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -Ms. Ramsey stated that she contacted the Fire Inspector's Office on June 4, 2024, to schedule a fire inspection, and she was informed that it was not necessary to schedule the inspection; and the fire inspector will come by the center when due. Ms. Ramsey provided a copy of the email. The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -A summary of the NC Child Care Law must be given to parents of every child enrolled in the center (G.S. 110-102. -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child (Child Care Rule 10A NCAC .0302(d)(2); .0304(g); G.S. 110-91(1)). -Medical exam or health assessment records must be on file before or within 30 days after admission (G.S. 110-91(1)). -A written statement from each child's parent giving standing permission which may be valid for up to twelve (12) months for participation in off premise activities that occur on a regular basis must be available in the child's file if the child is taken off premise (Child Care Rule 10A NCAC .1005(b)(4). -Each child must have immunization record on file before or within 30 days after admission (G.S. 110-91(1); Child Care Rule 10A NCAC 09 .0302(d)(2)). -Children's files must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information (Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services must have a medical action plan (Child Care Rule 10A NCAC .0801(b)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization expires and/or medication must be discarded within 72 hours of completion of treatment or withdrawal of authorization; return expired medication including creams/ointments to parents(Child Care Rule 10A NCAC 09 .0803(12). -Permission to Administer Medication for chronic medication is valid up to six (6) months. The forms must be completed every six (6) months and must contain the required information: child's name. medical condition, name of the authorized medication, criteria for the administration of the medication; the amount and frequency, manner in which the medication is administered, the signature of the parent, date the authorization was signed and the length of authorization. (Child Care Rule 10A NCAC 09 .0803 (6)) -Initially place infants ages twelve months or younger on their backs for sleep and document on the safe sleep log that the infant was placed on their back to sleep (Child Care Rule 10A NCAC 09 .0606(a)(1)). -Staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -Each staff member must have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file (Child Care Rule 10A NCAC 09 .0701(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 91 Completed Date: 11/15/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:50 AM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to complete an annual compliance/unannounced visit to monitor applicable child care laws and rules. I was greeted by the Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, and I explained the purpose of the visit. I completed a walkthrough indoors and outdoors of the facility, and Ms. Williams accompanied me. The facility had a Three-Star License issued April 17, 2024. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum (Life Essentials), as required for all four and five star licensed facilities where four-year-old children are enrolled; compliance was met. The sanitation inspection was completed July 30, 2024 with an “Approved” classification and twenty-two (22) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated June 27, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of November 14, 2024. The NC Secretary of State website was reviewed on November 15, 2024, and Educare Endeavors Inc. was listed as current-active. The children in space 1 and in space 2 were observed having supervised independent play. Space 3 was not in use, and the children in space 4 were observed having circle time. The children in space 5 were observed having supervised outdoor play. I observed the children in space 6, space 8, and space 10 were observed having supervised independent play. Space 7 was closed. The children in space 9 were observed having outdoor supervised play. I observed children in space 11 having supervised independent play. In space 12 and space 13, children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Space 2 did not have paper towels, soap, and toilet paper; space 6 did not have any soap; space 8 did not have paper towels, and a violation was cited. Speech Therapist (Carolina Speech Connections) Brittani Greene and Samantha Nelson worked independently with children in space 3. Current criminal qualifying letter were current and on file. Annual Compliance Monitoring Checklist for Child Care Centers was used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: An Administrative Action, Child Care License, First Aid Poster, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster, and compliance was met. Eleven (11) children’s files were selected for review; A violation was cited for an immunization records, medical records, immunization record with thirty (30) days, medical records over 30 days, a signed Summary of NC Law. Off Premise Form, and Prevention of Shaken Baby Syndrome. Children with allergies were posted. Medications and emergency medications were reviewed. A violation was cited for a child that did not have a Medical Action Plan. Children's diapering creams, ointments, and sunscreens were monitored; a violation was cited for an expired creams, an expired emergency medications; expired creams not returned to parents. The outdoor area was monitored; the area was clean and the area did not have any hazards. The center does not provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement was posted. Fourteen (14) violations were cited violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child (W.B.) did not have a copy of the signed Summary of NC Law in the child's file. GS 110-102 607 Separate lavatories with hot and cold running water, soap, and individual sanitary towels or other approved hand-drying devices were not available for staff in food preparation areas or diaper changing areas. Soap, paper towels, and toilet paper were not available in space 2; soap was not available in space 6; paper towels were not available in space 8. 15A NCAC 18A .2818(b) & (d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Five (5) leftover creams were not returned to parents after the course of treatment in space 8. An emergency medication was expired in space 11 for child (B.N.). .0803(12) 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. A medical assessment and immunization record was not on file for (M.N.), (W.B.) and (K.C.) GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical or health assessment was not on file within thirty (30) days after admission for (M.N.), (W.B.) and (K.C). GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A child (W.B.) did not have a written permission statement for up to twelve months for participation for off premise activities. .1005(b)(4) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child (R.G.), (M.N.), (W.B.) and (K.C.) did not have an immunization record on file within 30 days. 10A NCAC 09 .0302(d)(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. A child (B.N.) in space 11 did not have a medical action plan. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with (K.M.), (M.M.) and (C.T.) prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization expired for a child in space 11 (B.N) and a child (E.M.) did not have a standing medication authorization for up to six months to administer medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff (C.T.) did not have medical report, (J.G.) and (J.D.) did not have health questionnaire maintained in file .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.L.) and (T.M). did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (W.B.) did not have a have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. .0608(b)(1-6) -A visit will be conducted within five (5) days to review staff files; files were not reviewed during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -Ms. Ramsey stated that she contacted the Fire Inspector's Office on June 4, 2024, to schedule a fire inspection, and she was informed that it was not necessary to schedule the inspection; and the fire inspector will come by the center when due. Ms. Ramsey provided a copy of the email. The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -A summary of the NC Child Care Law must be given to parents of every child enrolled in the center (G.S. 110-102. -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child (Child Care Rule 10A NCAC .0302(d)(2); .0304(g); G.S. 110-91(1)). -Medical exam or health assessment records must be on file before or within 30 days after admission (G.S. 110-91(1)). -A written statement from each child's parent giving standing permission which may be valid for up to twelve (12) months for participation in off premise activities that occur on a regular basis must be available in the child's file if the child is taken off premise (Child Care Rule 10A NCAC .1005(b)(4). -Each child must have immunization record on file before or within 30 days after admission (G.S. 110-91(1); Child Care Rule 10A NCAC 09 .0302(d)(2)). -Children's files must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information (Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services must have a medical action plan (Child Care Rule 10A NCAC .0801(b)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization expires and/or medication must be discarded within 72 hours of completion of treatment or withdrawal of authorization; return expired medication including creams/ointments to parents(Child Care Rule 10A NCAC 09 .0803(12). -Permission to Administer Medication for chronic medication is valid up to six (6) months. The forms must be completed every six (6) months and must contain the required information: child's name. medical condition, name of the authorized medication, criteria for the administration of the medication; the amount and frequency, manner in which the medication is administered, the signature of the parent, date the authorization was signed and the length of authorization. (Child Care Rule 10A NCAC 09 .0803 (6)) -Initially place infants ages twelve months or younger on their backs for sleep and document on the safe sleep log that the infant was placed on their back to sleep (Child Care Rule 10A NCAC 09 .0606(a)(1)). -Staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -Each staff member must have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file (Child Care Rule 10A NCAC 09 .0701(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 91 Completed Date: 11/15/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:50 AM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to complete an annual compliance/unannounced visit to monitor applicable child care laws and rules. I was greeted by the Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, and I explained the purpose of the visit. I completed a walkthrough indoors and outdoors of the facility, and Ms. Williams accompanied me. The facility had a Three-Star License issued April 17, 2024. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum (Life Essentials), as required for all four and five star licensed facilities where four-year-old children are enrolled; compliance was met. The sanitation inspection was completed July 30, 2024 with an “Approved” classification and twenty-two (22) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated June 27, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of November 14, 2024. The NC Secretary of State website was reviewed on November 15, 2024, and Educare Endeavors Inc. was listed as current-active. The children in space 1 and in space 2 were observed having supervised independent play. Space 3 was not in use, and the children in space 4 were observed having circle time. The children in space 5 were observed having supervised outdoor play. I observed the children in space 6, space 8, and space 10 were observed having supervised independent play. Space 7 was closed. The children in space 9 were observed having outdoor supervised play. I observed children in space 11 having supervised independent play. In space 12 and space 13, children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Space 2 did not have paper towels, soap, and toilet paper; space 6 did not have any soap; space 8 did not have paper towels, and a violation was cited. Speech Therapist (Carolina Speech Connections) Brittani Greene and Samantha Nelson worked independently with children in space 3. Current criminal qualifying letter were current and on file. Annual Compliance Monitoring Checklist for Child Care Centers was used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: An Administrative Action, Child Care License, First Aid Poster, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster, and compliance was met. Eleven (11) children’s files were selected for review; A violation was cited for an immunization records, medical records, immunization record with thirty (30) days, medical records over 30 days, a signed Summary of NC Law. Off Premise Form, and Prevention of Shaken Baby Syndrome. Children with allergies were posted. Medications and emergency medications were reviewed. A violation was cited for a child that did not have a Medical Action Plan. Children's diapering creams, ointments, and sunscreens were monitored; a violation was cited for an expired creams, an expired emergency medications; expired creams not returned to parents. The outdoor area was monitored; the area was clean and the area did not have any hazards. The center does not provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement was posted. Fourteen (14) violations were cited violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child (W.B.) did not have a copy of the signed Summary of NC Law in the child's file. GS 110-102 607 Separate lavatories with hot and cold running water, soap, and individual sanitary towels or other approved hand-drying devices were not available for staff in food preparation areas or diaper changing areas. Soap, paper towels, and toilet paper were not available in space 2; soap was not available in space 6; paper towels were not available in space 8. 15A NCAC 18A .2818(b) & (d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Five (5) leftover creams were not returned to parents after the course of treatment in space 8. An emergency medication was expired in space 11 for child (B.N.). .0803(12) 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. A medical assessment and immunization record was not on file for (M.N.), (W.B.) and (K.C.) GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical or health assessment was not on file within thirty (30) days after admission for (M.N.), (W.B.) and (K.C). GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A child (W.B.) did not have a written permission statement for up to twelve months for participation for off premise activities. .1005(b)(4) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child (R.G.), (M.N.), (W.B.) and (K.C.) did not have an immunization record on file within 30 days. 10A NCAC 09 .0302(d)(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. A child (B.N.) in space 11 did not have a medical action plan. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with (K.M.), (M.M.) and (C.T.) prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization expired for a child in space 11 (B.N) and a child (E.M.) did not have a standing medication authorization for up to six months to administer medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff (C.T.) did not have medical report, (J.G.) and (J.D.) did not have health questionnaire maintained in file .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.L.) and (T.M). did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (W.B.) did not have a have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. .0608(b)(1-6) -A visit will be conducted within five (5) days to review staff files; files were not reviewed during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -Ms. Ramsey stated that she contacted the Fire Inspector's Office on June 4, 2024, to schedule a fire inspection, and she was informed that it was not necessary to schedule the inspection; and the fire inspector will come by the center when due. Ms. Ramsey provided a copy of the email. The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -A summary of the NC Child Care Law must be given to parents of every child enrolled in the center (G.S. 110-102. -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child (Child Care Rule 10A NCAC .0302(d)(2); .0304(g); G.S. 110-91(1)). -Medical exam or health assessment records must be on file before or within 30 days after admission (G.S. 110-91(1)). -A written statement from each child's parent giving standing permission which may be valid for up to twelve (12) months for participation in off premise activities that occur on a regular basis must be available in the child's file if the child is taken off premise (Child Care Rule 10A NCAC .1005(b)(4). -Each child must have immunization record on file before or within 30 days after admission (G.S. 110-91(1); Child Care Rule 10A NCAC 09 .0302(d)(2)). -Children's files must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information (Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services must have a medical action plan (Child Care Rule 10A NCAC .0801(b)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization expires and/or medication must be discarded within 72 hours of completion of treatment or withdrawal of authorization; return expired medication including creams/ointments to parents(Child Care Rule 10A NCAC 09 .0803(12). -Permission to Administer Medication for chronic medication is valid up to six (6) months. The forms must be completed every six (6) months and must contain the required information: child's name. medical condition, name of the authorized medication, criteria for the administration of the medication; the amount and frequency, manner in which the medication is administered, the signature of the parent, date the authorization was signed and the length of authorization. (Child Care Rule 10A NCAC 09 .0803 (6)) -Initially place infants ages twelve months or younger on their backs for sleep and document on the safe sleep log that the infant was placed on their back to sleep (Child Care Rule 10A NCAC 09 .0606(a)(1)). -Staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -Each staff member must have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file (Child Care Rule 10A NCAC 09 .0701(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 91 Completed Date: 11/15/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:50 AM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to complete an annual compliance/unannounced visit to monitor applicable child care laws and rules. I was greeted by the Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, and I explained the purpose of the visit. I completed a walkthrough indoors and outdoors of the facility, and Ms. Williams accompanied me. The facility had a Three-Star License issued April 17, 2024. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum (Life Essentials), as required for all four and five star licensed facilities where four-year-old children are enrolled; compliance was met. The sanitation inspection was completed July 30, 2024 with an “Approved” classification and twenty-two (22) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated June 27, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of November 14, 2024. The NC Secretary of State website was reviewed on November 15, 2024, and Educare Endeavors Inc. was listed as current-active. The children in space 1 and in space 2 were observed having supervised independent play. Space 3 was not in use, and the children in space 4 were observed having circle time. The children in space 5 were observed having supervised outdoor play. I observed the children in space 6, space 8, and space 10 were observed having supervised independent play. Space 7 was closed. The children in space 9 were observed having outdoor supervised play. I observed children in space 11 having supervised independent play. In space 12 and space 13, children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Space 2 did not have paper towels, soap, and toilet paper; space 6 did not have any soap; space 8 did not have paper towels, and a violation was cited. Speech Therapist (Carolina Speech Connections) Brittani Greene and Samantha Nelson worked independently with children in space 3. Current criminal qualifying letter were current and on file. Annual Compliance Monitoring Checklist for Child Care Centers was used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: An Administrative Action, Child Care License, First Aid Poster, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster, and compliance was met. Eleven (11) children’s files were selected for review; A violation was cited for an immunization records, medical records, immunization record with thirty (30) days, medical records over 30 days, a signed Summary of NC Law. Off Premise Form, and Prevention of Shaken Baby Syndrome. Children with allergies were posted. Medications and emergency medications were reviewed. A violation was cited for a child that did not have a Medical Action Plan. Children's diapering creams, ointments, and sunscreens were monitored; a violation was cited for an expired creams, an expired emergency medications; expired creams not returned to parents. The outdoor area was monitored; the area was clean and the area did not have any hazards. The center does not provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement was posted. Fourteen (14) violations were cited violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child (W.B.) did not have a copy of the signed Summary of NC Law in the child's file. GS 110-102 607 Separate lavatories with hot and cold running water, soap, and individual sanitary towels or other approved hand-drying devices were not available for staff in food preparation areas or diaper changing areas. Soap, paper towels, and toilet paper were not available in space 2; soap was not available in space 6; paper towels were not available in space 8. 15A NCAC 18A .2818(b) & (d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Five (5) leftover creams were not returned to parents after the course of treatment in space 8. An emergency medication was expired in space 11 for child (B.N.). .0803(12) 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. A medical assessment and immunization record was not on file for (M.N.), (W.B.) and (K.C.) GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical or health assessment was not on file within thirty (30) days after admission for (M.N.), (W.B.) and (K.C). GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A child (W.B.) did not have a written permission statement for up to twelve months for participation for off premise activities. .1005(b)(4) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child (R.G.), (M.N.), (W.B.) and (K.C.) did not have an immunization record on file within 30 days. 10A NCAC 09 .0302(d)(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. A child (B.N.) in space 11 did not have a medical action plan. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with (K.M.), (M.M.) and (C.T.) prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization expired for a child in space 11 (B.N) and a child (E.M.) did not have a standing medication authorization for up to six months to administer medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff (C.T.) did not have medical report, (J.G.) and (J.D.) did not have health questionnaire maintained in file .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.L.) and (T.M). did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (W.B.) did not have a have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. .0608(b)(1-6) -A visit will be conducted within five (5) days to review staff files; files were not reviewed during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -Ms. Ramsey stated that she contacted the Fire Inspector's Office on June 4, 2024, to schedule a fire inspection, and she was informed that it was not necessary to schedule the inspection; and the fire inspector will come by the center when due. Ms. Ramsey provided a copy of the email. The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -A summary of the NC Child Care Law must be given to parents of every child enrolled in the center (G.S. 110-102. -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child (Child Care Rule 10A NCAC .0302(d)(2); .0304(g); G.S. 110-91(1)). -Medical exam or health assessment records must be on file before or within 30 days after admission (G.S. 110-91(1)). -A written statement from each child's parent giving standing permission which may be valid for up to twelve (12) months for participation in off premise activities that occur on a regular basis must be available in the child's file if the child is taken off premise (Child Care Rule 10A NCAC .1005(b)(4). -Each child must have immunization record on file before or within 30 days after admission (G.S. 110-91(1); Child Care Rule 10A NCAC 09 .0302(d)(2)). -Children's files must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information (Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services must have a medical action plan (Child Care Rule 10A NCAC .0801(b)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization expires and/or medication must be discarded within 72 hours of completion of treatment or withdrawal of authorization; return expired medication including creams/ointments to parents(Child Care Rule 10A NCAC 09 .0803(12). -Permission to Administer Medication for chronic medication is valid up to six (6) months. The forms must be completed every six (6) months and must contain the required information: child's name. medical condition, name of the authorized medication, criteria for the administration of the medication; the amount and frequency, manner in which the medication is administered, the signature of the parent, date the authorization was signed and the length of authorization. (Child Care Rule 10A NCAC 09 .0803 (6)) -Initially place infants ages twelve months or younger on their backs for sleep and document on the safe sleep log that the infant was placed on their back to sleep (Child Care Rule 10A NCAC 09 .0606(a)(1)). -Staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -Each staff member must have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file (Child Care Rule 10A NCAC 09 .0701(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 91 Completed Date: 11/15/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:50 AM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to complete an annual compliance/unannounced visit to monitor applicable child care laws and rules. I was greeted by the Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, and I explained the purpose of the visit. I completed a walkthrough indoors and outdoors of the facility, and Ms. Williams accompanied me. The facility had a Three-Star License issued April 17, 2024. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum (Life Essentials), as required for all four and five star licensed facilities where four-year-old children are enrolled; compliance was met. The sanitation inspection was completed July 30, 2024 with an “Approved” classification and twenty-two (22) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated June 27, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of November 14, 2024. The NC Secretary of State website was reviewed on November 15, 2024, and Educare Endeavors Inc. was listed as current-active. The children in space 1 and in space 2 were observed having supervised independent play. Space 3 was not in use, and the children in space 4 were observed having circle time. The children in space 5 were observed having supervised outdoor play. I observed the children in space 6, space 8, and space 10 were observed having supervised independent play. Space 7 was closed. The children in space 9 were observed having outdoor supervised play. I observed children in space 11 having supervised independent play. In space 12 and space 13, children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Space 2 did not have paper towels, soap, and toilet paper; space 6 did not have any soap; space 8 did not have paper towels, and a violation was cited. Speech Therapist (Carolina Speech Connections) Brittani Greene and Samantha Nelson worked independently with children in space 3. Current criminal qualifying letter were current and on file. Annual Compliance Monitoring Checklist for Child Care Centers was used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: An Administrative Action, Child Care License, First Aid Poster, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster, and compliance was met. Eleven (11) children’s files were selected for review; A violation was cited for an immunization records, medical records, immunization record with thirty (30) days, medical records over 30 days, a signed Summary of NC Law. Off Premise Form, and Prevention of Shaken Baby Syndrome. Children with allergies were posted. Medications and emergency medications were reviewed. A violation was cited for a child that did not have a Medical Action Plan. Children's diapering creams, ointments, and sunscreens were monitored; a violation was cited for an expired creams, an expired emergency medications; expired creams not returned to parents. The outdoor area was monitored; the area was clean and the area did not have any hazards. The center does not provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement was posted. Fourteen (14) violations were cited violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child (W.B.) did not have a copy of the signed Summary of NC Law in the child's file. GS 110-102 607 Separate lavatories with hot and cold running water, soap, and individual sanitary towels or other approved hand-drying devices were not available for staff in food preparation areas or diaper changing areas. Soap, paper towels, and toilet paper were not available in space 2; soap was not available in space 6; paper towels were not available in space 8. 15A NCAC 18A .2818(b) & (d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Five (5) leftover creams were not returned to parents after the course of treatment in space 8. An emergency medication was expired in space 11 for child (B.N.). .0803(12) 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. A medical assessment and immunization record was not on file for (M.N.), (W.B.) and (K.C.) GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical or health assessment was not on file within thirty (30) days after admission for (M.N.), (W.B.) and (K.C). GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A child (W.B.) did not have a written permission statement for up to twelve months for participation for off premise activities. .1005(b)(4) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child (R.G.), (M.N.), (W.B.) and (K.C.) did not have an immunization record on file within 30 days. 10A NCAC 09 .0302(d)(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. A child (B.N.) in space 11 did not have a medical action plan. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with (K.M.), (M.M.) and (C.T.) prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization expired for a child in space 11 (B.N) and a child (E.M.) did not have a standing medication authorization for up to six months to administer medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff (C.T.) did not have medical report, (J.G.) and (J.D.) did not have health questionnaire maintained in file .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.L.) and (T.M). did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (W.B.) did not have a have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. .0608(b)(1-6) -A visit will be conducted within five (5) days to review staff files; files were not reviewed during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -Ms. Ramsey stated that she contacted the Fire Inspector's Office on June 4, 2024, to schedule a fire inspection, and she was informed that it was not necessary to schedule the inspection; and the fire inspector will come by the center when due. Ms. Ramsey provided a copy of the email. The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -A summary of the NC Child Care Law must be given to parents of every child enrolled in the center (G.S. 110-102. -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child (Child Care Rule 10A NCAC .0302(d)(2); .0304(g); G.S. 110-91(1)). -Medical exam or health assessment records must be on file before or within 30 days after admission (G.S. 110-91(1)). -A written statement from each child's parent giving standing permission which may be valid for up to twelve (12) months for participation in off premise activities that occur on a regular basis must be available in the child's file if the child is taken off premise (Child Care Rule 10A NCAC .1005(b)(4). -Each child must have immunization record on file before or within 30 days after admission (G.S. 110-91(1); Child Care Rule 10A NCAC 09 .0302(d)(2)). -Children's files must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information (Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services must have a medical action plan (Child Care Rule 10A NCAC .0801(b)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization expires and/or medication must be discarded within 72 hours of completion of treatment or withdrawal of authorization; return expired medication including creams/ointments to parents(Child Care Rule 10A NCAC 09 .0803(12). -Permission to Administer Medication for chronic medication is valid up to six (6) months. The forms must be completed every six (6) months and must contain the required information: child's name. medical condition, name of the authorized medication, criteria for the administration of the medication; the amount and frequency, manner in which the medication is administered, the signature of the parent, date the authorization was signed and the length of authorization. (Child Care Rule 10A NCAC 09 .0803 (6)) -Initially place infants ages twelve months or younger on their backs for sleep and document on the safe sleep log that the infant was placed on their back to sleep (Child Care Rule 10A NCAC 09 .0606(a)(1)). -Staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -Each staff member must have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file (Child Care Rule 10A NCAC 09 .0701(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 91 Completed Date: 11/15/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:50 AM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to complete an annual compliance/unannounced visit to monitor applicable child care laws and rules. I was greeted by the Owner, Ms. Della Ramsey and Director, Ms. Mecca Williams, and I explained the purpose of the visit. I completed a walkthrough indoors and outdoors of the facility, and Ms. Williams accompanied me. The facility had a Three-Star License issued April 17, 2024. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum (Life Essentials), as required for all four and five star licensed facilities where four-year-old children are enrolled; compliance was met. The sanitation inspection was completed July 30, 2024 with an “Approved” classification and twenty-two (22) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only; a violation was cited for the fire inspection. The Emergency Preparedness and Response Plan (EPR) was reviewed; updated June 27, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of November 14, 2024. The NC Secretary of State website was reviewed on November 15, 2024, and Educare Endeavors Inc. was listed as current-active. The children in space 1 and in space 2 were observed having supervised independent play. Space 3 was not in use, and the children in space 4 were observed having circle time. The children in space 5 were observed having supervised outdoor play. I observed the children in space 6, space 8, and space 10 were observed having supervised independent play. Space 7 was closed. The children in space 9 were observed having outdoor supervised play. I observed children in space 11 having supervised independent play. In space 12 and space 13, children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Space 2 did not have paper towels, soap, and toilet paper; space 6 did not have any soap; space 8 did not have paper towels, and a violation was cited. Speech Therapist (Carolina Speech Connections) Brittani Greene and Samantha Nelson worked independently with children in space 3. Current criminal qualifying letter were current and on file. Annual Compliance Monitoring Checklist for Child Care Centers was used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: An Administrative Action, Child Care License, First Aid Poster, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster, and compliance was met. Eleven (11) children’s files were selected for review; A violation was cited for an immunization records, medical records, immunization record with thirty (30) days, medical records over 30 days, a signed Summary of NC Law. Off Premise Form, and Prevention of Shaken Baby Syndrome. Children with allergies were posted. Medications and emergency medications were reviewed. A violation was cited for a child that did not have a Medical Action Plan. Children's diapering creams, ointments, and sunscreens were monitored; a violation was cited for an expired creams, an expired emergency medications; expired creams not returned to parents. The outdoor area was monitored; the area was clean and the area did not have any hazards. The center does not provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement was posted. Fourteen (14) violations were cited violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed October 23, 2023, and the fire inspection is due. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child (W.B.) did not have a copy of the signed Summary of NC Law in the child's file. GS 110-102 607 Separate lavatories with hot and cold running water, soap, and individual sanitary towels or other approved hand-drying devices were not available for staff in food preparation areas or diaper changing areas. Soap, paper towels, and toilet paper were not available in space 2; soap was not available in space 6; paper towels were not available in space 8. 15A NCAC 18A .2818(b) & (d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Five (5) leftover creams were not returned to parents after the course of treatment in space 8. An emergency medication was expired in space 11 for child (B.N.). .0803(12) 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. A medical assessment and immunization record was not on file for (M.N.), (W.B.) and (K.C.) GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical or health assessment was not on file within thirty (30) days after admission for (M.N.), (W.B.) and (K.C). GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A child (W.B.) did not have a written permission statement for up to twelve months for participation for off premise activities. .1005(b)(4) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child (R.G.), (M.N.), (W.B.) and (K.C.) did not have an immunization record on file within 30 days. 10A NCAC 09 .0302(d)(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. A child (B.N.) in space 11 did not have a medical action plan. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with (K.M.), (M.M.) and (C.T.) prior to providing care with children and/or a signed acknowledgement with all the required information and was not maintained in the staff person's file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization expired for a child in space 11 (B.N) and a child (E.M.) did not have a standing medication authorization for up to six months to administer medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff (C.T.) did not have medical report, (J.G.) and (J.D.) did not have health questionnaire maintained in file .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff (J.L.) and (T.M). did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child (W.B.) did not have a have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. .0608(b)(1-6) -A visit will be conducted within five (5) days to review staff files; files were not reviewed during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. Scales are voluntary at this time. The following Technical Assistance (TA) was provided: -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • 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. -Ms. Ramsey stated that she contacted the Fire Inspector's Office on June 4, 2024, to schedule a fire inspection, and she was informed that it was not necessary to schedule the inspection; and the fire inspector will come by the center when due. Ms. Ramsey provided a copy of the email. The operator must schedule and obtain a fire inspection within twelve (12) months of the previous inspection. Operator must submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -A summary of the NC Child Care Law must be given to parents of every child enrolled in the center (G.S. 110-102. -Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care must be on file for each child (Child Care Rule 10A NCAC .0302(d)(2); .0304(g); G.S. 110-91(1)). -Medical exam or health assessment records must be on file before or within 30 days after admission (G.S. 110-91(1)). -A written statement from each child's parent giving standing permission which may be valid for up to twelve (12) months for participation in off premise activities that occur on a regular basis must be available in the child's file if the child is taken off premise (Child Care Rule 10A NCAC .1005(b)(4). -Each child must have immunization record on file before or within 30 days after admission (G.S. 110-91(1); Child Care Rule 10A NCAC 09 .0302(d)(2)). -Children's files must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement must have all the required information (Child Care Rule 10A NCAC 09 .0608(b)(1-6). -Any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services must have a medical action plan (Child Care Rule 10A NCAC .0801(b)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization expires and/or medication must be discarded within 72 hours of completion of treatment or withdrawal of authorization; return expired medication including creams/ointments to parents(Child Care Rule 10A NCAC 09 .0803(12). -Permission to Administer Medication for chronic medication is valid up to six (6) months. The forms must be completed every six (6) months and must contain the required information: child's name. medical condition, name of the authorized medication, criteria for the administration of the medication; the amount and frequency, manner in which the medication is administered, the signature of the parent, date the authorization was signed and the length of authorization. (Child Care Rule 10A NCAC 09 .0803 (6)) -Initially place infants ages twelve months or younger on their backs for sleep and document on the safe sleep log that the infant was placed on their back to sleep (Child Care Rule 10A NCAC 09 .0606(a)(1)). -Staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (Child Care Rule 10A NCAC 09 .1102(g)). -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children and a signed acknowledgement with all the required information must be maintained in the staff person's file (Child Care Rule 10A NCAC 09 .0608(d)(1-4). -Each staff member must have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file (Child Care Rule 10A NCAC 09 .0701(d)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2201 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: TAMIKA POWELL Operation Type: Center Case Number: 0724-018A Visit Date: 10/16/2024 Number Present: 87 Completed Date: 10/16/2024 Age: From 0 To 4 Total Minutes: 95 Time In: 12:40 PM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up A/N Announced/Unannounced: Unannounced The purpose of this unannounced visit was to monitor compliance with the Corrective Action Plan (CAP), included in the Written Warning, issued on September 20, 2024. Della Ramsey, owner/administrator accompanied me during a walk-through of the facility. I spoke with Ms. Ramsey and informed her of the purpose of the visit. I observed a copy of the administrative action, cover letter, and CAP posted as required. I also reminded Ms. Ramsey to keep the action posted in a location visible to parents and visitors near the entrance of the child care facility during the effective time period of three (3) months and upon receipt of a closure letter from the Division stating that the corrective action plan has been completed as required by Child Care Rule 10A NCAC 09 .2201(i). . Limited monitoring of child care requirements occurred during today’s visit. I monitored supervision of children, discipline, nurture, or care of children, staff/child ratio, group size, license capacity, permit restrictions. I requested a copy of the staff training worksheet; however, it was not up to date. I reviewed staff files to verify valid CPR training, First Aid training, ITS-SIDS training, and criminal background check qualification letters for all current staff members. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. On October 16, 2024, eleven (11) staff members did not have current/valid First Aid training in their staff file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. On October 16, 2024, eleven (11) staff members did not have current/valid CPR training in their file. .1102(d) All violations documented above must be corrected immediately. A written, dated, and signed letter of compliance must be submitted to me within one week, by October 23, 2024, describing how and when the violations were corrected and how compliance will be maintained in the future. The letter of compliance should be emailed or mailed to: Tamika Powell, Investigations Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 (919)715-1013- fax Tamika.t.powell@dhhs.nc.gov I monitored for compliance with the CAP as follows: 1. No violations were obsereved today related to the requirements included in this stipulation; however, a violation was cited regarding CPR/First Aid training. 2. Ms. Ramsey contacted Jennifer Kappas, Child Care Resources, Inc. on October 3, 2024 to schedule the training. The training was held on October 14, 2024. Ms. Ramsey provided documentation from the training. This stipulation is completed as required. 3. Ms. Ramsey will review/revise the policies and procedures by October 28, 2024. This stipulation is in compliance. 4. This stipulation is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You may contact me at Tamika Powell, Investigations Consultant, (704) 330-9725, Tamika.t.powell@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 8/12/2024 Number Present: 93 Completed Date: 8/12/2024 Age: From 0 To 5 Total Minutes: 75 Time In: 12:20 PM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor the facility for compliance with all applicable child care requirements during the An Administrative Action Follow up Visit. The facility has a compliance history of 89% prior to today’s visit. The last Temporary Visit was conducted on April 3, 2024. Upon arrival, I was greeted by Della Ramsey, Director. I explained the purpose of my visit. Ms. Ramsey and I conducted a walk-through of the facility. Supervision of Children, discipline, nurture and care of children, staff/child ratio, group size, licensed capacity, and permit restrictions were monitored during the walk-through. The infant room infants were observed playing on the floor, teachers were observed meeting the needs of the infants. Preschool age children were observed transitioning to nap and napping . All groups were within staff/child ratio requirements and were adequately supervised. Transition sheets were reviewed. In space #6 thirteen (13) children were present and only twelve (12) were marked on the attendance sheet. In space #7 ten (10)children were present and only nine (9)were marked on the attendance sheet. The Notice of Administrative Action was posted as required. Staff files are current on CPR/ First Aid, CBC qualification letters. No new staff have been hired since my last visit. One (1) violation was cited and considered corrected during the visit. Violation Number Comment Rule 1301 Center did not maintain a record of daily attendance. In space #6 thirteen (13) children were present and only twelve (12) were marked on the attendance sheet. In space #7 ten (10)children were present and only nine (9)were marked on the attendance sheet. GS 110-91(9) There is no Correction Action needed at this time. Technical Assistant and General Discussions: - The Written Warning was issued on June 14, 2024. On July 17, 2024, I received a written plan of the steps the facility will take to ensure staffing patterns ensuring Staff/child Ratio and Supervision of children. These procedures were approved on July 18, 2024. On July 25, 2024, Ms. Ramsey conducted a staff meeting to discuss stipulation #2. This completes the requirements of the Action. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: 0724-182L Visit Date: 7/22/2024 Number Present: 78 Completed Date: 7/22/2024 Age: From 0 To 4 Total Minutes: 110 Time In: 11:10 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations of childcare requirements during a complaint visit. The facility has a Three Star Rated License issued April 17, 2024. The facility had its last Temp Time Period was April 3, 2024. The facility has an 82% compliance history prior to today’s visit. Upon my arrival I was greeted by Della Ramsey, Director/Owner I explained the purpose of today’s visit. I shared the following allegation with Ms. Ramsey. There are concerns that: Incident reports are not prepared as required. Recently hired teachers are not qualified to be in the classroom. Ms. Ramsey stated that no one has come to her regarding incident reports not being completed. Ms. Ramsey and I did a walk-though of the facility. Infants and toddlers were observed eating and playing on the floor with their teacher. Preschool children were observed in teacher directed activities and outside free play. The children were engaged in developmentally appropriate activities. The classrooms were within staff/child ratio and adequately supervised. Hazardous products were stored locked. Based on interviews with the staff and review of incident reports, the allegation that Incident reports are not prepared as required was found unsubstantiated. Based on interviews with the staff and a review of recently hired teacher files, the allegation that teachers are not qualified to be in the classroom was found unsubstantiated. During the review of the staff file, one (1) staff did not have a competed medial exam on file. During today’s visit, I asked D. Ramsey if she has ever had to terminate a child. She stated she did disenroll one (1) child in April because of biting issues. We reviewed the policy and the facility’s policy was followed. One (1) violation was cited during today’s visit. . Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. During the review of the staff file, one (1) staff did not have a competed medial exam on file. 10A NCAC 09 .0701(a) Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. D. Ramsey needs to submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before August 5, 2024, to Amy.italiano@dhhs.nc.gov Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance: - Ms. Ramsey and I discussed they are currently interviewing for a new director. The previous director left last week. - On July 7, 2024, an Administrative Action Follow-Up visit was conducted. Two (2) violations were cited, and the CAL was due by Tuesday July 23, 2024. Today item 620 and item 1301 were verified corrected. - It was discussed today that all staff need to have a current medical on file prior to starting employment. D. Ramsey was aware of the rule and stated that the previous director had this employee lined up to start today and assumed the paperwork was in compliance. We discussed before an employee starts it is best to double check the file before letting the employee start working. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 7/9/2024 Number Present: 99 Completed Date: 7/9/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 09:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor the facility for compliance with all applicable child care requirements during the An Administrative Action Follow up Visit. The facility has a compliance history of 81% prior to today’s visit. The last Temporary Time Visit was conducted on April 03, 2024. Upon arrival, I was greeted by Della Ramsey, the owner. I explained the purpose of my visit. D. Ramsey and I conducted a walk-through of the facility. Supervision of Children, discipline, nurture and care of children, staff/child ratio, group size, licensed capacity, and permit restrictions were monitored during the walk-through. The infant room infants were observed playing on the floor, teachers were observed meeting the needs of the infants. Preschool age children were observed in teacher directed activities, free center play, and outside. In space #6 there are crayon marks all over the walls and on crayon marks on the shelves. All groups were within staff/child ratio requirements and were adequately supervised. Attendance was reviewed in each classroom. The following violation regarding daily attendance was observed. Space #1 Seven (7) children were present Five (5) children were marked present on the attendance sheet. Space #9 Ten (10) children were present nine (9) children were marked present on the attendance sheet. Space #11 Three (3) children were present one (1) child was marked present on the attendance sheet. Space #12 Five (5) children were present Six (6) children were marked present on the attendance sheet. Five (5) new staff have been hired since my last visit. Two (2) violations were observed and considered corrected. Four (4) violations were observed and cited during today’s visit. Two (2) of the violations area considered corrected during the visit. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space #6 there are crayon marks all over the walls and on crayon marks on the shelves. 15A NCAC 18A .2825(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff members date of employment was April 11, 2024. The medical form was dated April 16, 2024 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff members date of employment was April 11, 2024. The TB esult was dated April 16, 2024 .0701(a) 1301 Center did not maintain a record of daily attendance. Space #1 Seven (7) children were present Five (5) children were marked present on the attendance sheet. Space #9 Ten (10) children were present nine (9) children were marked present on the attendance sheet. Space #11 Three (3) children were present one (1) child was marked present on the attendance sheet. Space #12 Five (5) children were present Six (6) children were marked present on the attendance sheet. GS 110-91(9) Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. D. Ramsey needs to submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before July 23, 2024, to Amy.italiano@dhhs.nc.gov Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistant and General Discussions: - It was discussed with D. Ramsey that accurate attendance is a must in the classroom. Staff need to know exactly how many children they have at all times in case an emergency arrives. It was suggested that she or her admin team review attendance records several times during the day. I also suggest that a staff meeting might be needed to review the importance of accurate attendance. - D. Ramsey and I discussed the crayon marks that are on the walls and shelves in space #6. The equipment and walls are less than a year old and staff need to take care of the equipment and building. We discussed that the volume of marks was more than a typical two-year-old class and she needs to considered class observation in the classroom to ensure supervision and age-appropriate interaction is happening in that classroom. - It was discussed with D Ramsey today and the administrative team that staff are required to have a criminal background check, medical and a TB prior to starting appointment. It is very important that the correct dates are written in the file. When we are reviewing the file the date of employment found on the orientation sheet is the date that we use to ensure paperwork timelines are in compliance. - The Written Warning was issued on June 14, 2024. The Action was reviewed with Ms. Ramsey on June 25, 2024. Stipulation #2 is due on or before Wednesday June 10, 2024. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 7/9/2024 Number Present: 99 Completed Date: 7/9/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 09:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor the facility for compliance with all applicable child care requirements during the An Administrative Action Follow up Visit. The facility has a compliance history of 81% prior to today’s visit. The last Temporary Time Visit was conducted on April 03, 2024. Upon arrival, I was greeted by Della Ramsey, the owner. I explained the purpose of my visit. D. Ramsey and I conducted a walk-through of the facility. Supervision of Children, discipline, nurture and care of children, staff/child ratio, group size, licensed capacity, and permit restrictions were monitored during the walk-through. The infant room infants were observed playing on the floor, teachers were observed meeting the needs of the infants. Preschool age children were observed in teacher directed activities, free center play, and outside. In space #6 there are crayon marks all over the walls and on crayon marks on the shelves. All groups were within staff/child ratio requirements and were adequately supervised. Attendance was reviewed in each classroom. The following violation regarding daily attendance was observed. Space #1 Seven (7) children were present Five (5) children were marked present on the attendance sheet. Space #9 Ten (10) children were present nine (9) children were marked present on the attendance sheet. Space #11 Three (3) children were present one (1) child was marked present on the attendance sheet. Space #12 Five (5) children were present Six (6) children were marked present on the attendance sheet. Five (5) new staff have been hired since my last visit. Two (2) violations were observed and considered corrected. Four (4) violations were observed and cited during today’s visit. Two (2) of the violations area considered corrected during the visit. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space #6 there are crayon marks all over the walls and on crayon marks on the shelves. 15A NCAC 18A .2825(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff members date of employment was April 11, 2024. The medical form was dated April 16, 2024 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff members date of employment was April 11, 2024. The TB esult was dated April 16, 2024 .0701(a) 1301 Center did not maintain a record of daily attendance. Space #1 Seven (7) children were present Five (5) children were marked present on the attendance sheet. Space #9 Ten (10) children were present nine (9) children were marked present on the attendance sheet. Space #11 Three (3) children were present one (1) child was marked present on the attendance sheet. Space #12 Five (5) children were present Six (6) children were marked present on the attendance sheet. GS 110-91(9) Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. D. Ramsey needs to submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before July 23, 2024, to Amy.italiano@dhhs.nc.gov Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistant and General Discussions: - It was discussed with D. Ramsey that accurate attendance is a must in the classroom. Staff need to know exactly how many children they have at all times in case an emergency arrives. It was suggested that she or her admin team review attendance records several times during the day. I also suggest that a staff meeting might be needed to review the importance of accurate attendance. - D. Ramsey and I discussed the crayon marks that are on the walls and shelves in space #6. The equipment and walls are less than a year old and staff need to take care of the equipment and building. We discussed that the volume of marks was more than a typical two-year-old class and she needs to considered class observation in the classroom to ensure supervision and age-appropriate interaction is happening in that classroom. - It was discussed with D Ramsey today and the administrative team that staff are required to have a criminal background check, medical and a TB prior to starting appointment. It is very important that the correct dates are written in the file. When we are reviewing the file the date of employment found on the orientation sheet is the date that we use to ensure paperwork timelines are in compliance. - The Written Warning was issued on June 14, 2024. The Action was reviewed with Ms. Ramsey on June 25, 2024. Stipulation #2 is due on or before Wednesday June 10, 2024. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: TAMIKA POWELL Operation Type: Center Case Number: 0724-018A Visit Date: 7/8/2024 Number Present: 97 Completed Date: 7/8/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 12:30 PM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Della Ramsey, owner, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Ramsey, Sheterrica Williams, Mecca Williams, and Benjamin Taylor, administrators. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On June 28, 2024, a staff member aggressively patted a one-year-old child’s back during nap time. The same staff member lifted and pulled a cot toward them with a one-year-old child sitting on it. G.S. 110-91(10) 904 Child was handled roughly. On June 28, 2024, a staff member forcefully placed a one-year-old child on a nap mat two times. .1803(a)(1) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A staff member did not complete and submit required forms to complete a criminal background check prior to the expiration date on June 5, 2024. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. On July 8, 2024, a staff member's qualification letter was not on file and available to review. G.S. 110-90.2(b) & (d) & .2703(e) 1877 A child was restrained as a form of discipline and the child's safety or the safety of others was not at risk. On June 28, 2024, a staff member restrained a one-year-old child on a nap mat, using thier feet to restrict the child from moving for approximately seven (7) minutes. .1803(a)(10) Violations must be corrected immediately. Within one week (July 15, 2024), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at: Tamika Powell, Investigations Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 (919)715-1013- fax Tamika.t.powell@dhhs.nc.gov You may contact me at Tamika Powell, Investigations Consultant, (704) 330-9725, Tamika.t.powell@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: TAMIKA POWELL Operation Type: Center Case Number: 0724-018A Visit Date: 7/8/2024 Number Present: 97 Completed Date: 7/8/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 12:30 PM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Della Ramsey, owner, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Ramsey, Sheterrica Williams, Mecca Williams, and Benjamin Taylor, administrators. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On June 28, 2024, a staff member aggressively patted a one-year-old child’s back during nap time. The same staff member lifted and pulled a cot toward them with a one-year-old child sitting on it. G.S. 110-91(10) 904 Child was handled roughly. On June 28, 2024, a staff member forcefully placed a one-year-old child on a nap mat two times. .1803(a)(1) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A staff member did not complete and submit required forms to complete a criminal background check prior to the expiration date on June 5, 2024. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. On July 8, 2024, a staff member's qualification letter was not on file and available to review. G.S. 110-90.2(b) & (d) & .2703(e) 1877 A child was restrained as a form of discipline and the child's safety or the safety of others was not at risk. On June 28, 2024, a staff member restrained a one-year-old child on a nap mat, using thier feet to restrict the child from moving for approximately seven (7) minutes. .1803(a)(10) Violations must be corrected immediately. Within one week (July 15, 2024), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at: Tamika Powell, Investigations Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 (919)715-1013- fax Tamika.t.powell@dhhs.nc.gov You may contact me at Tamika Powell, Investigations Consultant, (704) 330-9725, Tamika.t.powell@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0713 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: 0524-166L Visit Date: 5/21/2024 Number Present: 88 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 140 Time In: 10:10 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations of childcare requirements during a complaint visit. The facility has a Three Star Rated License issued April 17, 2024. The facility had its last Temp Time Period was April 3, 2024. The facility has an 81% compliance history prior to today’s visit. Upon my arrival I was greeted by Della Ramsey, Director. I explained the purpose of today’s visit. I shared the following allegation with Ms. Ramsey. There are concerns that: Appropriate ratios are not maintained. A one-year-old child is grouped with two-year-old children (over 24 months) during the day. The staff to child ratio is 2:17. Ms. Ramsey stated that on Monday May 13, 2024, she did move a one-year-old child into the room with children who are two-year-old. She stated that she thought that the division had a rule that you could move a child up to the next classroom if they were going to turn two within 30 days. She stated that she sent an e-mail to a licensing consultant but did not get a reply. Ms. Ramsey called me yesterday May 20, 2024, and asked me if there was such a rule. I explained that we did not have a rule that stated that and then I reviewed section .0713 of our rule with her. I reviewed attendance sheets for the week of May 13, 2024. I observed that in one of the rooms where the two-year-old house, no children in this classroom were over the age of 3, there were two children aged one year old in the classroom the week of May 13, 2024, the classroom was in staff child ratio. Based on interview and documentation of sign in and out attendance sheets, there was never more than 11 children present during the day. No one was over the age of two years old. It was determined that during nap time there was only one staff member in the classroom. Ms. Ramsey and I reviewed rule 1801 regarding supervision during that time. Ms. Ramsey and I did a walk-though of the facility. Preschool children were observed in free centers, teacher directed activities and outside free play. The children were engaged in developmentally appropriate activities. The classroom was within staff/child ratio and adequately supervised. Hazardous products were stored locked. Based on interviews with the staff and review of attendance sheets, the allegation that appropriate ratios are not maintained is found substantiated. One (1) violation was cited and considered corrected during today’s visit. . Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. It was determined that during nap time there was only one staff member in the classroom with two children aged one year old, and nine children aged two years old. 10A NCAC 09 .2818 Corrective Action The childcare provider is expected to always maintain all applicable childcare requirements. An unannounced visit will be conducted in the near future to verify the violation cited today is corrected. Technical Assistance: - Ms. Ramsey and I discussed the following rules. Ms. Ramsey stated that she understood the rules. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; and (9) when only one caregiver is required to meet the staff/child ratio, the operator shall select one of the following options for emergency relief: (A) the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; or (B) there shall be a second adult on the premises who is available to provide emergency relief. (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. - It was discussed with Ms. Ramsey that some classrooms keep attendance on both the tablet and the sign in and out sheet. If a classroom is doing both, the attendance needs to match. - It was discussed today in the infant room that if they are putting an infant in a crib for nap awake, that needs to be documented on the safe sleep chart form. If the staff member goes back to check on the infant within 15 minutes and the infant is not sleeping or is not interested in sleeping, the child needs to come back out of the crib. If the child is settling down and starting to fall asleep, they can document that on the safe sleep chart and continue checking on the infant as required. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1801 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: 0524-166L Visit Date: 5/21/2024 Number Present: 88 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 140 Time In: 10:10 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations of childcare requirements during a complaint visit. The facility has a Three Star Rated License issued April 17, 2024. The facility had its last Temp Time Period was April 3, 2024. The facility has an 81% compliance history prior to today’s visit. Upon my arrival I was greeted by Della Ramsey, Director. I explained the purpose of today’s visit. I shared the following allegation with Ms. Ramsey. There are concerns that: Appropriate ratios are not maintained. A one-year-old child is grouped with two-year-old children (over 24 months) during the day. The staff to child ratio is 2:17. Ms. Ramsey stated that on Monday May 13, 2024, she did move a one-year-old child into the room with children who are two-year-old. She stated that she thought that the division had a rule that you could move a child up to the next classroom if they were going to turn two within 30 days. She stated that she sent an e-mail to a licensing consultant but did not get a reply. Ms. Ramsey called me yesterday May 20, 2024, and asked me if there was such a rule. I explained that we did not have a rule that stated that and then I reviewed section .0713 of our rule with her. I reviewed attendance sheets for the week of May 13, 2024. I observed that in one of the rooms where the two-year-old house, no children in this classroom were over the age of 3, there were two children aged one year old in the classroom the week of May 13, 2024, the classroom was in staff child ratio. Based on interview and documentation of sign in and out attendance sheets, there was never more than 11 children present during the day. No one was over the age of two years old. It was determined that during nap time there was only one staff member in the classroom. Ms. Ramsey and I reviewed rule 1801 regarding supervision during that time. Ms. Ramsey and I did a walk-though of the facility. Preschool children were observed in free centers, teacher directed activities and outside free play. The children were engaged in developmentally appropriate activities. The classroom was within staff/child ratio and adequately supervised. Hazardous products were stored locked. Based on interviews with the staff and review of attendance sheets, the allegation that appropriate ratios are not maintained is found substantiated. One (1) violation was cited and considered corrected during today’s visit. . Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. It was determined that during nap time there was only one staff member in the classroom with two children aged one year old, and nine children aged two years old. 10A NCAC 09 .2818 Corrective Action The childcare provider is expected to always maintain all applicable childcare requirements. An unannounced visit will be conducted in the near future to verify the violation cited today is corrected. Technical Assistance: - Ms. Ramsey and I discussed the following rules. Ms. Ramsey stated that she understood the rules. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; and (9) when only one caregiver is required to meet the staff/child ratio, the operator shall select one of the following options for emergency relief: (A) the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; or (B) there shall be a second adult on the premises who is available to provide emergency relief. (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. - It was discussed with Ms. Ramsey that some classrooms keep attendance on both the tablet and the sign in and out sheet. If a classroom is doing both, the attendance needs to match. - It was discussed today in the infant room that if they are putting an infant in a crib for nap awake, that needs to be documented on the safe sleep chart form. If the staff member goes back to check on the infant within 15 minutes and the infant is not sleeping or is not interested in sleeping, the child needs to come back out of the crib. If the child is settling down and starting to fall asleep, they can document that on the safe sleep chart and continue checking on the infant as required. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: 0524-166L Visit Date: 5/21/2024 Number Present: 88 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 140 Time In: 10:10 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations of childcare requirements during a complaint visit. The facility has a Three Star Rated License issued April 17, 2024. The facility had its last Temp Time Period was April 3, 2024. The facility has an 81% compliance history prior to today’s visit. Upon my arrival I was greeted by Della Ramsey, Director. I explained the purpose of today’s visit. I shared the following allegation with Ms. Ramsey. There are concerns that: Appropriate ratios are not maintained. A one-year-old child is grouped with two-year-old children (over 24 months) during the day. The staff to child ratio is 2:17. Ms. Ramsey stated that on Monday May 13, 2024, she did move a one-year-old child into the room with children who are two-year-old. She stated that she thought that the division had a rule that you could move a child up to the next classroom if they were going to turn two within 30 days. She stated that she sent an e-mail to a licensing consultant but did not get a reply. Ms. Ramsey called me yesterday May 20, 2024, and asked me if there was such a rule. I explained that we did not have a rule that stated that and then I reviewed section .0713 of our rule with her. I reviewed attendance sheets for the week of May 13, 2024. I observed that in one of the rooms where the two-year-old house, no children in this classroom were over the age of 3, there were two children aged one year old in the classroom the week of May 13, 2024, the classroom was in staff child ratio. Based on interview and documentation of sign in and out attendance sheets, there was never more than 11 children present during the day. No one was over the age of two years old. It was determined that during nap time there was only one staff member in the classroom. Ms. Ramsey and I reviewed rule 1801 regarding supervision during that time. Ms. Ramsey and I did a walk-though of the facility. Preschool children were observed in free centers, teacher directed activities and outside free play. The children were engaged in developmentally appropriate activities. The classroom was within staff/child ratio and adequately supervised. Hazardous products were stored locked. Based on interviews with the staff and review of attendance sheets, the allegation that appropriate ratios are not maintained is found substantiated. One (1) violation was cited and considered corrected during today’s visit. . Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. It was determined that during nap time there was only one staff member in the classroom with two children aged one year old, and nine children aged two years old. 10A NCAC 09 .2818 Corrective Action The childcare provider is expected to always maintain all applicable childcare requirements. An unannounced visit will be conducted in the near future to verify the violation cited today is corrected. Technical Assistance: - Ms. Ramsey and I discussed the following rules. Ms. Ramsey stated that she understood the rules. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; and (9) when only one caregiver is required to meet the staff/child ratio, the operator shall select one of the following options for emergency relief: (A) the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; or (B) there shall be a second adult on the premises who is available to provide emergency relief. (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. - It was discussed with Ms. Ramsey that some classrooms keep attendance on both the tablet and the sign in and out sheet. If a classroom is doing both, the attendance needs to match. - It was discussed today in the infant room that if they are putting an infant in a crib for nap awake, that needs to be documented on the safe sleep chart form. If the staff member goes back to check on the infant within 15 minutes and the infant is not sleeping or is not interested in sleeping, the child needs to come back out of the crib. If the child is settling down and starting to fall asleep, they can document that on the safe sleep chart and continue checking on the infant as required. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 4/3/2024 Number Present: 78 Completed Date: 4/3/2024 Age: From 0 To 4 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with the child care requirements, review the results of the Environment Rating Scales (ERS), and complete the rated license assessment. This was the facility’s third temporary time period visit. The facility’s temporary license expires on April 16, 2024. The facility’s compliance history was 78% prior to today’s visit. Upon arrival I was greeted by John and Della Ramsey, Owners. Before I monitored the classrooms, I reviewed the ERS Assessment results with them and potential licensing violations were discussed. They understand that should these violations be observed during future licensing visits violations of child care requirements will be cited. Additionally, indicator items that scored less than 5 points were discussed with Ms. Ramsey and I shared suggestions on how the center could improve those scores in the future. They do not wish to grieve the assessment results. The following possible violations were discussed with the provider: - Disinfecting of sink between uses - Children need to be served the required meal components, refer to USDA meal guidelines. - The correct process for cleaning tables is using soapy water, sanitizer, and letting it sit for 2 minutes before wiping the table. - Blankets cannot touch other nap cots, suggestion wax paper in between the cots. - Children need to be at least 18 inches apart during nap time. - Require handwashing for children and staff. - Supervision on the playground and creating a safe outdoor environment by using all equipment safely. - Children should be responded to in a positive way, as well as be redirected and helped resolve conflicts with their peers. No children should be yelled at or threatened. - Responding to infants needs and understanding their needs. - Following Safe Sleep Policy regarding children 12 months and under need to be placed on their back unless a waiver on file. - Separating sick children from well children when waiting on the arrival of parents - Preschool children are required to go outside an hour a day; infants and toddlers are required to go out 30 minutes a day. Ms. Ramsey accompanied me as I monitored each of the classrooms. During the visit infants and toddlers were observed playing on the floor, eating, and sleeping. One (1) infant was sleeping, and it was documented on the Safe Sleep Chart that the child went to sleep at 11:30, it was 12:00pm, and no safe sleep check had been documented. One feeding schedule was not signed by the parent. Preschool children were observed in their activity centers, participating in group time and teacher directed activities, eating lunch, and preparing for nap. In space #4 medical authorization for an epi-pen expired March 19, 2024. The activity centers were well organized and had a variety of age-appropriate materials. The staff was engaging and nurturing with the children. All required documents were posted and current. All groups were within the staff/child ratio and adequately supervised. Hazardous Products were stored locked. Program records are completed and documented as required. You were reminded today that you have to complete your EPR plan. Once you or your administrator completes the EPR training you have 4 months to create your plan in the NC Risk Management Portal. The plan needs to be completed before October 16, 2024. The Staff and Training worksheet was used to verify current and new staff members and their required trainings. The fire inspection was completed on October 13, 2023. The last sanitation inspection was completed on November 3, 2023, with 15 demerits. Three (3) violations were observed and cited during today's visit. 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) In space 13 One feeding schedule was not signed by the parent. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. In space #4 medical authorization for an epi-pen expired March 19, 2024. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space 13 One (1) infant was sleeping, and it was documented on the Safe Sleep Chart that the child went to sleep at 11:30, it was 12:00pm, and no safe sleep check had been documented. .0606(g) Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. Ms. Ramsey needs to submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before April 16, 2024, to Amy.italiano@dhhs.nc.gov Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Clarification on the following NC General Statutes, Child Care Rules and/or Sanitation Requirements was provided today: Quality Enhancement and/or Technical Assistance Discussions - Ms. Ramsey and discussed having a check list for medication authorizations and when they are getting ready to expire to ensure that all medication authorizations will be in compliance. - I reminded Ms. Ramsey that administrators need to review all paperwork to ensure that forms are filled out and signed correctly. We discussed that all Feeding Schedules need to be reviewed by the teacher and posted for easy reference. - Ms. Ramsey and I discussed when staff comes into the infant room to break teaches for lunch there needs to be a discussion of each infant so that if an infant is sleeping the teachers will not forget check on any infant that is sleeping and document the safe sleep chart. Rated License Assessment Education Component – The director qualifies as a Level III administrator at the 7-point. 50% of the lead teachers qualify at the 4-point level and 50%. We are waiting for NCECC to be uploaded today to complete the point value for education. Program Component – The facility’s operation and personnel policies were reviewed on March 26. The facility had the ERS Assessments completed on February 26 and March 7, 2024, and scored the following: ITERS-R 4.3 ECERS-R 4.19 The average ERS score is 4.25. The facility will be eligible to receive 3 points in program standards. Quality Point – The facility will earn a quality point by using an approved curriculum. Once the rated license is issued, the working file will be passed to Deanna Matthews, the child care consultant assigned to this zip code. Her contact information is below: Deanna Matthews Office: 704-962-7854 Deanna.Matthews@dhhs.nc.gov Please call or email me with any questions - 704-936-6065 or amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 4/3/2024 Number Present: 78 Completed Date: 4/3/2024 Age: From 0 To 4 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with the child care requirements, review the results of the Environment Rating Scales (ERS), and complete the rated license assessment. This was the facility’s third temporary time period visit. The facility’s temporary license expires on April 16, 2024. The facility’s compliance history was 78% prior to today’s visit. Upon arrival I was greeted by John and Della Ramsey, Owners. Before I monitored the classrooms, I reviewed the ERS Assessment results with them and potential licensing violations were discussed. They understand that should these violations be observed during future licensing visits violations of child care requirements will be cited. Additionally, indicator items that scored less than 5 points were discussed with Ms. Ramsey and I shared suggestions on how the center could improve those scores in the future. They do not wish to grieve the assessment results. The following possible violations were discussed with the provider: - Disinfecting of sink between uses - Children need to be served the required meal components, refer to USDA meal guidelines. - The correct process for cleaning tables is using soapy water, sanitizer, and letting it sit for 2 minutes before wiping the table. - Blankets cannot touch other nap cots, suggestion wax paper in between the cots. - Children need to be at least 18 inches apart during nap time. - Require handwashing for children and staff. - Supervision on the playground and creating a safe outdoor environment by using all equipment safely. - Children should be responded to in a positive way, as well as be redirected and helped resolve conflicts with their peers. No children should be yelled at or threatened. - Responding to infants needs and understanding their needs. - Following Safe Sleep Policy regarding children 12 months and under need to be placed on their back unless a waiver on file. - Separating sick children from well children when waiting on the arrival of parents - Preschool children are required to go outside an hour a day; infants and toddlers are required to go out 30 minutes a day. Ms. Ramsey accompanied me as I monitored each of the classrooms. During the visit infants and toddlers were observed playing on the floor, eating, and sleeping. One (1) infant was sleeping, and it was documented on the Safe Sleep Chart that the child went to sleep at 11:30, it was 12:00pm, and no safe sleep check had been documented. One feeding schedule was not signed by the parent. Preschool children were observed in their activity centers, participating in group time and teacher directed activities, eating lunch, and preparing for nap. In space #4 medical authorization for an epi-pen expired March 19, 2024. The activity centers were well organized and had a variety of age-appropriate materials. The staff was engaging and nurturing with the children. All required documents were posted and current. All groups were within the staff/child ratio and adequately supervised. Hazardous Products were stored locked. Program records are completed and documented as required. You were reminded today that you have to complete your EPR plan. Once you or your administrator completes the EPR training you have 4 months to create your plan in the NC Risk Management Portal. The plan needs to be completed before October 16, 2024. The Staff and Training worksheet was used to verify current and new staff members and their required trainings. The fire inspection was completed on October 13, 2023. The last sanitation inspection was completed on November 3, 2023, with 15 demerits. Three (3) violations were observed and cited during today's visit. 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) In space 13 One feeding schedule was not signed by the parent. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. In space #4 medical authorization for an epi-pen expired March 19, 2024. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space 13 One (1) infant was sleeping, and it was documented on the Safe Sleep Chart that the child went to sleep at 11:30, it was 12:00pm, and no safe sleep check had been documented. .0606(g) Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. Ms. Ramsey needs to submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before April 16, 2024, to Amy.italiano@dhhs.nc.gov Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Clarification on the following NC General Statutes, Child Care Rules and/or Sanitation Requirements was provided today: Quality Enhancement and/or Technical Assistance Discussions - Ms. Ramsey and discussed having a check list for medication authorizations and when they are getting ready to expire to ensure that all medication authorizations will be in compliance. - I reminded Ms. Ramsey that administrators need to review all paperwork to ensure that forms are filled out and signed correctly. We discussed that all Feeding Schedules need to be reviewed by the teacher and posted for easy reference. - Ms. Ramsey and I discussed when staff comes into the infant room to break teaches for lunch there needs to be a discussion of each infant so that if an infant is sleeping the teachers will not forget check on any infant that is sleeping and document the safe sleep chart. Rated License Assessment Education Component – The director qualifies as a Level III administrator at the 7-point. 50% of the lead teachers qualify at the 4-point level and 50%. We are waiting for NCECC to be uploaded today to complete the point value for education. Program Component – The facility’s operation and personnel policies were reviewed on March 26. The facility had the ERS Assessments completed on February 26 and March 7, 2024, and scored the following: ITERS-R 4.3 ECERS-R 4.19 The average ERS score is 4.25. The facility will be eligible to receive 3 points in program standards. Quality Point – The facility will earn a quality point by using an approved curriculum. Once the rated license is issued, the working file will be passed to Deanna Matthews, the child care consultant assigned to this zip code. Her contact information is below: Deanna Matthews Office: 704-962-7854 Deanna.Matthews@dhhs.nc.gov Please call or email me with any questions - 704-936-6065 or amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: 0224-280L Visit Date: 3/5/2024 Number Present: 23 Completed Date: 3/5/2024 Age: From 0 To 4 Total Minutes: 90 Time In: 07:45 AM Time Out: 09:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s Unannounced visit was to monitor compliance of applicable child care requirements during a Complaint Follow-up Visit. The current Temporary License was issued on October 16, 2023. Upon our arrival, I was greeted by Della Ramsey, the owner. I explained the purpose for the visit was to verify correction of the violation cited during the February 29, 2024, Complaint Visit. I conducted a walk-through of the facility. Infants were observed playing on the floor. Preschool children were observed arriving at the facility, being greeted by staff, washing their hands , and in free center time. Staff were observed interacting with children. Attendance records were reviewed. All groups were within the Staff/Child ratio and adequately supervised. During the staff interview it was discussed that there are five (5) infant teachers between the two (2) classrooms. One (1) of the five (5) teachers is a floater between the two infant rooms. She helps with feeding or taking the children on walks. She is also familiar with the infants in case of a staff call out and needing to be in the classroom for the day. It was discussed that the toddler rooms are small and when multiple adults and toddlers are in the classroom, the room looks like there might be too many children, when in fact they are at or under ratio. Staff stated that ratio and capacity have not been an issue since my last visit. Staff stated that they get lunch breaks and if a bathroom break is needed, the owners or the director will step into the room. 301 All groups were within Staff/Child Ratio. The above violation is considered corrected and verified as corrected during today’s visit. During today’s visit two (2) outlets were uncovered, both were corrected during the visit. In space #1 a Bojangles cup was sitting on a shelf, it was thrown away during the visit. Two (2) violations were observed and corrected during today's visit. Violation Number Comment Rule 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. Two (2) outlets were observed uncovered, both were corrected during the visit. 10A NCAC 09 .0604(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. In space #1 a Bojangles cup was sitting on a shelf, it was thrown away during the visit. .0901(i) No Corrective Action Plan is needed at this time. The childcare provider is expected to maintain all applicable childcare requirements. Other discussion: - Ms. Della was reminded to do a visual every morning making sure all outlets are covered. We also discussed that staff should model healthy eating habits. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: 0224-280L Visit Date: 2/29/2024 Number Present: 71 Completed Date: 2/29/2024 Age: From 0 To 4 Total Minutes: 180 Time In: 11:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations of childcare requirements during a complaint visit. The facility has a Temporary License issued October 16, 2023. The facility had its last Temp Time Period was February 13, 2024. Upon my arrival I was greeted by Della Ramsey, Director. I explained the purpose of today’s visit. I shared the following allegation with Ms. Ramsey. There are concerns that: Appropriate ratios are not maintained. Example: February 22, 2024, the staff to child ratios for two groups of 1-year-old children was 1:9 for one group and 2:13 for the other group. The classroom was too small for the larger group. Enough food was not prepared for lunch on February 22, 2024. It is unknown if all the meals contained the required components. Children are not being adequately supervised. Developmentally appropriate activities are not being provided. Ms. Ramsey stated that on Thursday February 22, 2024, she did have a toddler room out of ratio for a short time. Her Assistant Director was called to the toddler room because a staff member called the office to say she was one over in ratio. The Assistant Director did go to the toddler room, but within a few minutes walked out of the facility, stating she was quitting. Ms. Ramsey and I did a walk-though of the facility Preschool children were observed in free centers, and outside free play. The children were engaged in developmentally appropriate activities. Equipment and materials were all age appropriate. Children were observed eating lunch and the food components and portions were being met. The cook brings the food in bowls and the teachers serve the children family style. There was a large amount of food in the bowls and children were able to have a second and third helping of food if requested. The classroom was within staff/child ratio and adequately supervised. Hazardous products were stored locked. I reviewed attendance sheets for last week and this week. I also request the menu from both weeks as well. I interviewed staff and it was confirmed that in the toddler room a teacher was left out of ratio for approximately 10-15 minutes. She was by herself with 9 toddlers, all one year of age, until another teacher arrived. Based on a review of attendance sheets and interviews with the staff, the allegation that appropriate ratios are not maintained is found substantiated. Based on a review of the menu, today’s observation, and interview with the staff, the allegation that enough food was not prepared for lunch, is found unsubstantiated. Based on observation and staff interview, the allegation that children are not being adequately supervised is unsubstantiated. Based on observation and staff interview the allegation that developmentally appropriate activities are not being provided was found unsubstantiated. One (1) violation was observed and considered corrected during the visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In the toddler room a teacher was left out of ratio for approximately 10-15 minutes. She was by herself with 9 toddlers, all one year of age, until another teacher arrived. GS 110-91(7);.0713(a-d) Corrective Action: The childcare provider is expected to always maintain all applicable childcare requirements. An unannounced visit will be conducted in the near future to verify the violation cited today is corrected. Technical Assistance: - It was discussed with Mr. and Ms. Ramsey that the expectation is Staff/Child ratio and group size it followed at all times. We discussed the facility needs to have a plan for staff absence and emergency. If you are in a situation where you do not have enough staff to care for children, you will need to turn children away. Children should not be admitted in the classroom when accepting the child would put the staff out of ratio or group size. I suggested having a plan that if a parent tries to drop off a child and the teacher is at max ratio or group size, the staff should not accept the child and they need to send the parent to the office. If you do not have staff to cover the ratio then the child can not stay at the facility until the staff/child ratio can be met. - Ms. Ramsey and I discussed the space capacity of each room so they and her staff understand the max number of children that can be in each room. Ms. Ramsey and all staff interviewed today were encouraged to use the Staff/child ratio sheet that is posted in the classrooms if they have any question regarding staff/child ratio, group size or space capacity for the classroom. - It was discussed today that there will be times when classrooms need to combine. The expectation is that there are developmentally appropriate materials for the children. We discussed the choking hazards for children under the age of 3. We talked about when combining classes children under 3 should combine in classrooms that area developmentally materials for that age. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 2/13/2024 Number Present: 66 Completed Date: 2/13/2024 Age: From 0 To 4 Total Minutes: 245 Time In: 09:50 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s Unannounced visit was to monitor compliance of applicable child care requirements during an Unannounced Follow-up Visit from February 2, 2024, Second Temporary Time Visit. The current Temporary License was issued on October 16, 2023, 2023. The facility’s compliance history prior to today’s visit is 67%. Upon our arrival, I was greeted by Della Ramsey, Director and Marybeth Umbaugh Assistant Director. I explained the purpose for the visit was to verify correction of the violations cited during the February 2, 2024, Temporary Time Visit. Ms. Ramsey, Ms. Umbaugh, and I conducted a walk-through of the facility. Infants were observed sleeping, interacting with the teacher, playing on the floor and on a buggy ride. Preschool children were observed in free center time, and outdoor play. Staff were observed interacting with children. Space #1 had nineteen (19) children present, only eighteen (18) were mark present on the attendance. No classroom had a current lesson plan posted. Space #8 has a carpet that has food smashed into it, and the carpet is dirty. Space #10 had an electrical outlet uncovered. Space #12 four (4) infants are enrolled there are only three (3) feeding schedules. All groups were within the Staff/Child ratio and adequately supervised. The playgrounds that the children currently use were found in compliance during today’s visit. 541 Feeding plans that were posted were signed by the parent. 616 All mouth-contact surfaces were clean and sanitized. 705 The fire exit gate closes correctly. 853 Incident logs were completed and maintained as required. 859 Playground inspections were completed and maintained as required. 893 All infants have a signed safe sleep policy on file. 1065 All infant teachers have current SIDS on file. 1897 All staff have completed the require training. The above violations are considered corrected and verified as corrected during today’s visit. Five (5) violations were observed and cited during today’s visit. Three (3) of the violations were corrected during the visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. No classroom had a current lesson plan posted. GS 110-91(12); .0508(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) Space #12 four (4) infants are enrolled there are only three (3) feeding schedules. 10A NCAC 09 .0902(a) 603 All floors and floor coverings were not constructed of nonabsorbant, easily cleanable material. Space #8 has a carpet that has food smashed into it, and the carpet is dirty. 15A NCAC 18A .2824(a)&(b) 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. Space #10 had an electrical outlet uncovered 10A NCAC 09 .0604(c) 1301 Center did not maintain a record of daily attendance. Space #1 had nineteen (19) children present, only eighteen (18) were mark present on the attendance. GS 110-91(9) Correction Action: The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. Ms. Ramsey needs to submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before February 27, 2024, to Amy.italiano@dhhs.nc.gov Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Other discussion- - It was discussed again today that administrators need to review all paperwork to ensure that forms are filled out and signed correctly. We discussed that all Feeding Schedules need to be reviewed by the teacher and posted for easy reference. - It was discussed with Ms. Ramsey the importance of staff knowing the exact number of children in their care at all times. This seems to be a continued issue with the facility. The facility plans to have a staff meeting reviewing the importance of accurate attendance in the classroom. I suggested that administrators check the classrooms daily to ensure attendance is correct and reflects the number of children present. - Activity plans need to be current and reflect what is happening in the classroom, this also has been an issue with the classrooms. Ms. Ramsey has just hired another administrator who will be responsible for the curriculum and implantation of the curriculum and lesson plans. - It was discussed with the administrators as well as both owners, that the facility had a 67% compliance history prior to today’s visit. They stated that they must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six-month temporary license you will be eligible to apply for a rated license. If your center's compliance history drops below 75% you may receive an administrative action. - I reminded Ms. Ramsey that I need all education worksheets to me this week. Ms. Ramsey is working on getting them to me. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0902 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 2/13/2024 Number Present: 66 Completed Date: 2/13/2024 Age: From 0 To 4 Total Minutes: 245 Time In: 09:50 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s Unannounced visit was to monitor compliance of applicable child care requirements during an Unannounced Follow-up Visit from February 2, 2024, Second Temporary Time Visit. The current Temporary License was issued on October 16, 2023, 2023. The facility’s compliance history prior to today’s visit is 67%. Upon our arrival, I was greeted by Della Ramsey, Director and Marybeth Umbaugh Assistant Director. I explained the purpose for the visit was to verify correction of the violations cited during the February 2, 2024, Temporary Time Visit. Ms. Ramsey, Ms. Umbaugh, and I conducted a walk-through of the facility. Infants were observed sleeping, interacting with the teacher, playing on the floor and on a buggy ride. Preschool children were observed in free center time, and outdoor play. Staff were observed interacting with children. Space #1 had nineteen (19) children present, only eighteen (18) were mark present on the attendance. No classroom had a current lesson plan posted. Space #8 has a carpet that has food smashed into it, and the carpet is dirty. Space #10 had an electrical outlet uncovered. Space #12 four (4) infants are enrolled there are only three (3) feeding schedules. All groups were within the Staff/Child ratio and adequately supervised. The playgrounds that the children currently use were found in compliance during today’s visit. 541 Feeding plans that were posted were signed by the parent. 616 All mouth-contact surfaces were clean and sanitized. 705 The fire exit gate closes correctly. 853 Incident logs were completed and maintained as required. 859 Playground inspections were completed and maintained as required. 893 All infants have a signed safe sleep policy on file. 1065 All infant teachers have current SIDS on file. 1897 All staff have completed the require training. The above violations are considered corrected and verified as corrected during today’s visit. Five (5) violations were observed and cited during today’s visit. Three (3) of the violations were corrected during the visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. No classroom had a current lesson plan posted. GS 110-91(12); .0508(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) Space #12 four (4) infants are enrolled there are only three (3) feeding schedules. 10A NCAC 09 .0902(a) 603 All floors and floor coverings were not constructed of nonabsorbant, easily cleanable material. Space #8 has a carpet that has food smashed into it, and the carpet is dirty. 15A NCAC 18A .2824(a)&(b) 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. Space #10 had an electrical outlet uncovered 10A NCAC 09 .0604(c) 1301 Center did not maintain a record of daily attendance. Space #1 had nineteen (19) children present, only eighteen (18) were mark present on the attendance. GS 110-91(9) Correction Action: The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. Ms. Ramsey needs to submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before February 27, 2024, to Amy.italiano@dhhs.nc.gov Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Other discussion- - It was discussed again today that administrators need to review all paperwork to ensure that forms are filled out and signed correctly. We discussed that all Feeding Schedules need to be reviewed by the teacher and posted for easy reference. - It was discussed with Ms. Ramsey the importance of staff knowing the exact number of children in their care at all times. This seems to be a continued issue with the facility. The facility plans to have a staff meeting reviewing the importance of accurate attendance in the classroom. I suggested that administrators check the classrooms daily to ensure attendance is correct and reflects the number of children present. - Activity plans need to be current and reflect what is happening in the classroom, this also has been an issue with the classrooms. Ms. Ramsey has just hired another administrator who will be responsible for the curriculum and implantation of the curriculum and lesson plans. - It was discussed with the administrators as well as both owners, that the facility had a 67% compliance history prior to today’s visit. They stated that they must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six-month temporary license you will be eligible to apply for a rated license. If your center's compliance history drops below 75% you may receive an administrative action. - I reminded Ms. Ramsey that I need all education worksheets to me this week. Ms. Ramsey is working on getting them to me. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 2/13/2024 Number Present: 66 Completed Date: 2/13/2024 Age: From 0 To 4 Total Minutes: 245 Time In: 09:50 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s Unannounced visit was to monitor compliance of applicable child care requirements during an Unannounced Follow-up Visit from February 2, 2024, Second Temporary Time Visit. The current Temporary License was issued on October 16, 2023, 2023. The facility’s compliance history prior to today’s visit is 67%. Upon our arrival, I was greeted by Della Ramsey, Director and Marybeth Umbaugh Assistant Director. I explained the purpose for the visit was to verify correction of the violations cited during the February 2, 2024, Temporary Time Visit. Ms. Ramsey, Ms. Umbaugh, and I conducted a walk-through of the facility. Infants were observed sleeping, interacting with the teacher, playing on the floor and on a buggy ride. Preschool children were observed in free center time, and outdoor play. Staff were observed interacting with children. Space #1 had nineteen (19) children present, only eighteen (18) were mark present on the attendance. No classroom had a current lesson plan posted. Space #8 has a carpet that has food smashed into it, and the carpet is dirty. Space #10 had an electrical outlet uncovered. Space #12 four (4) infants are enrolled there are only three (3) feeding schedules. All groups were within the Staff/Child ratio and adequately supervised. The playgrounds that the children currently use were found in compliance during today’s visit. 541 Feeding plans that were posted were signed by the parent. 616 All mouth-contact surfaces were clean and sanitized. 705 The fire exit gate closes correctly. 853 Incident logs were completed and maintained as required. 859 Playground inspections were completed and maintained as required. 893 All infants have a signed safe sleep policy on file. 1065 All infant teachers have current SIDS on file. 1897 All staff have completed the require training. The above violations are considered corrected and verified as corrected during today’s visit. Five (5) violations were observed and cited during today’s visit. Three (3) of the violations were corrected during the visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. No classroom had a current lesson plan posted. GS 110-91(12); .0508(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) Space #12 four (4) infants are enrolled there are only three (3) feeding schedules. 10A NCAC 09 .0902(a) 603 All floors and floor coverings were not constructed of nonabsorbant, easily cleanable material. Space #8 has a carpet that has food smashed into it, and the carpet is dirty. 15A NCAC 18A .2824(a)&(b) 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. Space #10 had an electrical outlet uncovered 10A NCAC 09 .0604(c) 1301 Center did not maintain a record of daily attendance. Space #1 had nineteen (19) children present, only eighteen (18) were mark present on the attendance. GS 110-91(9) Correction Action: The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. Ms. Ramsey needs to submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before February 27, 2024, to Amy.italiano@dhhs.nc.gov Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Other discussion- - It was discussed again today that administrators need to review all paperwork to ensure that forms are filled out and signed correctly. We discussed that all Feeding Schedules need to be reviewed by the teacher and posted for easy reference. - It was discussed with Ms. Ramsey the importance of staff knowing the exact number of children in their care at all times. This seems to be a continued issue with the facility. The facility plans to have a staff meeting reviewing the importance of accurate attendance in the classroom. I suggested that administrators check the classrooms daily to ensure attendance is correct and reflects the number of children present. - Activity plans need to be current and reflect what is happening in the classroom, this also has been an issue with the classrooms. Ms. Ramsey has just hired another administrator who will be responsible for the curriculum and implantation of the curriculum and lesson plans. - It was discussed with the administrators as well as both owners, that the facility had a 67% compliance history prior to today’s visit. They stated that they must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six-month temporary license you will be eligible to apply for a rated license. If your center's compliance history drops below 75% you may receive an administrative action. - I reminded Ms. Ramsey that I need all education worksheets to me this week. Ms. Ramsey is working on getting them to me. Thank you for your time today. If you have any questions or I can help you with anything please free to contact me at 704-936-6065, or email me at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 64 Completed Date: 2/1/2024 Age: From 0 To 4 Total Minutes: 320 Time In: 09:30 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. You, Della Ramsey, the owner, assisted us with the visit. Deanna Matthews, Childcare Consultant accompanied me on today’s visit. This facility was issued a temporary license on October 16, 2023, with a restriction of daytime care only, and Children under 2 ½ years old in rooms with direct exits only. During today’s walk-though we monitored all classrooms and the outdoor learning environment. We observed children in free play center time and outdoor play. We observed children participating in handwashing and personal care routines. The classrooms were clean, and the activity centers are organized and have a variety of age-appropriate materials. In space #1 a sandwich was half eaten in a baggie. It was a ham and cheese sandwich that a child brought into the room to eat as breakfast, but it was still sitting on the shelf at 10:30 and was not kept at the required 45 degrees. In space #5 there were no paper towels for the children to dry their hands after washing their hands, also in space #5 one child was enrolled at the program that had a food allergy and an Epi Pen for the allergy reaction. The program did not have the Epi Pen on site. There was a shelf in space #6 that had paint, and sticky residue on it. Space #9 did not have a current lesson plan and there was a bucket full of toys, labeled clean toys, sitting on the changing table, also in space # 6 there was diaper cream in a box sitting on a shelf that was not locked and the shelf was less than 5 feet high. Infants were observed happy and enjoying a buggy ride, playing on the floor, and sleeping. Safe Sleep Charts were monitored and found in compliance. In space #11 no feeding schedules were posted. They were stored in the drawer. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. The outdoor space was monitored, children were observed running, playing with toys, and climbing the structures. On the preschool playground a teacher was eating a Danish. On the toddler playground, a metal pole with screws was in the bin and needed to be discarded. A child’s lawn mower was missing the handle, and the hula-hoops were bent. The fire exit on the same playground does not close correctly and is causing a pinch point at the bottom of the gate. Program records were reviewed, and no playground inspection was completed for January 2024, and there was no incident log of incidents reports that had occurred. All staff and eleven (11) children’s records were reviewed. Five (5) violations were observed. The sanitation inspection was completed on November 3, 2023, and you received a superior rating and 15 demerits. The last fire inspection was completed on October 13, 2023. Nineteen (19) violations were observed and discussed with Ms. Ramsey during today’s visit. Nine (9) of the violations were corrected during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space #9 did not have a current activity plan. GS 110-91(12); .0508(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)Space 11 Eight (8) infants were enrolled, no feeding schedules were posted. They were in a drawer. 10A NCAC 09 .0902(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There were no paper towels in space #5 15A NCAC 18A .2818(b) & (d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. There was a shelf in space #6 that had paint, and sticky residue on it. .2822(a)(1-4) 618 Diaper changing surfaces were not kept free of storage. In space #9 there was a clean bucket of toys sitting on a diaper changing table. 15A NCAC 18A .2819(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The fire exit gate on the toddler playground does not close correctly and is causing a pinch point at the bottom of the .0601(c) 721 All equipment and furnishings were not in good repair. On the playground there was a lawn mower that was missing the handle, and a hula-hoop was bent. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. One child was enrolled at the program that had a food allergy and an Epi Pen. The program did not have the Epi Pen on site. There was a metal pole with screws on the toddler playground in the bin that needed to discarded. 10A NCAC 09 .0601(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. Space 13 had an electrical outlet unplugged. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper cream was on a shelf, in a box that was not locked, and the shelf was not five feet high 15A NCAC 18A .2820(d) 853 Incident logs were not completed and maintained as required. There was no log of incident reports that occurred. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspection was completed for January 2024. .0605(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. A safe sleep policy did not have the required enrollment date on the policy. 10A NCAC 09 .0606(c) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Five (5) employees need to complete First Aid training by 1/16/24 . it was completed on 1/18/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Five (5) employees need to complete CPR training by 1/16/24 . It was completed on 1/18/24. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One (1) infant teacher did not complete the IT SIDS training in the required time frame. .1102(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher was on the playground eating a Danish. .0901(i) 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. Five (5) employees did not complete the training in the required time frame. .1102(g) 9999 A violation was found for which there is no item number. Sanitation rule .2807(g) in space #1 a sandwich was half eaten in a baggie. It was a ham and cheese sandwich that a child brought in to the room to eat as breakfast, but it was still sitting on the shelf at 10:30 and was not kept at the required 45 degrees. Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. A follow up visit will be conducted to ensure all violations cited today have been corrected. Rated License Process: We discussed the rated license process. Ms. Ramsey stated she has children enrolled who receive subsidized care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to continue providing child care for sponsored children. Ms. Ramsey signed the Application for Assessment for a Two Component Star Rated License today You stated that you would like the environmental rating scale to be completed. The environmental rating scale will need to be requested on February 2, 2024. You stated you are currently working with the Quality Every Day (QED) Grant offered through Child Care Resources, Inc (CCRI). Program Standards-the points earned will be determined by your score earned on the environmental rating scales as well as enhanced ratios and space. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. I explained the process to register and submit information in The DCDEE WORKS System for all staff. Only the information reflected in WORKS will be used to determine the number of points earned in the education component. Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. You stated you would be sending me the education worksheet by the end of next week. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options list provided to you today. Discussion and Technical Assistance: You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six-month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. I reminded Ms. Ramsey that administrators need to review all paperwork to ensure that forms are filled out and signed correctly. We talked about being organized and not letting paper work pile up. There is a lot of staff paperwork that needs to be completed in a certain time frame. I suggest files should not be put away until they have been checked for completeness. We discussed that all Feeding Schedules need to be reviewed by the teacher and posted for easy reference. I recommend that Ms. Ramsey put on her work calendar a reminder for a fire drill and playground inspections to be completed so that they do not miss a month. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. It was discussed with you that every time an incident log is filled out it needs to be logged in the book. You stated you understood that, and you just had not had time to do it. We discussed possibly delegating that responsibility to one of your assistant directors. We discussed what medications and creams need to be locked and which ones need to be stored at least 5 feet. If the box is locked it doesn’t need to be stored 5 feet. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit I was unable to access Regulatory. We discussed the list of violations, and you signed the form. This visit summary was emailed to you. You confirmed receipt of that email. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 64 Completed Date: 2/1/2024 Age: From 0 To 4 Total Minutes: 320 Time In: 09:30 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. You, Della Ramsey, the owner, assisted us with the visit. Deanna Matthews, Childcare Consultant accompanied me on today’s visit. This facility was issued a temporary license on October 16, 2023, with a restriction of daytime care only, and Children under 2 ½ years old in rooms with direct exits only. During today’s walk-though we monitored all classrooms and the outdoor learning environment. We observed children in free play center time and outdoor play. We observed children participating in handwashing and personal care routines. The classrooms were clean, and the activity centers are organized and have a variety of age-appropriate materials. In space #1 a sandwich was half eaten in a baggie. It was a ham and cheese sandwich that a child brought into the room to eat as breakfast, but it was still sitting on the shelf at 10:30 and was not kept at the required 45 degrees. In space #5 there were no paper towels for the children to dry their hands after washing their hands, also in space #5 one child was enrolled at the program that had a food allergy and an Epi Pen for the allergy reaction. The program did not have the Epi Pen on site. There was a shelf in space #6 that had paint, and sticky residue on it. Space #9 did not have a current lesson plan and there was a bucket full of toys, labeled clean toys, sitting on the changing table, also in space # 6 there was diaper cream in a box sitting on a shelf that was not locked and the shelf was less than 5 feet high. Infants were observed happy and enjoying a buggy ride, playing on the floor, and sleeping. Safe Sleep Charts were monitored and found in compliance. In space #11 no feeding schedules were posted. They were stored in the drawer. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. The outdoor space was monitored, children were observed running, playing with toys, and climbing the structures. On the preschool playground a teacher was eating a Danish. On the toddler playground, a metal pole with screws was in the bin and needed to be discarded. A child’s lawn mower was missing the handle, and the hula-hoops were bent. The fire exit on the same playground does not close correctly and is causing a pinch point at the bottom of the gate. Program records were reviewed, and no playground inspection was completed for January 2024, and there was no incident log of incidents reports that had occurred. All staff and eleven (11) children’s records were reviewed. Five (5) violations were observed. The sanitation inspection was completed on November 3, 2023, and you received a superior rating and 15 demerits. The last fire inspection was completed on October 13, 2023. Nineteen (19) violations were observed and discussed with Ms. Ramsey during today’s visit. Nine (9) of the violations were corrected during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space #9 did not have a current activity plan. GS 110-91(12); .0508(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)Space 11 Eight (8) infants were enrolled, no feeding schedules were posted. They were in a drawer. 10A NCAC 09 .0902(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There were no paper towels in space #5 15A NCAC 18A .2818(b) & (d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. There was a shelf in space #6 that had paint, and sticky residue on it. .2822(a)(1-4) 618 Diaper changing surfaces were not kept free of storage. In space #9 there was a clean bucket of toys sitting on a diaper changing table. 15A NCAC 18A .2819(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The fire exit gate on the toddler playground does not close correctly and is causing a pinch point at the bottom of the .0601(c) 721 All equipment and furnishings were not in good repair. On the playground there was a lawn mower that was missing the handle, and a hula-hoop was bent. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. One child was enrolled at the program that had a food allergy and an Epi Pen. The program did not have the Epi Pen on site. There was a metal pole with screws on the toddler playground in the bin that needed to discarded. 10A NCAC 09 .0601(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. Space 13 had an electrical outlet unplugged. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper cream was on a shelf, in a box that was not locked, and the shelf was not five feet high 15A NCAC 18A .2820(d) 853 Incident logs were not completed and maintained as required. There was no log of incident reports that occurred. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspection was completed for January 2024. .0605(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. A safe sleep policy did not have the required enrollment date on the policy. 10A NCAC 09 .0606(c) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Five (5) employees need to complete First Aid training by 1/16/24 . it was completed on 1/18/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Five (5) employees need to complete CPR training by 1/16/24 . It was completed on 1/18/24. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One (1) infant teacher did not complete the IT SIDS training in the required time frame. .1102(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher was on the playground eating a Danish. .0901(i) 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. Five (5) employees did not complete the training in the required time frame. .1102(g) 9999 A violation was found for which there is no item number. Sanitation rule .2807(g) in space #1 a sandwich was half eaten in a baggie. It was a ham and cheese sandwich that a child brought in to the room to eat as breakfast, but it was still sitting on the shelf at 10:30 and was not kept at the required 45 degrees. Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. A follow up visit will be conducted to ensure all violations cited today have been corrected. Rated License Process: We discussed the rated license process. Ms. Ramsey stated she has children enrolled who receive subsidized care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to continue providing child care for sponsored children. Ms. Ramsey signed the Application for Assessment for a Two Component Star Rated License today You stated that you would like the environmental rating scale to be completed. The environmental rating scale will need to be requested on February 2, 2024. You stated you are currently working with the Quality Every Day (QED) Grant offered through Child Care Resources, Inc (CCRI). Program Standards-the points earned will be determined by your score earned on the environmental rating scales as well as enhanced ratios and space. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. I explained the process to register and submit information in The DCDEE WORKS System for all staff. Only the information reflected in WORKS will be used to determine the number of points earned in the education component. Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. You stated you would be sending me the education worksheet by the end of next week. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options list provided to you today. Discussion and Technical Assistance: You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six-month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. I reminded Ms. Ramsey that administrators need to review all paperwork to ensure that forms are filled out and signed correctly. We talked about being organized and not letting paper work pile up. There is a lot of staff paperwork that needs to be completed in a certain time frame. I suggest files should not be put away until they have been checked for completeness. We discussed that all Feeding Schedules need to be reviewed by the teacher and posted for easy reference. I recommend that Ms. Ramsey put on her work calendar a reminder for a fire drill and playground inspections to be completed so that they do not miss a month. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. It was discussed with you that every time an incident log is filled out it needs to be logged in the book. You stated you understood that, and you just had not had time to do it. We discussed possibly delegating that responsibility to one of your assistant directors. We discussed what medications and creams need to be locked and which ones need to be stored at least 5 feet. If the box is locked it doesn’t need to be stored 5 feet. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit I was unable to access Regulatory. We discussed the list of violations, and you signed the form. This visit summary was emailed to you. You confirmed receipt of that email. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 64 Completed Date: 2/1/2024 Age: From 0 To 4 Total Minutes: 320 Time In: 09:30 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. You, Della Ramsey, the owner, assisted us with the visit. Deanna Matthews, Childcare Consultant accompanied me on today’s visit. This facility was issued a temporary license on October 16, 2023, with a restriction of daytime care only, and Children under 2 ½ years old in rooms with direct exits only. During today’s walk-though we monitored all classrooms and the outdoor learning environment. We observed children in free play center time and outdoor play. We observed children participating in handwashing and personal care routines. The classrooms were clean, and the activity centers are organized and have a variety of age-appropriate materials. In space #1 a sandwich was half eaten in a baggie. It was a ham and cheese sandwich that a child brought into the room to eat as breakfast, but it was still sitting on the shelf at 10:30 and was not kept at the required 45 degrees. In space #5 there were no paper towels for the children to dry their hands after washing their hands, also in space #5 one child was enrolled at the program that had a food allergy and an Epi Pen for the allergy reaction. The program did not have the Epi Pen on site. There was a shelf in space #6 that had paint, and sticky residue on it. Space #9 did not have a current lesson plan and there was a bucket full of toys, labeled clean toys, sitting on the changing table, also in space # 6 there was diaper cream in a box sitting on a shelf that was not locked and the shelf was less than 5 feet high. Infants were observed happy and enjoying a buggy ride, playing on the floor, and sleeping. Safe Sleep Charts were monitored and found in compliance. In space #11 no feeding schedules were posted. They were stored in the drawer. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. The outdoor space was monitored, children were observed running, playing with toys, and climbing the structures. On the preschool playground a teacher was eating a Danish. On the toddler playground, a metal pole with screws was in the bin and needed to be discarded. A child’s lawn mower was missing the handle, and the hula-hoops were bent. The fire exit on the same playground does not close correctly and is causing a pinch point at the bottom of the gate. Program records were reviewed, and no playground inspection was completed for January 2024, and there was no incident log of incidents reports that had occurred. All staff and eleven (11) children’s records were reviewed. Five (5) violations were observed. The sanitation inspection was completed on November 3, 2023, and you received a superior rating and 15 demerits. The last fire inspection was completed on October 13, 2023. Nineteen (19) violations were observed and discussed with Ms. Ramsey during today’s visit. Nine (9) of the violations were corrected during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space #9 did not have a current activity plan. GS 110-91(12); .0508(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)Space 11 Eight (8) infants were enrolled, no feeding schedules were posted. They were in a drawer. 10A NCAC 09 .0902(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There were no paper towels in space #5 15A NCAC 18A .2818(b) & (d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. There was a shelf in space #6 that had paint, and sticky residue on it. .2822(a)(1-4) 618 Diaper changing surfaces were not kept free of storage. In space #9 there was a clean bucket of toys sitting on a diaper changing table. 15A NCAC 18A .2819(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The fire exit gate on the toddler playground does not close correctly and is causing a pinch point at the bottom of the .0601(c) 721 All equipment and furnishings were not in good repair. On the playground there was a lawn mower that was missing the handle, and a hula-hoop was bent. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. One child was enrolled at the program that had a food allergy and an Epi Pen. The program did not have the Epi Pen on site. There was a metal pole with screws on the toddler playground in the bin that needed to discarded. 10A NCAC 09 .0601(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. Space 13 had an electrical outlet unplugged. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper cream was on a shelf, in a box that was not locked, and the shelf was not five feet high 15A NCAC 18A .2820(d) 853 Incident logs were not completed and maintained as required. There was no log of incident reports that occurred. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspection was completed for January 2024. .0605(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. A safe sleep policy did not have the required enrollment date on the policy. 10A NCAC 09 .0606(c) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Five (5) employees need to complete First Aid training by 1/16/24 . it was completed on 1/18/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Five (5) employees need to complete CPR training by 1/16/24 . It was completed on 1/18/24. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One (1) infant teacher did not complete the IT SIDS training in the required time frame. .1102(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher was on the playground eating a Danish. .0901(i) 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. Five (5) employees did not complete the training in the required time frame. .1102(g) 9999 A violation was found for which there is no item number. Sanitation rule .2807(g) in space #1 a sandwich was half eaten in a baggie. It was a ham and cheese sandwich that a child brought in to the room to eat as breakfast, but it was still sitting on the shelf at 10:30 and was not kept at the required 45 degrees. Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. A follow up visit will be conducted to ensure all violations cited today have been corrected. Rated License Process: We discussed the rated license process. Ms. Ramsey stated she has children enrolled who receive subsidized care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to continue providing child care for sponsored children. Ms. Ramsey signed the Application for Assessment for a Two Component Star Rated License today You stated that you would like the environmental rating scale to be completed. The environmental rating scale will need to be requested on February 2, 2024. You stated you are currently working with the Quality Every Day (QED) Grant offered through Child Care Resources, Inc (CCRI). Program Standards-the points earned will be determined by your score earned on the environmental rating scales as well as enhanced ratios and space. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. I explained the process to register and submit information in The DCDEE WORKS System for all staff. Only the information reflected in WORKS will be used to determine the number of points earned in the education component. Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. You stated you would be sending me the education worksheet by the end of next week. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options list provided to you today. Discussion and Technical Assistance: You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six-month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. I reminded Ms. Ramsey that administrators need to review all paperwork to ensure that forms are filled out and signed correctly. We talked about being organized and not letting paper work pile up. There is a lot of staff paperwork that needs to be completed in a certain time frame. I suggest files should not be put away until they have been checked for completeness. We discussed that all Feeding Schedules need to be reviewed by the teacher and posted for easy reference. I recommend that Ms. Ramsey put on her work calendar a reminder for a fire drill and playground inspections to be completed so that they do not miss a month. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. It was discussed with you that every time an incident log is filled out it needs to be logged in the book. You stated you understood that, and you just had not had time to do it. We discussed possibly delegating that responsibility to one of your assistant directors. We discussed what medications and creams need to be locked and which ones need to be stored at least 5 feet. If the box is locked it doesn’t need to be stored 5 feet. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit I was unable to access Regulatory. We discussed the list of violations, and you signed the form. This visit summary was emailed to you. You confirmed receipt of that email. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 64 Completed Date: 2/1/2024 Age: From 0 To 4 Total Minutes: 320 Time In: 09:30 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. You, Della Ramsey, the owner, assisted us with the visit. Deanna Matthews, Childcare Consultant accompanied me on today’s visit. This facility was issued a temporary license on October 16, 2023, with a restriction of daytime care only, and Children under 2 ½ years old in rooms with direct exits only. During today’s walk-though we monitored all classrooms and the outdoor learning environment. We observed children in free play center time and outdoor play. We observed children participating in handwashing and personal care routines. The classrooms were clean, and the activity centers are organized and have a variety of age-appropriate materials. In space #1 a sandwich was half eaten in a baggie. It was a ham and cheese sandwich that a child brought into the room to eat as breakfast, but it was still sitting on the shelf at 10:30 and was not kept at the required 45 degrees. In space #5 there were no paper towels for the children to dry their hands after washing their hands, also in space #5 one child was enrolled at the program that had a food allergy and an Epi Pen for the allergy reaction. The program did not have the Epi Pen on site. There was a shelf in space #6 that had paint, and sticky residue on it. Space #9 did not have a current lesson plan and there was a bucket full of toys, labeled clean toys, sitting on the changing table, also in space # 6 there was diaper cream in a box sitting on a shelf that was not locked and the shelf was less than 5 feet high. Infants were observed happy and enjoying a buggy ride, playing on the floor, and sleeping. Safe Sleep Charts were monitored and found in compliance. In space #11 no feeding schedules were posted. They were stored in the drawer. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. The outdoor space was monitored, children were observed running, playing with toys, and climbing the structures. On the preschool playground a teacher was eating a Danish. On the toddler playground, a metal pole with screws was in the bin and needed to be discarded. A child’s lawn mower was missing the handle, and the hula-hoops were bent. The fire exit on the same playground does not close correctly and is causing a pinch point at the bottom of the gate. Program records were reviewed, and no playground inspection was completed for January 2024, and there was no incident log of incidents reports that had occurred. All staff and eleven (11) children’s records were reviewed. Five (5) violations were observed. The sanitation inspection was completed on November 3, 2023, and you received a superior rating and 15 demerits. The last fire inspection was completed on October 13, 2023. Nineteen (19) violations were observed and discussed with Ms. Ramsey during today’s visit. Nine (9) of the violations were corrected during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space #9 did not have a current activity plan. GS 110-91(12); .0508(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)Space 11 Eight (8) infants were enrolled, no feeding schedules were posted. They were in a drawer. 10A NCAC 09 .0902(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There were no paper towels in space #5 15A NCAC 18A .2818(b) & (d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. There was a shelf in space #6 that had paint, and sticky residue on it. .2822(a)(1-4) 618 Diaper changing surfaces were not kept free of storage. In space #9 there was a clean bucket of toys sitting on a diaper changing table. 15A NCAC 18A .2819(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The fire exit gate on the toddler playground does not close correctly and is causing a pinch point at the bottom of the .0601(c) 721 All equipment and furnishings were not in good repair. On the playground there was a lawn mower that was missing the handle, and a hula-hoop was bent. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. One child was enrolled at the program that had a food allergy and an Epi Pen. The program did not have the Epi Pen on site. There was a metal pole with screws on the toddler playground in the bin that needed to discarded. 10A NCAC 09 .0601(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. Space 13 had an electrical outlet unplugged. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper cream was on a shelf, in a box that was not locked, and the shelf was not five feet high 15A NCAC 18A .2820(d) 853 Incident logs were not completed and maintained as required. There was no log of incident reports that occurred. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspection was completed for January 2024. .0605(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. A safe sleep policy did not have the required enrollment date on the policy. 10A NCAC 09 .0606(c) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Five (5) employees need to complete First Aid training by 1/16/24 . it was completed on 1/18/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Five (5) employees need to complete CPR training by 1/16/24 . It was completed on 1/18/24. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One (1) infant teacher did not complete the IT SIDS training in the required time frame. .1102(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher was on the playground eating a Danish. .0901(i) 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. Five (5) employees did not complete the training in the required time frame. .1102(g) 9999 A violation was found for which there is no item number. Sanitation rule .2807(g) in space #1 a sandwich was half eaten in a baggie. It was a ham and cheese sandwich that a child brought in to the room to eat as breakfast, but it was still sitting on the shelf at 10:30 and was not kept at the required 45 degrees. Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. A follow up visit will be conducted to ensure all violations cited today have been corrected. Rated License Process: We discussed the rated license process. Ms. Ramsey stated she has children enrolled who receive subsidized care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to continue providing child care for sponsored children. Ms. Ramsey signed the Application for Assessment for a Two Component Star Rated License today You stated that you would like the environmental rating scale to be completed. The environmental rating scale will need to be requested on February 2, 2024. You stated you are currently working with the Quality Every Day (QED) Grant offered through Child Care Resources, Inc (CCRI). Program Standards-the points earned will be determined by your score earned on the environmental rating scales as well as enhanced ratios and space. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. I explained the process to register and submit information in The DCDEE WORKS System for all staff. Only the information reflected in WORKS will be used to determine the number of points earned in the education component. Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. You stated you would be sending me the education worksheet by the end of next week. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options list provided to you today. Discussion and Technical Assistance: You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six-month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. I reminded Ms. Ramsey that administrators need to review all paperwork to ensure that forms are filled out and signed correctly. We talked about being organized and not letting paper work pile up. There is a lot of staff paperwork that needs to be completed in a certain time frame. I suggest files should not be put away until they have been checked for completeness. We discussed that all Feeding Schedules need to be reviewed by the teacher and posted for easy reference. I recommend that Ms. Ramsey put on her work calendar a reminder for a fire drill and playground inspections to be completed so that they do not miss a month. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. It was discussed with you that every time an incident log is filled out it needs to be logged in the book. You stated you understood that, and you just had not had time to do it. We discussed possibly delegating that responsibility to one of your assistant directors. We discussed what medications and creams need to be locked and which ones need to be stored at least 5 feet. If the box is locked it doesn’t need to be stored 5 feet. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit I was unable to access Regulatory. We discussed the list of violations, and you signed the form. This visit summary was emailed to you. You confirmed receipt of that email. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 64 Completed Date: 2/1/2024 Age: From 0 To 4 Total Minutes: 320 Time In: 09:30 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. You, Della Ramsey, the owner, assisted us with the visit. Deanna Matthews, Childcare Consultant accompanied me on today’s visit. This facility was issued a temporary license on October 16, 2023, with a restriction of daytime care only, and Children under 2 ½ years old in rooms with direct exits only. During today’s walk-though we monitored all classrooms and the outdoor learning environment. We observed children in free play center time and outdoor play. We observed children participating in handwashing and personal care routines. The classrooms were clean, and the activity centers are organized and have a variety of age-appropriate materials. In space #1 a sandwich was half eaten in a baggie. It was a ham and cheese sandwich that a child brought into the room to eat as breakfast, but it was still sitting on the shelf at 10:30 and was not kept at the required 45 degrees. In space #5 there were no paper towels for the children to dry their hands after washing their hands, also in space #5 one child was enrolled at the program that had a food allergy and an Epi Pen for the allergy reaction. The program did not have the Epi Pen on site. There was a shelf in space #6 that had paint, and sticky residue on it. Space #9 did not have a current lesson plan and there was a bucket full of toys, labeled clean toys, sitting on the changing table, also in space # 6 there was diaper cream in a box sitting on a shelf that was not locked and the shelf was less than 5 feet high. Infants were observed happy and enjoying a buggy ride, playing on the floor, and sleeping. Safe Sleep Charts were monitored and found in compliance. In space #11 no feeding schedules were posted. They were stored in the drawer. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. The outdoor space was monitored, children were observed running, playing with toys, and climbing the structures. On the preschool playground a teacher was eating a Danish. On the toddler playground, a metal pole with screws was in the bin and needed to be discarded. A child’s lawn mower was missing the handle, and the hula-hoops were bent. The fire exit on the same playground does not close correctly and is causing a pinch point at the bottom of the gate. Program records were reviewed, and no playground inspection was completed for January 2024, and there was no incident log of incidents reports that had occurred. All staff and eleven (11) children’s records were reviewed. Five (5) violations were observed. The sanitation inspection was completed on November 3, 2023, and you received a superior rating and 15 demerits. The last fire inspection was completed on October 13, 2023. Nineteen (19) violations were observed and discussed with Ms. Ramsey during today’s visit. Nine (9) of the violations were corrected during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space #9 did not have a current activity plan. GS 110-91(12); .0508(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)Space 11 Eight (8) infants were enrolled, no feeding schedules were posted. They were in a drawer. 10A NCAC 09 .0902(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There were no paper towels in space #5 15A NCAC 18A .2818(b) & (d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. There was a shelf in space #6 that had paint, and sticky residue on it. .2822(a)(1-4) 618 Diaper changing surfaces were not kept free of storage. In space #9 there was a clean bucket of toys sitting on a diaper changing table. 15A NCAC 18A .2819(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The fire exit gate on the toddler playground does not close correctly and is causing a pinch point at the bottom of the .0601(c) 721 All equipment and furnishings were not in good repair. On the playground there was a lawn mower that was missing the handle, and a hula-hoop was bent. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. One child was enrolled at the program that had a food allergy and an Epi Pen. The program did not have the Epi Pen on site. There was a metal pole with screws on the toddler playground in the bin that needed to discarded. 10A NCAC 09 .0601(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. Space 13 had an electrical outlet unplugged. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper cream was on a shelf, in a box that was not locked, and the shelf was not five feet high 15A NCAC 18A .2820(d) 853 Incident logs were not completed and maintained as required. There was no log of incident reports that occurred. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspection was completed for January 2024. .0605(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. A safe sleep policy did not have the required enrollment date on the policy. 10A NCAC 09 .0606(c) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Five (5) employees need to complete First Aid training by 1/16/24 . it was completed on 1/18/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Five (5) employees need to complete CPR training by 1/16/24 . It was completed on 1/18/24. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One (1) infant teacher did not complete the IT SIDS training in the required time frame. .1102(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher was on the playground eating a Danish. .0901(i) 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. Five (5) employees did not complete the training in the required time frame. .1102(g) 9999 A violation was found for which there is no item number. Sanitation rule .2807(g) in space #1 a sandwich was half eaten in a baggie. It was a ham and cheese sandwich that a child brought in to the room to eat as breakfast, but it was still sitting on the shelf at 10:30 and was not kept at the required 45 degrees. Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. A follow up visit will be conducted to ensure all violations cited today have been corrected. Rated License Process: We discussed the rated license process. Ms. Ramsey stated she has children enrolled who receive subsidized care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to continue providing child care for sponsored children. Ms. Ramsey signed the Application for Assessment for a Two Component Star Rated License today You stated that you would like the environmental rating scale to be completed. The environmental rating scale will need to be requested on February 2, 2024. You stated you are currently working with the Quality Every Day (QED) Grant offered through Child Care Resources, Inc (CCRI). Program Standards-the points earned will be determined by your score earned on the environmental rating scales as well as enhanced ratios and space. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. I explained the process to register and submit information in The DCDEE WORKS System for all staff. Only the information reflected in WORKS will be used to determine the number of points earned in the education component. Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. You stated you would be sending me the education worksheet by the end of next week. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options list provided to you today. Discussion and Technical Assistance: You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six-month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. I reminded Ms. Ramsey that administrators need to review all paperwork to ensure that forms are filled out and signed correctly. We talked about being organized and not letting paper work pile up. There is a lot of staff paperwork that needs to be completed in a certain time frame. I suggest files should not be put away until they have been checked for completeness. We discussed that all Feeding Schedules need to be reviewed by the teacher and posted for easy reference. I recommend that Ms. Ramsey put on her work calendar a reminder for a fire drill and playground inspections to be completed so that they do not miss a month. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. It was discussed with you that every time an incident log is filled out it needs to be logged in the book. You stated you understood that, and you just had not had time to do it. We discussed possibly delegating that responsibility to one of your assistant directors. We discussed what medications and creams need to be locked and which ones need to be stored at least 5 feet. If the box is locked it doesn’t need to be stored 5 feet. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit I was unable to access Regulatory. We discussed the list of violations, and you signed the form. This visit summary was emailed to you. You confirmed receipt of that email. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 64 Completed Date: 2/1/2024 Age: From 0 To 4 Total Minutes: 320 Time In: 09:30 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. You, Della Ramsey, the owner, assisted us with the visit. Deanna Matthews, Childcare Consultant accompanied me on today’s visit. This facility was issued a temporary license on October 16, 2023, with a restriction of daytime care only, and Children under 2 ½ years old in rooms with direct exits only. During today’s walk-though we monitored all classrooms and the outdoor learning environment. We observed children in free play center time and outdoor play. We observed children participating in handwashing and personal care routines. The classrooms were clean, and the activity centers are organized and have a variety of age-appropriate materials. In space #1 a sandwich was half eaten in a baggie. It was a ham and cheese sandwich that a child brought into the room to eat as breakfast, but it was still sitting on the shelf at 10:30 and was not kept at the required 45 degrees. In space #5 there were no paper towels for the children to dry their hands after washing their hands, also in space #5 one child was enrolled at the program that had a food allergy and an Epi Pen for the allergy reaction. The program did not have the Epi Pen on site. There was a shelf in space #6 that had paint, and sticky residue on it. Space #9 did not have a current lesson plan and there was a bucket full of toys, labeled clean toys, sitting on the changing table, also in space # 6 there was diaper cream in a box sitting on a shelf that was not locked and the shelf was less than 5 feet high. Infants were observed happy and enjoying a buggy ride, playing on the floor, and sleeping. Safe Sleep Charts were monitored and found in compliance. In space #11 no feeding schedules were posted. They were stored in the drawer. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. The outdoor space was monitored, children were observed running, playing with toys, and climbing the structures. On the preschool playground a teacher was eating a Danish. On the toddler playground, a metal pole with screws was in the bin and needed to be discarded. A child’s lawn mower was missing the handle, and the hula-hoops were bent. The fire exit on the same playground does not close correctly and is causing a pinch point at the bottom of the gate. Program records were reviewed, and no playground inspection was completed for January 2024, and there was no incident log of incidents reports that had occurred. All staff and eleven (11) children’s records were reviewed. Five (5) violations were observed. The sanitation inspection was completed on November 3, 2023, and you received a superior rating and 15 demerits. The last fire inspection was completed on October 13, 2023. Nineteen (19) violations were observed and discussed with Ms. Ramsey during today’s visit. Nine (9) of the violations were corrected during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space #9 did not have a current activity plan. GS 110-91(12); .0508(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)Space 11 Eight (8) infants were enrolled, no feeding schedules were posted. They were in a drawer. 10A NCAC 09 .0902(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There were no paper towels in space #5 15A NCAC 18A .2818(b) & (d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. There was a shelf in space #6 that had paint, and sticky residue on it. .2822(a)(1-4) 618 Diaper changing surfaces were not kept free of storage. In space #9 there was a clean bucket of toys sitting on a diaper changing table. 15A NCAC 18A .2819(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The fire exit gate on the toddler playground does not close correctly and is causing a pinch point at the bottom of the .0601(c) 721 All equipment and furnishings were not in good repair. On the playground there was a lawn mower that was missing the handle, and a hula-hoop was bent. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. One child was enrolled at the program that had a food allergy and an Epi Pen. The program did not have the Epi Pen on site. There was a metal pole with screws on the toddler playground in the bin that needed to discarded. 10A NCAC 09 .0601(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. Space 13 had an electrical outlet unplugged. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper cream was on a shelf, in a box that was not locked, and the shelf was not five feet high 15A NCAC 18A .2820(d) 853 Incident logs were not completed and maintained as required. There was no log of incident reports that occurred. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspection was completed for January 2024. .0605(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. A safe sleep policy did not have the required enrollment date on the policy. 10A NCAC 09 .0606(c) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Five (5) employees need to complete First Aid training by 1/16/24 . it was completed on 1/18/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Five (5) employees need to complete CPR training by 1/16/24 . It was completed on 1/18/24. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One (1) infant teacher did not complete the IT SIDS training in the required time frame. .1102(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher was on the playground eating a Danish. .0901(i) 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. Five (5) employees did not complete the training in the required time frame. .1102(g) 9999 A violation was found for which there is no item number. Sanitation rule .2807(g) in space #1 a sandwich was half eaten in a baggie. It was a ham and cheese sandwich that a child brought in to the room to eat as breakfast, but it was still sitting on the shelf at 10:30 and was not kept at the required 45 degrees. Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. A follow up visit will be conducted to ensure all violations cited today have been corrected. Rated License Process: We discussed the rated license process. Ms. Ramsey stated she has children enrolled who receive subsidized care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to continue providing child care for sponsored children. Ms. Ramsey signed the Application for Assessment for a Two Component Star Rated License today You stated that you would like the environmental rating scale to be completed. The environmental rating scale will need to be requested on February 2, 2024. You stated you are currently working with the Quality Every Day (QED) Grant offered through Child Care Resources, Inc (CCRI). Program Standards-the points earned will be determined by your score earned on the environmental rating scales as well as enhanced ratios and space. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. I explained the process to register and submit information in The DCDEE WORKS System for all staff. Only the information reflected in WORKS will be used to determine the number of points earned in the education component. Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. You stated you would be sending me the education worksheet by the end of next week. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options list provided to you today. Discussion and Technical Assistance: You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six-month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. I reminded Ms. Ramsey that administrators need to review all paperwork to ensure that forms are filled out and signed correctly. We talked about being organized and not letting paper work pile up. There is a lot of staff paperwork that needs to be completed in a certain time frame. I suggest files should not be put away until they have been checked for completeness. We discussed that all Feeding Schedules need to be reviewed by the teacher and posted for easy reference. I recommend that Ms. Ramsey put on her work calendar a reminder for a fire drill and playground inspections to be completed so that they do not miss a month. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. It was discussed with you that every time an incident log is filled out it needs to be logged in the book. You stated you understood that, and you just had not had time to do it. We discussed possibly delegating that responsibility to one of your assistant directors. We discussed what medications and creams need to be locked and which ones need to be stored at least 5 feet. If the box is locked it doesn’t need to be stored 5 feet. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit I was unable to access Regulatory. We discussed the list of violations, and you signed the form. This visit summary was emailed to you. You confirmed receipt of that email. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 41 Completed Date: 11/27/2023 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit. You, Della Ramsey, the owner, assisted me with the visit. This facility was issued a temporary license on October 16, 2023, with a restriction of daytime care only, and Children under 2 ½ years old in rooms with direct exits only. During today’s walk-though a sampling of classrooms and the outdoor learning environment was monitored. I observed children in circle time and in free play center time. Following circle time, children participated in handwashing and personal care routines and then transitioned to the outdoor learning environment where they engaged in gross motor play. In space #5 children aged 3-5 yeas old did not have toys in the related activity center, or a sufficient amount of materials. A large container of handwashing soap was stored in an unlocked cabinet. Benadryl was in a backpack and not stored locked. The authorization for the Benadryl and epi-pen expired in August 2023. In space #6 there were fourteen (14) two-year-old children present, eleven (11) children were marked present on the attendance. There were empty toy bins on the shelves and not enough materials for the children aged 2 to use for play. In space #11 there were ten (10) infants present, only nine (9) infants were marked present. Five (5) of the ten (10) required feeding schedules were posted. One feeding schedule was not signed by the parent. Baby food was stored with no name and date in the refrigerator. There was no Safe Sleep Policy posted in the infant room. There were no documented safe sleep charts available since October 20, 2023. One infant was observed sleeping and I asked the teacher to see the Safe Sleep Chart, the teacher stated they were keeping the Safe Sleep Chart logs on the iPad, however when I asked to see the documentation of the safe sleep charts, they could not show me on the iPad where it had been documented. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. A sampling of staff and child files, and other required program records were monitored. The sanitation inspection was completed on November 3, 2023, and you received a superior rating and 15 demerits. The last fire inspection was completed on October 13, 2023. Twelve (12) violations were observed and discussed with Ms. Ramsey during today’s visit. Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In space #5 children aged 3-5 yeas old did not have toys in the related activity center, or a sufficient amount of materials. .0510(d)(1) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were empty toy bins on the shelves and not enough materials for the children aged 2 to use for play. .0510(e)(3) 533 Breast 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. Baby food was stored with no name and date in the refrigerator. 15A NCAC 18A .2804(d) 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)In space #11 Five (5) of the ten (10) required feeding schedules were posted. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One feeding schedule was not signed by the parent. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A large container of handwashing soap was stored in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was in a backpack and not stored locked. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. The authorization for the Benadryl and epi-pen expired in August 2023. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspection was completed in October 2023. .0605(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. One infant was observed sleeping and I asked the teacher to see the Safe Sleep Chart, the teacher stated they were keeping the Safe Sleep Chart logs on the iPad, however when I asked to see the documentation of the safe sleep charts, they could not show me on the iPad where it had been documented. There was documentation of Safe Sleep Checks since October 20, 2023. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. There was no Safe Sleep Policy posted in the infant room. .0606(b) 1301 Center did not maintain a record of daily attendance. There were fourteen (14) two-year-old children present, eleven (11) children were marked present on the attendance. In space #11 there were ten (10) infants present, only nine (9) infants were marked present. GS 110-91(9) Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. Ms. Ramsey needs to submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before December 11, 2023 to Amy.italiano@dhhs.nc.gov Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Discussion and Technical Assistance: It was recommended to Ms. Ramsey that the staff keep a paper format of the attendance and safe sleep charts while the facility and staff learn the iPad system. The facility is allowed to keep electronic records; however, you must be able to show the representative from the Division this information. We discussed the importance of staff knowing the exact number of children in their care at all times. We discussed the importance of Safe Sleep Charts and monitoring the infants while sleeping. You were reminded that you are required to keep 30 days of Safe Sleep Charts for the Division to review. I reminded you that Safe Sleep Policy needs to be posted and all staff need to know and understand that policy. I reminded Ms. Ramsey that administrators need to review all paperwork to ensure that forms are filled out and signed correctly. We discussed that all Feeding Schedules need to be reviewed by the teacher and posted for easy reference. I reminded Ms. Ramsey that Medical Action Plans are good for one year, however the permission for medical authorization is only good for 6 months. The Medical Action Plan can be used as the medical authorization for the first 6 months, but then a new permission for medical authorization would need to be filled out by the physician or the parent. I recommended keeping a calendar of when children Medical Action Plan and medical authorization expire. I recommend that Ms. Ramsey put on her work calendar a reminder for a fire drill and playground inspections to be completed so that they do not miss a month. I emailed Ms. Ramsey several samples of the lesson plan. The following rule was reviewed today. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. (c) When children are in care and weather conditions permit, there shall be outdoor time, either as part of a small group, a whole group, or individual activity, for no less than the following durations: (d) When children three years old or older are in care, the schedule shall include the following: (1) blocks of time assigned to types of activities, including periods of time for active play, quiet play, or rest; (2) times and activities that are developmentally appropriate for the children in care; and (3) daily opportunities indoors and outdoors for: (A) free-choice activities; and (B) teacher-directed activities. (e) For children under two years old, interspersed among the daily events shall be individualized caregiving routines such as eating, napping, and toileting. (f) When children under three years old are in care, the schedule shall include regular daily events such as the arrival and departure of the children, free-choice times, outside time, and teacher-directed activities. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. We discussed the rated license process. Ms. Ramsey stated she has children enrolled who receive subsidized children care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to continue providing child care for sponsored children. Program Standards-the points earned will be determined by your score earned on the environmental rating scales as well as enhanced ratios and space. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. I explained the process to register and submit information in the DCDEE WORKS System for all staff. Only the information reflected in WORKS will be used to determine the number of points earned in the education component. Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options list provided to you today. You were given the Application for Assessment for a Two Component Star Rated License today. You stated that you would like the environmental rating scale to be completed. The environmental rating scale will need to be requested on January 16, 2023. I recommended you and your staff review the applicable assessment tools, visit www.ncrlap.org and review training modules available and the additional resources provided. I explained the Quality Every Day (QED) Grant offered through Child Care Resources, Inc (CCRI). This grant provides technical and financial assistance to prepare the center and staff for the ERS assessments. You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six-month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. New staff must have a current criminal background check, medical exam, and TB test or TB screening completed prior to employment. Federal law requires that an employer keep all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. You confirmed receipt of that email at the end of today’s visit. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0508 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 41 Completed Date: 11/27/2023 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit. You, Della Ramsey, the owner, assisted me with the visit. This facility was issued a temporary license on October 16, 2023, with a restriction of daytime care only, and Children under 2 ½ years old in rooms with direct exits only. During today’s walk-though a sampling of classrooms and the outdoor learning environment was monitored. I observed children in circle time and in free play center time. Following circle time, children participated in handwashing and personal care routines and then transitioned to the outdoor learning environment where they engaged in gross motor play. In space #5 children aged 3-5 yeas old did not have toys in the related activity center, or a sufficient amount of materials. A large container of handwashing soap was stored in an unlocked cabinet. Benadryl was in a backpack and not stored locked. The authorization for the Benadryl and epi-pen expired in August 2023. In space #6 there were fourteen (14) two-year-old children present, eleven (11) children were marked present on the attendance. There were empty toy bins on the shelves and not enough materials for the children aged 2 to use for play. In space #11 there were ten (10) infants present, only nine (9) infants were marked present. Five (5) of the ten (10) required feeding schedules were posted. One feeding schedule was not signed by the parent. Baby food was stored with no name and date in the refrigerator. There was no Safe Sleep Policy posted in the infant room. There were no documented safe sleep charts available since October 20, 2023. One infant was observed sleeping and I asked the teacher to see the Safe Sleep Chart, the teacher stated they were keeping the Safe Sleep Chart logs on the iPad, however when I asked to see the documentation of the safe sleep charts, they could not show me on the iPad where it had been documented. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. A sampling of staff and child files, and other required program records were monitored. The sanitation inspection was completed on November 3, 2023, and you received a superior rating and 15 demerits. The last fire inspection was completed on October 13, 2023. Twelve (12) violations were observed and discussed with Ms. Ramsey during today’s visit. Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In space #5 children aged 3-5 yeas old did not have toys in the related activity center, or a sufficient amount of materials. .0510(d)(1) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were empty toy bins on the shelves and not enough materials for the children aged 2 to use for play. .0510(e)(3) 533 Breast 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. Baby food was stored with no name and date in the refrigerator. 15A NCAC 18A .2804(d) 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)In space #11 Five (5) of the ten (10) required feeding schedules were posted. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One feeding schedule was not signed by the parent. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A large container of handwashing soap was stored in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was in a backpack and not stored locked. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. The authorization for the Benadryl and epi-pen expired in August 2023. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspection was completed in October 2023. .0605(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. One infant was observed sleeping and I asked the teacher to see the Safe Sleep Chart, the teacher stated they were keeping the Safe Sleep Chart logs on the iPad, however when I asked to see the documentation of the safe sleep charts, they could not show me on the iPad where it had been documented. There was documentation of Safe Sleep Checks since October 20, 2023. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. There was no Safe Sleep Policy posted in the infant room. .0606(b) 1301 Center did not maintain a record of daily attendance. There were fourteen (14) two-year-old children present, eleven (11) children were marked present on the attendance. In space #11 there were ten (10) infants present, only nine (9) infants were marked present. GS 110-91(9) Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. Ms. Ramsey needs to submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before December 11, 2023 to Amy.italiano@dhhs.nc.gov Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Discussion and Technical Assistance: It was recommended to Ms. Ramsey that the staff keep a paper format of the attendance and safe sleep charts while the facility and staff learn the iPad system. The facility is allowed to keep electronic records; however, you must be able to show the representative from the Division this information. We discussed the importance of staff knowing the exact number of children in their care at all times. We discussed the importance of Safe Sleep Charts and monitoring the infants while sleeping. You were reminded that you are required to keep 30 days of Safe Sleep Charts for the Division to review. I reminded you that Safe Sleep Policy needs to be posted and all staff need to know and understand that policy. I reminded Ms. Ramsey that administrators need to review all paperwork to ensure that forms are filled out and signed correctly. We discussed that all Feeding Schedules need to be reviewed by the teacher and posted for easy reference. I reminded Ms. Ramsey that Medical Action Plans are good for one year, however the permission for medical authorization is only good for 6 months. The Medical Action Plan can be used as the medical authorization for the first 6 months, but then a new permission for medical authorization would need to be filled out by the physician or the parent. I recommended keeping a calendar of when children Medical Action Plan and medical authorization expire. I recommend that Ms. Ramsey put on her work calendar a reminder for a fire drill and playground inspections to be completed so that they do not miss a month. I emailed Ms. Ramsey several samples of the lesson plan. The following rule was reviewed today. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. (c) When children are in care and weather conditions permit, there shall be outdoor time, either as part of a small group, a whole group, or individual activity, for no less than the following durations: (d) When children three years old or older are in care, the schedule shall include the following: (1) blocks of time assigned to types of activities, including periods of time for active play, quiet play, or rest; (2) times and activities that are developmentally appropriate for the children in care; and (3) daily opportunities indoors and outdoors for: (A) free-choice activities; and (B) teacher-directed activities. (e) For children under two years old, interspersed among the daily events shall be individualized caregiving routines such as eating, napping, and toileting. (f) When children under three years old are in care, the schedule shall include regular daily events such as the arrival and departure of the children, free-choice times, outside time, and teacher-directed activities. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. We discussed the rated license process. Ms. Ramsey stated she has children enrolled who receive subsidized children care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to continue providing child care for sponsored children. Program Standards-the points earned will be determined by your score earned on the environmental rating scales as well as enhanced ratios and space. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. I explained the process to register and submit information in the DCDEE WORKS System for all staff. Only the information reflected in WORKS will be used to determine the number of points earned in the education component. Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options list provided to you today. You were given the Application for Assessment for a Two Component Star Rated License today. You stated that you would like the environmental rating scale to be completed. The environmental rating scale will need to be requested on January 16, 2023. I recommended you and your staff review the applicable assessment tools, visit www.ncrlap.org and review training modules available and the additional resources provided. I explained the Quality Every Day (QED) Grant offered through Child Care Resources, Inc (CCRI). This grant provides technical and financial assistance to prepare the center and staff for the ERS assessments. You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six-month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. New staff must have a current criminal background check, medical exam, and TB test or TB screening completed prior to employment. Federal law requires that an employer keep all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. You confirmed receipt of that email at the end of today’s visit. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 41 Completed Date: 11/27/2023 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit. You, Della Ramsey, the owner, assisted me with the visit. This facility was issued a temporary license on October 16, 2023, with a restriction of daytime care only, and Children under 2 ½ years old in rooms with direct exits only. During today’s walk-though a sampling of classrooms and the outdoor learning environment was monitored. I observed children in circle time and in free play center time. Following circle time, children participated in handwashing and personal care routines and then transitioned to the outdoor learning environment where they engaged in gross motor play. In space #5 children aged 3-5 yeas old did not have toys in the related activity center, or a sufficient amount of materials. A large container of handwashing soap was stored in an unlocked cabinet. Benadryl was in a backpack and not stored locked. The authorization for the Benadryl and epi-pen expired in August 2023. In space #6 there were fourteen (14) two-year-old children present, eleven (11) children were marked present on the attendance. There were empty toy bins on the shelves and not enough materials for the children aged 2 to use for play. In space #11 there were ten (10) infants present, only nine (9) infants were marked present. Five (5) of the ten (10) required feeding schedules were posted. One feeding schedule was not signed by the parent. Baby food was stored with no name and date in the refrigerator. There was no Safe Sleep Policy posted in the infant room. There were no documented safe sleep charts available since October 20, 2023. One infant was observed sleeping and I asked the teacher to see the Safe Sleep Chart, the teacher stated they were keeping the Safe Sleep Chart logs on the iPad, however when I asked to see the documentation of the safe sleep charts, they could not show me on the iPad where it had been documented. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. A sampling of staff and child files, and other required program records were monitored. The sanitation inspection was completed on November 3, 2023, and you received a superior rating and 15 demerits. The last fire inspection was completed on October 13, 2023. Twelve (12) violations were observed and discussed with Ms. Ramsey during today’s visit. Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In space #5 children aged 3-5 yeas old did not have toys in the related activity center, or a sufficient amount of materials. .0510(d)(1) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were empty toy bins on the shelves and not enough materials for the children aged 2 to use for play. .0510(e)(3) 533 Breast 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. Baby food was stored with no name and date in the refrigerator. 15A NCAC 18A .2804(d) 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)In space #11 Five (5) of the ten (10) required feeding schedules were posted. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One feeding schedule was not signed by the parent. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A large container of handwashing soap was stored in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was in a backpack and not stored locked. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. The authorization for the Benadryl and epi-pen expired in August 2023. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspection was completed in October 2023. .0605(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. One infant was observed sleeping and I asked the teacher to see the Safe Sleep Chart, the teacher stated they were keeping the Safe Sleep Chart logs on the iPad, however when I asked to see the documentation of the safe sleep charts, they could not show me on the iPad where it had been documented. There was documentation of Safe Sleep Checks since October 20, 2023. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. There was no Safe Sleep Policy posted in the infant room. .0606(b) 1301 Center did not maintain a record of daily attendance. There were fourteen (14) two-year-old children present, eleven (11) children were marked present on the attendance. In space #11 there were ten (10) infants present, only nine (9) infants were marked present. GS 110-91(9) Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. Ms. Ramsey needs to submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before December 11, 2023 to Amy.italiano@dhhs.nc.gov Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Discussion and Technical Assistance: It was recommended to Ms. Ramsey that the staff keep a paper format of the attendance and safe sleep charts while the facility and staff learn the iPad system. The facility is allowed to keep electronic records; however, you must be able to show the representative from the Division this information. We discussed the importance of staff knowing the exact number of children in their care at all times. We discussed the importance of Safe Sleep Charts and monitoring the infants while sleeping. You were reminded that you are required to keep 30 days of Safe Sleep Charts for the Division to review. I reminded you that Safe Sleep Policy needs to be posted and all staff need to know and understand that policy. I reminded Ms. Ramsey that administrators need to review all paperwork to ensure that forms are filled out and signed correctly. We discussed that all Feeding Schedules need to be reviewed by the teacher and posted for easy reference. I reminded Ms. Ramsey that Medical Action Plans are good for one year, however the permission for medical authorization is only good for 6 months. The Medical Action Plan can be used as the medical authorization for the first 6 months, but then a new permission for medical authorization would need to be filled out by the physician or the parent. I recommended keeping a calendar of when children Medical Action Plan and medical authorization expire. I recommend that Ms. Ramsey put on her work calendar a reminder for a fire drill and playground inspections to be completed so that they do not miss a month. I emailed Ms. Ramsey several samples of the lesson plan. The following rule was reviewed today. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. (c) When children are in care and weather conditions permit, there shall be outdoor time, either as part of a small group, a whole group, or individual activity, for no less than the following durations: (d) When children three years old or older are in care, the schedule shall include the following: (1) blocks of time assigned to types of activities, including periods of time for active play, quiet play, or rest; (2) times and activities that are developmentally appropriate for the children in care; and (3) daily opportunities indoors and outdoors for: (A) free-choice activities; and (B) teacher-directed activities. (e) For children under two years old, interspersed among the daily events shall be individualized caregiving routines such as eating, napping, and toileting. (f) When children under three years old are in care, the schedule shall include regular daily events such as the arrival and departure of the children, free-choice times, outside time, and teacher-directed activities. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. We discussed the rated license process. Ms. Ramsey stated she has children enrolled who receive subsidized children care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to continue providing child care for sponsored children. Program Standards-the points earned will be determined by your score earned on the environmental rating scales as well as enhanced ratios and space. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. I explained the process to register and submit information in the DCDEE WORKS System for all staff. Only the information reflected in WORKS will be used to determine the number of points earned in the education component. Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options list provided to you today. You were given the Application for Assessment for a Two Component Star Rated License today. You stated that you would like the environmental rating scale to be completed. The environmental rating scale will need to be requested on January 16, 2023. I recommended you and your staff review the applicable assessment tools, visit www.ncrlap.org and review training modules available and the additional resources provided. I explained the Quality Every Day (QED) Grant offered through Child Care Resources, Inc (CCRI). This grant provides technical and financial assistance to prepare the center and staff for the ERS assessments. You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six-month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. New staff must have a current criminal background check, medical exam, and TB test or TB screening completed prior to employment. Federal law requires that an employer keep all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. You confirmed receipt of that email at the end of today’s visit. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 41 Completed Date: 11/27/2023 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit. You, Della Ramsey, the owner, assisted me with the visit. This facility was issued a temporary license on October 16, 2023, with a restriction of daytime care only, and Children under 2 ½ years old in rooms with direct exits only. During today’s walk-though a sampling of classrooms and the outdoor learning environment was monitored. I observed children in circle time and in free play center time. Following circle time, children participated in handwashing and personal care routines and then transitioned to the outdoor learning environment where they engaged in gross motor play. In space #5 children aged 3-5 yeas old did not have toys in the related activity center, or a sufficient amount of materials. A large container of handwashing soap was stored in an unlocked cabinet. Benadryl was in a backpack and not stored locked. The authorization for the Benadryl and epi-pen expired in August 2023. In space #6 there were fourteen (14) two-year-old children present, eleven (11) children were marked present on the attendance. There were empty toy bins on the shelves and not enough materials for the children aged 2 to use for play. In space #11 there were ten (10) infants present, only nine (9) infants were marked present. Five (5) of the ten (10) required feeding schedules were posted. One feeding schedule was not signed by the parent. Baby food was stored with no name and date in the refrigerator. There was no Safe Sleep Policy posted in the infant room. There were no documented safe sleep charts available since October 20, 2023. One infant was observed sleeping and I asked the teacher to see the Safe Sleep Chart, the teacher stated they were keeping the Safe Sleep Chart logs on the iPad, however when I asked to see the documentation of the safe sleep charts, they could not show me on the iPad where it had been documented. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. A sampling of staff and child files, and other required program records were monitored. The sanitation inspection was completed on November 3, 2023, and you received a superior rating and 15 demerits. The last fire inspection was completed on October 13, 2023. Twelve (12) violations were observed and discussed with Ms. Ramsey during today’s visit. Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In space #5 children aged 3-5 yeas old did not have toys in the related activity center, or a sufficient amount of materials. .0510(d)(1) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were empty toy bins on the shelves and not enough materials for the children aged 2 to use for play. .0510(e)(3) 533 Breast 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. Baby food was stored with no name and date in the refrigerator. 15A NCAC 18A .2804(d) 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)In space #11 Five (5) of the ten (10) required feeding schedules were posted. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One feeding schedule was not signed by the parent. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A large container of handwashing soap was stored in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was in a backpack and not stored locked. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. The authorization for the Benadryl and epi-pen expired in August 2023. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspection was completed in October 2023. .0605(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. One infant was observed sleeping and I asked the teacher to see the Safe Sleep Chart, the teacher stated they were keeping the Safe Sleep Chart logs on the iPad, however when I asked to see the documentation of the safe sleep charts, they could not show me on the iPad where it had been documented. There was documentation of Safe Sleep Checks since October 20, 2023. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. There was no Safe Sleep Policy posted in the infant room. .0606(b) 1301 Center did not maintain a record of daily attendance. There were fourteen (14) two-year-old children present, eleven (11) children were marked present on the attendance. In space #11 there were ten (10) infants present, only nine (9) infants were marked present. GS 110-91(9) Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. Ms. Ramsey needs to submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before December 11, 2023 to Amy.italiano@dhhs.nc.gov Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Discussion and Technical Assistance: It was recommended to Ms. Ramsey that the staff keep a paper format of the attendance and safe sleep charts while the facility and staff learn the iPad system. The facility is allowed to keep electronic records; however, you must be able to show the representative from the Division this information. We discussed the importance of staff knowing the exact number of children in their care at all times. We discussed the importance of Safe Sleep Charts and monitoring the infants while sleeping. You were reminded that you are required to keep 30 days of Safe Sleep Charts for the Division to review. I reminded you that Safe Sleep Policy needs to be posted and all staff need to know and understand that policy. I reminded Ms. Ramsey that administrators need to review all paperwork to ensure that forms are filled out and signed correctly. We discussed that all Feeding Schedules need to be reviewed by the teacher and posted for easy reference. I reminded Ms. Ramsey that Medical Action Plans are good for one year, however the permission for medical authorization is only good for 6 months. The Medical Action Plan can be used as the medical authorization for the first 6 months, but then a new permission for medical authorization would need to be filled out by the physician or the parent. I recommended keeping a calendar of when children Medical Action Plan and medical authorization expire. I recommend that Ms. Ramsey put on her work calendar a reminder for a fire drill and playground inspections to be completed so that they do not miss a month. I emailed Ms. Ramsey several samples of the lesson plan. The following rule was reviewed today. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. (c) When children are in care and weather conditions permit, there shall be outdoor time, either as part of a small group, a whole group, or individual activity, for no less than the following durations: (d) When children three years old or older are in care, the schedule shall include the following: (1) blocks of time assigned to types of activities, including periods of time for active play, quiet play, or rest; (2) times and activities that are developmentally appropriate for the children in care; and (3) daily opportunities indoors and outdoors for: (A) free-choice activities; and (B) teacher-directed activities. (e) For children under two years old, interspersed among the daily events shall be individualized caregiving routines such as eating, napping, and toileting. (f) When children under three years old are in care, the schedule shall include regular daily events such as the arrival and departure of the children, free-choice times, outside time, and teacher-directed activities. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. We discussed the rated license process. Ms. Ramsey stated she has children enrolled who receive subsidized children care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to continue providing child care for sponsored children. Program Standards-the points earned will be determined by your score earned on the environmental rating scales as well as enhanced ratios and space. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. I explained the process to register and submit information in the DCDEE WORKS System for all staff. Only the information reflected in WORKS will be used to determine the number of points earned in the education component. Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options list provided to you today. You were given the Application for Assessment for a Two Component Star Rated License today. You stated that you would like the environmental rating scale to be completed. The environmental rating scale will need to be requested on January 16, 2023. I recommended you and your staff review the applicable assessment tools, visit www.ncrlap.org and review training modules available and the additional resources provided. I explained the Quality Every Day (QED) Grant offered through Child Care Resources, Inc (CCRI). This grant provides technical and financial assistance to prepare the center and staff for the ERS assessments. You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six-month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. New staff must have a current criminal background check, medical exam, and TB test or TB screening completed prior to employment. Federal law requires that an employer keep all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. You confirmed receipt of that email at the end of today’s visit. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Kiddie Academy of Charlotte - Highlands Facility ID: 60004303 Consultant: AMY ITALIANO Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 41 Completed Date: 11/27/2023 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit. You, Della Ramsey, the owner, assisted me with the visit. This facility was issued a temporary license on October 16, 2023, with a restriction of daytime care only, and Children under 2 ½ years old in rooms with direct exits only. During today’s walk-though a sampling of classrooms and the outdoor learning environment was monitored. I observed children in circle time and in free play center time. Following circle time, children participated in handwashing and personal care routines and then transitioned to the outdoor learning environment where they engaged in gross motor play. In space #5 children aged 3-5 yeas old did not have toys in the related activity center, or a sufficient amount of materials. A large container of handwashing soap was stored in an unlocked cabinet. Benadryl was in a backpack and not stored locked. The authorization for the Benadryl and epi-pen expired in August 2023. In space #6 there were fourteen (14) two-year-old children present, eleven (11) children were marked present on the attendance. There were empty toy bins on the shelves and not enough materials for the children aged 2 to use for play. In space #11 there were ten (10) infants present, only nine (9) infants were marked present. Five (5) of the ten (10) required feeding schedules were posted. One feeding schedule was not signed by the parent. Baby food was stored with no name and date in the refrigerator. There was no Safe Sleep Policy posted in the infant room. There were no documented safe sleep charts available since October 20, 2023. One infant was observed sleeping and I asked the teacher to see the Safe Sleep Chart, the teacher stated they were keeping the Safe Sleep Chart logs on the iPad, however when I asked to see the documentation of the safe sleep charts, they could not show me on the iPad where it had been documented. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. A sampling of staff and child files, and other required program records were monitored. The sanitation inspection was completed on November 3, 2023, and you received a superior rating and 15 demerits. The last fire inspection was completed on October 13, 2023. Twelve (12) violations were observed and discussed with Ms. Ramsey during today’s visit. Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In space #5 children aged 3-5 yeas old did not have toys in the related activity center, or a sufficient amount of materials. .0510(d)(1) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There were empty toy bins on the shelves and not enough materials for the children aged 2 to use for play. .0510(e)(3) 533 Breast 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. Baby food was stored with no name and date in the refrigerator. 15A NCAC 18A .2804(d) 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)In space #11 Five (5) of the ten (10) required feeding schedules were posted. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One feeding schedule was not signed by the parent. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A large container of handwashing soap was stored in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was in a backpack and not stored locked. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. The authorization for the Benadryl and epi-pen expired in August 2023. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspection was completed in October 2023. .0605(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. One infant was observed sleeping and I asked the teacher to see the Safe Sleep Chart, the teacher stated they were keeping the Safe Sleep Chart logs on the iPad, however when I asked to see the documentation of the safe sleep charts, they could not show me on the iPad where it had been documented. There was documentation of Safe Sleep Checks since October 20, 2023. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. There was no Safe Sleep Policy posted in the infant room. .0606(b) 1301 Center did not maintain a record of daily attendance. There were fourteen (14) two-year-old children present, eleven (11) children were marked present on the attendance. In space #11 there were ten (10) infants present, only nine (9) infants were marked present. GS 110-91(9) Corrective Action The child care providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today must be corrected immediately. Ms. Ramsey needs to submit a compliance letter explaining how and when today’s violations were corrected to Amy Italiano, Lead Child Care Consultant on or before December 11, 2023 to Amy.italiano@dhhs.nc.gov Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Discussion and Technical Assistance: It was recommended to Ms. Ramsey that the staff keep a paper format of the attendance and safe sleep charts while the facility and staff learn the iPad system. The facility is allowed to keep electronic records; however, you must be able to show the representative from the Division this information. We discussed the importance of staff knowing the exact number of children in their care at all times. We discussed the importance of Safe Sleep Charts and monitoring the infants while sleeping. You were reminded that you are required to keep 30 days of Safe Sleep Charts for the Division to review. I reminded you that Safe Sleep Policy needs to be posted and all staff need to know and understand that policy. I reminded Ms. Ramsey that administrators need to review all paperwork to ensure that forms are filled out and signed correctly. We discussed that all Feeding Schedules need to be reviewed by the teacher and posted for easy reference. I reminded Ms. Ramsey that Medical Action Plans are good for one year, however the permission for medical authorization is only good for 6 months. The Medical Action Plan can be used as the medical authorization for the first 6 months, but then a new permission for medical authorization would need to be filled out by the physician or the parent. I recommended keeping a calendar of when children Medical Action Plan and medical authorization expire. I recommend that Ms. Ramsey put on her work calendar a reminder for a fire drill and playground inspections to be completed so that they do not miss a month. I emailed Ms. Ramsey several samples of the lesson plan. The following rule was reviewed today. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. (c) When children are in care and weather conditions permit, there shall be outdoor time, either as part of a small group, a whole group, or individual activity, for no less than the following durations: (d) When children three years old or older are in care, the schedule shall include the following: (1) blocks of time assigned to types of activities, including periods of time for active play, quiet play, or rest; (2) times and activities that are developmentally appropriate for the children in care; and (3) daily opportunities indoors and outdoors for: (A) free-choice activities; and (B) teacher-directed activities. (e) For children under two years old, interspersed among the daily events shall be individualized caregiving routines such as eating, napping, and toileting. (f) When children under three years old are in care, the schedule shall include regular daily events such as the arrival and departure of the children, free-choice times, outside time, and teacher-directed activities. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. We discussed the rated license process. Ms. Ramsey stated she has children enrolled who receive subsidized children care. She understands the facility must hold a 3-5 Star Rated License at the end of the temporary time period to continue providing child care for sponsored children. Program Standards-the points earned will be determined by your score earned on the environmental rating scales as well as enhanced ratios and space. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. I explained the process to register and submit information in the DCDEE WORKS System for all staff. Only the information reflected in WORKS will be used to determine the number of points earned in the education component. Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options list provided to you today. You were given the Application for Assessment for a Two Component Star Rated License today. You stated that you would like the environmental rating scale to be completed. The environmental rating scale will need to be requested on January 16, 2023. I recommended you and your staff review the applicable assessment tools, visit www.ncrlap.org and review training modules available and the additional resources provided. I explained the Quality Every Day (QED) Grant offered through Child Care Resources, Inc (CCRI). This grant provides technical and financial assistance to prepare the center and staff for the ERS assessments. You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six-month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. New staff must have a current criminal background check, medical exam, and TB test or TB screening completed prior to employment. Federal law requires that an employer keep all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. You confirmed receipt of that email at the end of today’s visit. Thank you for your time today. If you have any questions, please feel free to contact me at 704-936-6065 or through email at amy.italiano@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times