G.S. 110-90 · Violation

Name of Operation: THE VILLAGE AT LEAFSPRING SCHOOL Facility ID: 60002957 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 10 Completed Date: 1/7/2025 Age: From 5 To 5 Total Minutes: 260 Time In: 09:30 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Five Star Rated License with an effective date of June 24, 2022. The program’s 18-month compliance history before today’s visit was 74%. V. Coulter, Village Coordinator and Director, T. Shelley, Director, assisted me with the visit. A walk-through of the facility was conducted with the Village Coordinator. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed participating in free play of indoor activity areas. The facility’s last annual compliance visit was conducted on January 11, 2024. A sanitation inspection was completed December 31, 2024, with a “Provisional” classification. The last fire inspection was received on January 30, 2024, and your facility was approved for daytime care only. The last fire drill was conducted on December 18, 2024. A lockdown drill was conducted on November 18, 2024. Playground safety checklists were also monitored and are occurring each month as required. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. There has been one new staff member hired since a routine unannounced visit was conducted on August 1, 2024. Files for the new staff member and ten percent of existing staff files were monitored. The following violations were observed today. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. One outlet plate cover located in the gym was broken causing potential hazard. G.S. 110-91(6); .0601(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. The first aid kits located on three buses used for transportation had Ibuprofen, aspirin, sting relief, and first aid cream in each kit. 15A NCAC 18A .2820(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Parent medication authorization for a prescription medication expired August 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before January 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 may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: The facility’s contact information was reviewed with the Director today. The facility’s website address was updated in DCDEE’s Regulatory system to www.ballantyne.leafspring.com. Safe Environment- All indoor and outdoor furnishings and equipment must be sturdy, stable, and free of hazards. A conversation was held with the Village Coordinator regarding the outlet plate cover located in the gym that was in poor condition. During the visit, the facility’s maintenance person stopped by the facility and was asked to replace the outlet plate cover by the Village Coordinator. The maintenance person reported that he was leaving to purchase a plate cover. First Aid Kits- Store bought first aid kits should be checked for medication and ointments prior to placing them in a classroom or bus. All over the counter and prescription medications must be locked in storage. Medication- Parent authorization for chronic medications must be completed every six months. The facility had a transition period between nurses. The new nurse has been in the process of reviewing all medications to ensure all documentation is current. Parent authorization via email was requested by the nurse during the visit. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. 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) 814-6401. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: THE VILLAGE AT LEAFSPRING SCHOOL Facility ID: 60002957 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 10 Completed Date: 1/7/2025 Age: From 5 To 5 Total Minutes: 260 Time In: 09:30 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Five Star Rated License with an effective date of June 24, 2022. The program’s 18-month compliance history before today’s visit was 74%. V. Coulter, Village Coordinator and Director, T. Shelley, Director, assisted me with the visit. A walk-through of the facility was conducted with the Village Coordinator. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed participating in free play of indoor activity areas. The facility’s last annual compliance visit was conducted on January 11, 2024. A sanitation inspection was completed December 31, 2024, with a “Provisional” classification. The last fire inspection was received on January 30, 2024, and your facility was approved for daytime care only. The last fire drill was conducted on December 18, 2024. A lockdown drill was conducted on November 18, 2024. Playground safety checklists were also monitored and are occurring each month as required. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. There has been one new staff member hired since a routine unannounced visit was conducted on August 1, 2024. Files for the new staff member and ten percent of existing staff files were monitored. The following violations were observed today. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. One outlet plate cover located in the gym was broken causing potential hazard. G.S. 110-91(6); .0601(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. The first aid kits located on three buses used for transportation had Ibuprofen, aspirin, sting relief, and first aid cream in each kit. 15A NCAC 18A .2820(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Parent medication authorization for a prescription medication expired August 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before January 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 may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: The facility’s contact information was reviewed with the Director today. The facility’s website address was updated in DCDEE’s Regulatory system to www.ballantyne.leafspring.com. Safe Environment- All indoor and outdoor furnishings and equipment must be sturdy, stable, and free of hazards. A conversation was held with the Village Coordinator regarding the outlet plate cover located in the gym that was in poor condition. During the visit, the facility’s maintenance person stopped by the facility and was asked to replace the outlet plate cover by the Village Coordinator. The maintenance person reported that he was leaving to purchase a plate cover. First Aid Kits- Store bought first aid kits should be checked for medication and ointments prior to placing them in a classroom or bus. All over the counter and prescription medications must be locked in storage. Medication- Parent authorization for chronic medications must be completed every six months. The facility had a transition period between nurses. The new nurse has been in the process of reviewing all medications to ensure all documentation is current. Parent authorization via email was requested by the nurse during the visit. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. 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) 814-6401. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE VILLAGE AT LEAFSPRING SCHOOL Facility ID: 60002957 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 10 Completed Date: 1/7/2025 Age: From 5 To 5 Total Minutes: 260 Time In: 09:30 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Five Star Rated License with an effective date of June 24, 2022. The program’s 18-month compliance history before today’s visit was 74%. V. Coulter, Village Coordinator and Director, T. Shelley, Director, assisted me with the visit. A walk-through of the facility was conducted with the Village Coordinator. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed participating in free play of indoor activity areas. The facility’s last annual compliance visit was conducted on January 11, 2024. A sanitation inspection was completed December 31, 2024, with a “Provisional” classification. The last fire inspection was received on January 30, 2024, and your facility was approved for daytime care only. The last fire drill was conducted on December 18, 2024. A lockdown drill was conducted on November 18, 2024. Playground safety checklists were also monitored and are occurring each month as required. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. There has been one new staff member hired since a routine unannounced visit was conducted on August 1, 2024. Files for the new staff member and ten percent of existing staff files were monitored. The following violations were observed today. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. One outlet plate cover located in the gym was broken causing potential hazard. G.S. 110-91(6); .0601(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. The first aid kits located on three buses used for transportation had Ibuprofen, aspirin, sting relief, and first aid cream in each kit. 15A NCAC 18A .2820(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Parent medication authorization for a prescription medication expired August 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before January 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 may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: The facility’s contact information was reviewed with the Director today. The facility’s website address was updated in DCDEE’s Regulatory system to www.ballantyne.leafspring.com. Safe Environment- All indoor and outdoor furnishings and equipment must be sturdy, stable, and free of hazards. A conversation was held with the Village Coordinator regarding the outlet plate cover located in the gym that was in poor condition. During the visit, the facility’s maintenance person stopped by the facility and was asked to replace the outlet plate cover by the Village Coordinator. The maintenance person reported that he was leaving to purchase a plate cover. First Aid Kits- Store bought first aid kits should be checked for medication and ointments prior to placing them in a classroom or bus. All over the counter and prescription medications must be locked in storage. Medication- Parent authorization for chronic medications must be completed every six months. The facility had a transition period between nurses. The new nurse has been in the process of reviewing all medications to ensure all documentation is current. Parent authorization via email was requested by the nurse during the visit. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. 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) 814-6401. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: THE VILLAGE AT LEAFSPRING SCHOOL Facility ID: 60002957 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 8/1/2024 Number Present: 81 Completed Date: 8/1/2024 Age: From 5 To 12 Total Minutes: 210 Time In: 12:30 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. The compliance history prior to today's visit was 77%. I met with Victoria Coulter, Assistant Director. The director came by and joined me on the walkthrough but had to leave because she was flying out of town for a conference. During the walkthrough I observed two groups outdoors, staff were observed moving about the outdoor environment as children played. Two groups were on a field trip and not present. Two groups left for a field trip during the visit. I observed staff conducted name to face checks as they left the building and as they enter the vehicle. A list of children on the field trips were located in the front lobby of the facility. Permission to administer, emergency information and photos were taken with them while on the field trip. The other groups present today were observed washing hands, eating lunch and having center play. Supervision and staff/child ratios were observed being maintained. Staff used nurturing tones as they spoke with children in care. I did not observe any discipline issues today, children were provided choices and offered a variety of material and activities. Medications were observed stored properly, one prescribed medication did not come in the original container nor had the pharmacy label. The child is not present this week and the nurse was able to take the medication to her office, she contacted the parents and inform them what was needed upon the child's return next week. In the meantime the parent emailed a copy of the box and pharmacy label and the nurse instructed him to bring it in upon his child's return next week. Program records were reviewed. Information required to be posted was observed posted. I reviewed the current incident log and found it meeting compliance. The monthly playground inspections were reviewed and found meeting compliance. The current license was observed posted and all permit restrictions observed meeting compliance. The last fire inspection was conducted on 1/31/24. The last sanitation inspection was conducted on 4/12/24. The emergency drill log was reviewed and found meeting compliance. Staff files were reviewed, you provided a copy of the staff and training worksheet, however they were not completely filled out, so I reviewed staff files and entered the missing information. The following violations were observed today: 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. The wall in the arcade has one cinder block in poor repair, it's been hit with something and a chunk has fallen off leaving sharp edge. The door stopper on the door in the café is coming off the door and in poor repair. 15A NCAC 18A .2825(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One prescribed medication was observed in a ziplock bag, it was not in it's original container nor did it have the pharmacy label. .0803(2)(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Two staff (one hired 6/4/24 and the other hired 6/3/22) do not have their orientation document on file. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid certification could not be located for one staff hired 6-7-21. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR certification could not be located for one staff hired 6-7-21. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training certification could not be located for one staff hired 6-7-21 .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Health and safety training certificates could not be located today, for a staff member hired 6-7-21. .1102(a) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. One staff hired 2/2/23, but began working with school age children in August 2023, has not completed BSAC training. .2510(j) Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Tyvonia Shelley, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before August 13, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Prescribed Medications - I reviewed 10A NCAC 09 .0803(2)(a) with the school nurse. When I asked about the original container and pharmacy label she stated that she had a document from My Chart in lieu of the pharmacy label, the information she shared with me didn't list the child's name. You need to follow the requirement I discussed with you, all prescribed medications must come in the original container the medication was dispensed in, and have the pharmacy label. Do not accept copies or print outs for this requirement, obtain the original container and pharmacy label only. Walls/doors in poor repair - Staff should notify you when they observe something in poor repair, this included walls, ceilings, doors, floors, material and equipment. If you cannot remove, repair or replace something immediately you must make it inaccessible until it can be removed, repaired or replaced. BSAC training - any staff that will be working at this location, I encourage you have them complete BSAC within the first month of hire to ensure compliance. 10A NCAC 09 .2510(j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Staff Files - Instructions for how to complete the staff and training worksheets can be found on the DCDEE website, under provider documents. I encourage you utilize the document as a running document for all staff employed, including seasonal employees. When onboarding, I encourage you use the staff file checklist, also found on the DCDEE website, to ensure you have all required paperwork required in the timeframe allowed. Then within the first month of hire add them to your staff and training worksheet and monitor the document at least monthly to ensure trainings, criminal records, and annual items are completed within the timeframe allowed. You can color code the spreadsheet to help alert you when items are needed to be renewed or completed. If you have any questions contact me: Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2510 · Violation

Name of Operation: THE VILLAGE AT LEAFSPRING SCHOOL Facility ID: 60002957 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 8/1/2024 Number Present: 81 Completed Date: 8/1/2024 Age: From 5 To 12 Total Minutes: 210 Time In: 12:30 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. The compliance history prior to today's visit was 77%. I met with Victoria Coulter, Assistant Director. The director came by and joined me on the walkthrough but had to leave because she was flying out of town for a conference. During the walkthrough I observed two groups outdoors, staff were observed moving about the outdoor environment as children played. Two groups were on a field trip and not present. Two groups left for a field trip during the visit. I observed staff conducted name to face checks as they left the building and as they enter the vehicle. A list of children on the field trips were located in the front lobby of the facility. Permission to administer, emergency information and photos were taken with them while on the field trip. The other groups present today were observed washing hands, eating lunch and having center play. Supervision and staff/child ratios were observed being maintained. Staff used nurturing tones as they spoke with children in care. I did not observe any discipline issues today, children were provided choices and offered a variety of material and activities. Medications were observed stored properly, one prescribed medication did not come in the original container nor had the pharmacy label. The child is not present this week and the nurse was able to take the medication to her office, she contacted the parents and inform them what was needed upon the child's return next week. In the meantime the parent emailed a copy of the box and pharmacy label and the nurse instructed him to bring it in upon his child's return next week. Program records were reviewed. Information required to be posted was observed posted. I reviewed the current incident log and found it meeting compliance. The monthly playground inspections were reviewed and found meeting compliance. The current license was observed posted and all permit restrictions observed meeting compliance. The last fire inspection was conducted on 1/31/24. The last sanitation inspection was conducted on 4/12/24. The emergency drill log was reviewed and found meeting compliance. Staff files were reviewed, you provided a copy of the staff and training worksheet, however they were not completely filled out, so I reviewed staff files and entered the missing information. The following violations were observed today: 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. The wall in the arcade has one cinder block in poor repair, it's been hit with something and a chunk has fallen off leaving sharp edge. The door stopper on the door in the café is coming off the door and in poor repair. 15A NCAC 18A .2825(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One prescribed medication was observed in a ziplock bag, it was not in it's original container nor did it have the pharmacy label. .0803(2)(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Two staff (one hired 6/4/24 and the other hired 6/3/22) do not have their orientation document on file. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid certification could not be located for one staff hired 6-7-21. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR certification could not be located for one staff hired 6-7-21. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training certification could not be located for one staff hired 6-7-21 .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Health and safety training certificates could not be located today, for a staff member hired 6-7-21. .1102(a) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. One staff hired 2/2/23, but began working with school age children in August 2023, has not completed BSAC training. .2510(j) Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Tyvonia Shelley, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before August 13, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Prescribed Medications - I reviewed 10A NCAC 09 .0803(2)(a) with the school nurse. When I asked about the original container and pharmacy label she stated that she had a document from My Chart in lieu of the pharmacy label, the information she shared with me didn't list the child's name. You need to follow the requirement I discussed with you, all prescribed medications must come in the original container the medication was dispensed in, and have the pharmacy label. Do not accept copies or print outs for this requirement, obtain the original container and pharmacy label only. Walls/doors in poor repair - Staff should notify you when they observe something in poor repair, this included walls, ceilings, doors, floors, material and equipment. If you cannot remove, repair or replace something immediately you must make it inaccessible until it can be removed, repaired or replaced. BSAC training - any staff that will be working at this location, I encourage you have them complete BSAC within the first month of hire to ensure compliance. 10A NCAC 09 .2510(j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Staff Files - Instructions for how to complete the staff and training worksheets can be found on the DCDEE website, under provider documents. I encourage you utilize the document as a running document for all staff employed, including seasonal employees. When onboarding, I encourage you use the staff file checklist, also found on the DCDEE website, to ensure you have all required paperwork required in the timeframe allowed. Then within the first month of hire add them to your staff and training worksheet and monitor the document at least monthly to ensure trainings, criminal records, and annual items are completed within the timeframe allowed. You can color code the spreadsheet to help alert you when items are needed to be renewed or completed. If you have any questions contact me: Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: THE VILLAGE AT LEAFSPRING SCHOOL Facility ID: 60002957 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 1/11/2024 Number Present: 21 Completed Date: 1/11/2024 Age: From 3 To 9 Total Minutes: 420 Time In: 09:20 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during the annual compliance visit. Prior to today's visit visit, the 18 month compliance history was 82%. A checklist was used to monitor the facility today. Upon my arrival I met with the administrative team. Tyvonia Shelley, Director and her assistant accompanied me on the walkthrough of the facility. We monitored each classroom, the outdoor environment and buses during today's visit. While in each classroom I observed staff engaged with children in care. I observed teacher directed activities, free choice activities and outdoor gross motor play. Supervision and staff/child ratio were observed maintained throughout today's observation. Nurturing tones were heard as staff engaged children in play. Current activity plans were reviewed and material and equipment observed in centers allowed the activity plan to be implemented. Each classroom had a variety of material accessible for children to choose that were developmentally appropriate for the age range served. Records were reviewed today. Information required to be posted were observed posted as I entered the facility. The last sanitation inspection was conducted on 12-11-23. The last fire inspection was conducted 11-4-22, you contacted the fire marshal's office during the visit to schedule. You stated you have called prior to today's visit but have not heard from anyone. The emergency drill log, incident log and playground inspections were reviewed and found meeting compliance. Information required to be posted were observed posted. The menu was reviewed and found meeting compliance. Daily attendance was reviewed and found meeting compliance. While in the café I observed cabinet doors in poor repair, the paneling is falling off and the practical board is exposed, which leaves the doors to splinter and not easily cleanable. Also by the trash can, where children throw food away the wall was observed dirty where food splatter was observed, this was cleaned during the visit. Medications were reviewed. All medications were observed stored properly, had current medical action plans when applicable and had current permission to administer. The outdoor environment was monitored. A rusty wheel barrel was observed in the corner of the play yard, this was removed during the visit. The play yard is a large area, no other hazards were observed. Children were observed running and playing on the equipment as the staff walked around the equipment monitoring the children as they played. A sample of children's files were reviewed and found meeting compliance. Staff files were reviewed, please see violation section of this documentation and review the staff and training worksheets that were circled showing missing information. Buses were monitored today, transportation requirements were found meeting compliance. The following violations were observed during today's visit: 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 facility has not had an annual fire inspection completed, the last inspection was conducted on 11/4/2022. 10A NCAC 09 .0304(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The wall in the café, by the trash can, was observed to be dirty with spattered ketchup, milk and food from throwing trash and food away. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. A rusted wheel barrel was observed stored in the corner of the play yard, this was removed during the visit. Cabinet doors in the café were observed with the trim peeling away and the practical board exposed. G.S. 110-91(6); .0601(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three staff employed more than one year have not had their annual review or completed or discussed their annual staff development plan. 10A NCAC 09 .0514(f) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. One group leader working with School age children, hired 7/27/2023 has not completed BSAC training. .2510(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four staff have not completed health and safety training within five years of complete previous health and safety training. .1103(b) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Tyvonia Shelley, Director, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before January 25, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Health and Safety Training: I shared the health and safety training log with you and your curriculum specialist. You all missed the Medication health and safety topic training requirement and were not using the current health and safety training log that can found on the DCDEE website under Provider Documents. Currently Moodle is having issues. You can obtain Health and Safety trainings from many approved trainers. To name a few other resources other than DCDEE Moodle: Child Care Education Institute (online 6 hour course)https://www.cceionline.com/north-carolina Mecklenburg County Community Health Care Nurse - Lawanda Combo CCRI – Child Care Resources, Inc. NC Health and Safety Resource Center https://healthychildcare.unc.edu/ Staff Files: I encourage you to keep the staff and training worksheet as a running document, pulling it up, referencing it, updating it regularly. This will help you maintain your staff files and ensure compliance. If you have any questions please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: THE VILLAGE AT LEAFSPRING SCHOOL Facility ID: 60002957 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 1/11/2024 Number Present: 21 Completed Date: 1/11/2024 Age: From 3 To 9 Total Minutes: 420 Time In: 09:20 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during the annual compliance visit. Prior to today's visit visit, the 18 month compliance history was 82%. A checklist was used to monitor the facility today. Upon my arrival I met with the administrative team. Tyvonia Shelley, Director and her assistant accompanied me on the walkthrough of the facility. We monitored each classroom, the outdoor environment and buses during today's visit. While in each classroom I observed staff engaged with children in care. I observed teacher directed activities, free choice activities and outdoor gross motor play. Supervision and staff/child ratio were observed maintained throughout today's observation. Nurturing tones were heard as staff engaged children in play. Current activity plans were reviewed and material and equipment observed in centers allowed the activity plan to be implemented. Each classroom had a variety of material accessible for children to choose that were developmentally appropriate for the age range served. Records were reviewed today. Information required to be posted were observed posted as I entered the facility. The last sanitation inspection was conducted on 12-11-23. The last fire inspection was conducted 11-4-22, you contacted the fire marshal's office during the visit to schedule. You stated you have called prior to today's visit but have not heard from anyone. The emergency drill log, incident log and playground inspections were reviewed and found meeting compliance. Information required to be posted were observed posted. The menu was reviewed and found meeting compliance. Daily attendance was reviewed and found meeting compliance. While in the café I observed cabinet doors in poor repair, the paneling is falling off and the practical board is exposed, which leaves the doors to splinter and not easily cleanable. Also by the trash can, where children throw food away the wall was observed dirty where food splatter was observed, this was cleaned during the visit. Medications were reviewed. All medications were observed stored properly, had current medical action plans when applicable and had current permission to administer. The outdoor environment was monitored. A rusty wheel barrel was observed in the corner of the play yard, this was removed during the visit. The play yard is a large area, no other hazards were observed. Children were observed running and playing on the equipment as the staff walked around the equipment monitoring the children as they played. A sample of children's files were reviewed and found meeting compliance. Staff files were reviewed, please see violation section of this documentation and review the staff and training worksheets that were circled showing missing information. Buses were monitored today, transportation requirements were found meeting compliance. The following violations were observed during today's visit: 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 facility has not had an annual fire inspection completed, the last inspection was conducted on 11/4/2022. 10A NCAC 09 .0304(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The wall in the café, by the trash can, was observed to be dirty with spattered ketchup, milk and food from throwing trash and food away. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. A rusted wheel barrel was observed stored in the corner of the play yard, this was removed during the visit. Cabinet doors in the café were observed with the trim peeling away and the practical board exposed. G.S. 110-91(6); .0601(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three staff employed more than one year have not had their annual review or completed or discussed their annual staff development plan. 10A NCAC 09 .0514(f) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. One group leader working with School age children, hired 7/27/2023 has not completed BSAC training. .2510(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four staff have not completed health and safety training within five years of complete previous health and safety training. .1103(b) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Tyvonia Shelley, Director, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before January 25, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Health and Safety Training: I shared the health and safety training log with you and your curriculum specialist. You all missed the Medication health and safety topic training requirement and were not using the current health and safety training log that can found on the DCDEE website under Provider Documents. Currently Moodle is having issues. You can obtain Health and Safety trainings from many approved trainers. To name a few other resources other than DCDEE Moodle: Child Care Education Institute (online 6 hour course)https://www.cceionline.com/north-carolina Mecklenburg County Community Health Care Nurse - Lawanda Combo CCRI – Child Care Resources, Inc. NC Health and Safety Resource Center https://healthychildcare.unc.edu/ Staff Files: I encourage you to keep the staff and training worksheet as a running document, pulling it up, referencing it, updating it regularly. This will help you maintain your staff files and ensure compliance. If you have any questions please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: THE VILLAGE AT LEAFSPRING SCHOOL Facility ID: 60002957 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 1/11/2024 Number Present: 21 Completed Date: 1/11/2024 Age: From 3 To 9 Total Minutes: 420 Time In: 09:20 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during the annual compliance visit. Prior to today's visit visit, the 18 month compliance history was 82%. A checklist was used to monitor the facility today. Upon my arrival I met with the administrative team. Tyvonia Shelley, Director and her assistant accompanied me on the walkthrough of the facility. We monitored each classroom, the outdoor environment and buses during today's visit. While in each classroom I observed staff engaged with children in care. I observed teacher directed activities, free choice activities and outdoor gross motor play. Supervision and staff/child ratio were observed maintained throughout today's observation. Nurturing tones were heard as staff engaged children in play. Current activity plans were reviewed and material and equipment observed in centers allowed the activity plan to be implemented. Each classroom had a variety of material accessible for children to choose that were developmentally appropriate for the age range served. Records were reviewed today. Information required to be posted were observed posted as I entered the facility. The last sanitation inspection was conducted on 12-11-23. The last fire inspection was conducted 11-4-22, you contacted the fire marshal's office during the visit to schedule. You stated you have called prior to today's visit but have not heard from anyone. The emergency drill log, incident log and playground inspections were reviewed and found meeting compliance. Information required to be posted were observed posted. The menu was reviewed and found meeting compliance. Daily attendance was reviewed and found meeting compliance. While in the café I observed cabinet doors in poor repair, the paneling is falling off and the practical board is exposed, which leaves the doors to splinter and not easily cleanable. Also by the trash can, where children throw food away the wall was observed dirty where food splatter was observed, this was cleaned during the visit. Medications were reviewed. All medications were observed stored properly, had current medical action plans when applicable and had current permission to administer. The outdoor environment was monitored. A rusty wheel barrel was observed in the corner of the play yard, this was removed during the visit. The play yard is a large area, no other hazards were observed. Children were observed running and playing on the equipment as the staff walked around the equipment monitoring the children as they played. A sample of children's files were reviewed and found meeting compliance. Staff files were reviewed, please see violation section of this documentation and review the staff and training worksheets that were circled showing missing information. Buses were monitored today, transportation requirements were found meeting compliance. The following violations were observed during today's visit: 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 facility has not had an annual fire inspection completed, the last inspection was conducted on 11/4/2022. 10A NCAC 09 .0304(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The wall in the café, by the trash can, was observed to be dirty with spattered ketchup, milk and food from throwing trash and food away. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. A rusted wheel barrel was observed stored in the corner of the play yard, this was removed during the visit. Cabinet doors in the café were observed with the trim peeling away and the practical board exposed. G.S. 110-91(6); .0601(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three staff employed more than one year have not had their annual review or completed or discussed their annual staff development plan. 10A NCAC 09 .0514(f) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. One group leader working with School age children, hired 7/27/2023 has not completed BSAC training. .2510(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four staff have not completed health and safety training within five years of complete previous health and safety training. .1103(b) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Tyvonia Shelley, Director, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before January 25, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Health and Safety Training: I shared the health and safety training log with you and your curriculum specialist. You all missed the Medication health and safety topic training requirement and were not using the current health and safety training log that can found on the DCDEE website under Provider Documents. Currently Moodle is having issues. You can obtain Health and Safety trainings from many approved trainers. To name a few other resources other than DCDEE Moodle: Child Care Education Institute (online 6 hour course)https://www.cceionline.com/north-carolina Mecklenburg County Community Health Care Nurse - Lawanda Combo CCRI – Child Care Resources, Inc. NC Health and Safety Resource Center https://healthychildcare.unc.edu/ Staff Files: I encourage you to keep the staff and training worksheet as a running document, pulling it up, referencing it, updating it regularly. This will help you maintain your staff files and ensure compliance. If you have any questions please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: THE VILLAGE AT LEAFSPRING SCHOOL Facility ID: 60002957 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 7/18/2023 Number Present: 76 Completed Date: 7/18/2023 Age: From 5 To 12 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with all applicable childcare requirements during a Routine Unannounced visit. The current Five-Star rated license was issued on June 24, 2022. The last Annual Compliance Visit was completed on January 19, 2022. The facility has a compliance history of 91% prior to today’s visit. The license and NC child care law summary were prominently posted. The following was monitored using the June 2022 Child Care Center Item Number Listing: supervision, capacity, CPR, First Aid, special training, storage of hazardous substances, storage of medication, approved space, provider records, program records, license posted, and permit restrictions. Upon arrival I was greeted at the front entrance by Ms. T. Shelley, Campus Director, and V. Coulter, Assistant Director. I explained the purpose of my visit. Ms. Shelley, Ms. Coulter and I conducted a walk-through of the facility. Children were observed participating in free play activities, group time activities, personal care routines and transitional activities. In Space 3 it was observed that the posted Emergency Medical Care Plan list a prior staff member as a person responsible for providing care in the event of an emergency. This is not current and needs to be updated. It was also observed in Space 3 that the space was licensed for a maximum capacity of seven (7) children but there were eleven (11) children present in the space. In Space 5 it was observed that a container of Mosaic Sand Tile Grout with with the warning ‘Keep out of reach of children’ accompanied by other warnings being stored in an unlocked cabinet. I advised both administrators that any item with multiple warnings on the label must be stored under lock and key. This was removed during the walk-through and placed it in a secure location. In Space 10 it was observed that two (2) ceiling tiles had visible stains due to water damage. The administrator shared that she has been in contact with the program’s owner and maintenance department to get the issue identified and the ceiling tiles replaced. Emergency medication was monitored, and it was observed that one child with a documented allergy had Benadryl listed on his medical action plan but did not have a completed permission to administer form on file. It was also observed that one child with a documented allergy did not have emergency medication present. The parent was contacted and provided a written statement detailing their personal preference in regard to the allergy. This was considered corrected during the visit. Program records were monitored. Monthly fire drills and outdoor playground inspections were observed being conducted as required. Emergency drills (shelter-in-place/lockdown) were reviewed, and it was observed that an emergency drill was scheduled to be conducted in March of 2023 but did not occur until May 2023. This was considered corrected during the visit. Staff files were monitored for current Criminal Background Checks, current First Aid/CPR and other specialized training using the most recently updated Staff and Training Worksheet. They were found to be compliant. Children’s files were not monitored. The last sanitation inspection was conducted March 23, 2023 with 6 demerits. The Sanitation inspection checklist list the rating as Disapproved but the posted Sanitation Classification Certificate reflects a Superior rating. The Environmental Health supervision has been reached out to for clarification as to the current rating. The last fire inspection was conducted on November 04, 2022. There were seven (7) violations cited today. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In Space 10 it was observed that two (2) ceiling tiles had visible stains due to water damage. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. It was also observed that one child with a documented allergy did not have emergency medication present. The parent was contacted and provided a written statement detailing their personal preference in regard to the allergy. This was considered corrected during the visit. 10A NCAC 09 .0601(a) 832 There was no written emergency medical care (EMC) plan. In Space 3 it was observed that the posted Emergency Medical Care Plan list a prior staff member as a person responsible for providing care in the event of an emergency. 10A NCAC 09 .0802(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. In Space 5 it was observed that a container of Mosaic Sand Tile Grout with with the warning ‘Keep out of reach of children’ accompanied by other warnings being stored in an unlocked cabinet. .2820(b) 1245 For each child, there was not at least 30 sq. ft indoors and 75 sq. ft outdoors for one-third of the total number of the total licensed capacity, or at least 35 sq. ft. indoors and 75 sq. ft. outdoors for the total licensed capacity. It was also observed in Space 3 that the space was licensed for a maximum capacity of seven (7) children but there were eleven (11) children present in the space. 10A NCAC 09 .2809(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Emergency drills (shelter-in-place/lockdown) were reviewed, and it was observed that an emergency drill was scheduled to be conducted in March of 2023 but did not occur until May 2023. This was considered corrected during the visit. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Emergency medication was monitored, and it was observed that one child with a documented allergy had Benadryl listed on his medical action plan but did not have a completed permission to administer form on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Any outstanding violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Tuesday August 01, 2023 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -It was discussed that all medication forms should be reviewed by both the administrator and staff when medication is brought in to ensure that they are completed in their entirety. -I reminded Ms. Coulter that all electrical outlets must be covered at all times when not in use and it is best practice to have teachers monitor daily. -The toxic plant list was shared and I reminded administrators to review it prior to placing any plants in classrooms, on the playground or planning any gardening activities. - I reminded administrators that all aerosol cans and any hazardous item that has multiple warnings must be kept under lock and key. -It was discussed that all medication forms should be reviewed by both the administrator and staff when medication is brought in to ensure that they are completed in their entirety. -It was discussed that any child that has a documented medical condition requiring emergency medication must have a signed Medical Action Plan on file complete with detailed instructions on what is to be done in the event of an emergency and signed authorization to administer the medication. It was also shared that the administrator should have a follow up conversation with any parent or caregiver when she receives a new or updated Medical Action Plan to ensure that the instructions/steps to be followed are clear. -We discussed the importance of ensuring that all required forms and paperwork are updated as needed and that teachers are aware of any changes and have access to these forms as necessary. -We discussed the importance of keeping allergy list updated and making changes to reflect any children that are no longer enrolled in the program, have changes in their diagnosis or may have transitioned to a new classroom, as necessary. -It was discussed that if the walls, ceiling tiles, flooring or any materials appear to be damaged or in poor repair they new to be either made in accessible to children repaired or removed immediately. -It was recommended to keep the staff and training worksheets current at all times. Thank you for your time and if you have any questions about today’s visit, please feel free to contact Resha Washington at 704-910-7947 or email resha.washington@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 .0802 · Violation

Name of Operation: THE VILLAGE AT LEAFSPRING SCHOOL Facility ID: 60002957 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 7/18/2023 Number Present: 76 Completed Date: 7/18/2023 Age: From 5 To 12 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with all applicable childcare requirements during a Routine Unannounced visit. The current Five-Star rated license was issued on June 24, 2022. The last Annual Compliance Visit was completed on January 19, 2022. The facility has a compliance history of 91% prior to today’s visit. The license and NC child care law summary were prominently posted. The following was monitored using the June 2022 Child Care Center Item Number Listing: supervision, capacity, CPR, First Aid, special training, storage of hazardous substances, storage of medication, approved space, provider records, program records, license posted, and permit restrictions. Upon arrival I was greeted at the front entrance by Ms. T. Shelley, Campus Director, and V. Coulter, Assistant Director. I explained the purpose of my visit. Ms. Shelley, Ms. Coulter and I conducted a walk-through of the facility. Children were observed participating in free play activities, group time activities, personal care routines and transitional activities. In Space 3 it was observed that the posted Emergency Medical Care Plan list a prior staff member as a person responsible for providing care in the event of an emergency. This is not current and needs to be updated. It was also observed in Space 3 that the space was licensed for a maximum capacity of seven (7) children but there were eleven (11) children present in the space. In Space 5 it was observed that a container of Mosaic Sand Tile Grout with with the warning ‘Keep out of reach of children’ accompanied by other warnings being stored in an unlocked cabinet. I advised both administrators that any item with multiple warnings on the label must be stored under lock and key. This was removed during the walk-through and placed it in a secure location. In Space 10 it was observed that two (2) ceiling tiles had visible stains due to water damage. The administrator shared that she has been in contact with the program’s owner and maintenance department to get the issue identified and the ceiling tiles replaced. Emergency medication was monitored, and it was observed that one child with a documented allergy had Benadryl listed on his medical action plan but did not have a completed permission to administer form on file. It was also observed that one child with a documented allergy did not have emergency medication present. The parent was contacted and provided a written statement detailing their personal preference in regard to the allergy. This was considered corrected during the visit. Program records were monitored. Monthly fire drills and outdoor playground inspections were observed being conducted as required. Emergency drills (shelter-in-place/lockdown) were reviewed, and it was observed that an emergency drill was scheduled to be conducted in March of 2023 but did not occur until May 2023. This was considered corrected during the visit. Staff files were monitored for current Criminal Background Checks, current First Aid/CPR and other specialized training using the most recently updated Staff and Training Worksheet. They were found to be compliant. Children’s files were not monitored. The last sanitation inspection was conducted March 23, 2023 with 6 demerits. The Sanitation inspection checklist list the rating as Disapproved but the posted Sanitation Classification Certificate reflects a Superior rating. The Environmental Health supervision has been reached out to for clarification as to the current rating. The last fire inspection was conducted on November 04, 2022. There were seven (7) violations cited today. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In Space 10 it was observed that two (2) ceiling tiles had visible stains due to water damage. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. It was also observed that one child with a documented allergy did not have emergency medication present. The parent was contacted and provided a written statement detailing their personal preference in regard to the allergy. This was considered corrected during the visit. 10A NCAC 09 .0601(a) 832 There was no written emergency medical care (EMC) plan. In Space 3 it was observed that the posted Emergency Medical Care Plan list a prior staff member as a person responsible for providing care in the event of an emergency. 10A NCAC 09 .0802(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. In Space 5 it was observed that a container of Mosaic Sand Tile Grout with with the warning ‘Keep out of reach of children’ accompanied by other warnings being stored in an unlocked cabinet. .2820(b) 1245 For each child, there was not at least 30 sq. ft indoors and 75 sq. ft outdoors for one-third of the total number of the total licensed capacity, or at least 35 sq. ft. indoors and 75 sq. ft. outdoors for the total licensed capacity. It was also observed in Space 3 that the space was licensed for a maximum capacity of seven (7) children but there were eleven (11) children present in the space. 10A NCAC 09 .2809(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Emergency drills (shelter-in-place/lockdown) were reviewed, and it was observed that an emergency drill was scheduled to be conducted in March of 2023 but did not occur until May 2023. This was considered corrected during the visit. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Emergency medication was monitored, and it was observed that one child with a documented allergy had Benadryl listed on his medical action plan but did not have a completed permission to administer form on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Any outstanding violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Tuesday August 01, 2023 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -It was discussed that all medication forms should be reviewed by both the administrator and staff when medication is brought in to ensure that they are completed in their entirety. -I reminded Ms. Coulter that all electrical outlets must be covered at all times when not in use and it is best practice to have teachers monitor daily. -The toxic plant list was shared and I reminded administrators to review it prior to placing any plants in classrooms, on the playground or planning any gardening activities. - I reminded administrators that all aerosol cans and any hazardous item that has multiple warnings must be kept under lock and key. -It was discussed that all medication forms should be reviewed by both the administrator and staff when medication is brought in to ensure that they are completed in their entirety. -It was discussed that any child that has a documented medical condition requiring emergency medication must have a signed Medical Action Plan on file complete with detailed instructions on what is to be done in the event of an emergency and signed authorization to administer the medication. It was also shared that the administrator should have a follow up conversation with any parent or caregiver when she receives a new or updated Medical Action Plan to ensure that the instructions/steps to be followed are clear. -We discussed the importance of ensuring that all required forms and paperwork are updated as needed and that teachers are aware of any changes and have access to these forms as necessary. -We discussed the importance of keeping allergy list updated and making changes to reflect any children that are no longer enrolled in the program, have changes in their diagnosis or may have transitioned to a new classroom, as necessary. -It was discussed that if the walls, ceiling tiles, flooring or any materials appear to be damaged or in poor repair they new to be either made in accessible to children repaired or removed immediately. -It was recommended to keep the staff and training worksheets current at all times. Thank you for your time and if you have any questions about today’s visit, please feel free to contact Resha Washington at 704-910-7947 or email resha.washington@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 .2809 · Violation

Name of Operation: THE VILLAGE AT LEAFSPRING SCHOOL Facility ID: 60002957 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 7/18/2023 Number Present: 76 Completed Date: 7/18/2023 Age: From 5 To 12 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with all applicable childcare requirements during a Routine Unannounced visit. The current Five-Star rated license was issued on June 24, 2022. The last Annual Compliance Visit was completed on January 19, 2022. The facility has a compliance history of 91% prior to today’s visit. The license and NC child care law summary were prominently posted. The following was monitored using the June 2022 Child Care Center Item Number Listing: supervision, capacity, CPR, First Aid, special training, storage of hazardous substances, storage of medication, approved space, provider records, program records, license posted, and permit restrictions. Upon arrival I was greeted at the front entrance by Ms. T. Shelley, Campus Director, and V. Coulter, Assistant Director. I explained the purpose of my visit. Ms. Shelley, Ms. Coulter and I conducted a walk-through of the facility. Children were observed participating in free play activities, group time activities, personal care routines and transitional activities. In Space 3 it was observed that the posted Emergency Medical Care Plan list a prior staff member as a person responsible for providing care in the event of an emergency. This is not current and needs to be updated. It was also observed in Space 3 that the space was licensed for a maximum capacity of seven (7) children but there were eleven (11) children present in the space. In Space 5 it was observed that a container of Mosaic Sand Tile Grout with with the warning ‘Keep out of reach of children’ accompanied by other warnings being stored in an unlocked cabinet. I advised both administrators that any item with multiple warnings on the label must be stored under lock and key. This was removed during the walk-through and placed it in a secure location. In Space 10 it was observed that two (2) ceiling tiles had visible stains due to water damage. The administrator shared that she has been in contact with the program’s owner and maintenance department to get the issue identified and the ceiling tiles replaced. Emergency medication was monitored, and it was observed that one child with a documented allergy had Benadryl listed on his medical action plan but did not have a completed permission to administer form on file. It was also observed that one child with a documented allergy did not have emergency medication present. The parent was contacted and provided a written statement detailing their personal preference in regard to the allergy. This was considered corrected during the visit. Program records were monitored. Monthly fire drills and outdoor playground inspections were observed being conducted as required. Emergency drills (shelter-in-place/lockdown) were reviewed, and it was observed that an emergency drill was scheduled to be conducted in March of 2023 but did not occur until May 2023. This was considered corrected during the visit. Staff files were monitored for current Criminal Background Checks, current First Aid/CPR and other specialized training using the most recently updated Staff and Training Worksheet. They were found to be compliant. Children’s files were not monitored. The last sanitation inspection was conducted March 23, 2023 with 6 demerits. The Sanitation inspection checklist list the rating as Disapproved but the posted Sanitation Classification Certificate reflects a Superior rating. The Environmental Health supervision has been reached out to for clarification as to the current rating. The last fire inspection was conducted on November 04, 2022. There were seven (7) violations cited today. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In Space 10 it was observed that two (2) ceiling tiles had visible stains due to water damage. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. It was also observed that one child with a documented allergy did not have emergency medication present. The parent was contacted and provided a written statement detailing their personal preference in regard to the allergy. This was considered corrected during the visit. 10A NCAC 09 .0601(a) 832 There was no written emergency medical care (EMC) plan. In Space 3 it was observed that the posted Emergency Medical Care Plan list a prior staff member as a person responsible for providing care in the event of an emergency. 10A NCAC 09 .0802(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. In Space 5 it was observed that a container of Mosaic Sand Tile Grout with with the warning ‘Keep out of reach of children’ accompanied by other warnings being stored in an unlocked cabinet. .2820(b) 1245 For each child, there was not at least 30 sq. ft indoors and 75 sq. ft outdoors for one-third of the total number of the total licensed capacity, or at least 35 sq. ft. indoors and 75 sq. ft. outdoors for the total licensed capacity. It was also observed in Space 3 that the space was licensed for a maximum capacity of seven (7) children but there were eleven (11) children present in the space. 10A NCAC 09 .2809(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Emergency drills (shelter-in-place/lockdown) were reviewed, and it was observed that an emergency drill was scheduled to be conducted in March of 2023 but did not occur until May 2023. This was considered corrected during the visit. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Emergency medication was monitored, and it was observed that one child with a documented allergy had Benadryl listed on his medical action plan but did not have a completed permission to administer form on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Any outstanding violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Tuesday August 01, 2023 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -It was discussed that all medication forms should be reviewed by both the administrator and staff when medication is brought in to ensure that they are completed in their entirety. -I reminded Ms. Coulter that all electrical outlets must be covered at all times when not in use and it is best practice to have teachers monitor daily. -The toxic plant list was shared and I reminded administrators to review it prior to placing any plants in classrooms, on the playground or planning any gardening activities. - I reminded administrators that all aerosol cans and any hazardous item that has multiple warnings must be kept under lock and key. -It was discussed that all medication forms should be reviewed by both the administrator and staff when medication is brought in to ensure that they are completed in their entirety. -It was discussed that any child that has a documented medical condition requiring emergency medication must have a signed Medical Action Plan on file complete with detailed instructions on what is to be done in the event of an emergency and signed authorization to administer the medication. It was also shared that the administrator should have a follow up conversation with any parent or caregiver when she receives a new or updated Medical Action Plan to ensure that the instructions/steps to be followed are clear. -We discussed the importance of ensuring that all required forms and paperwork are updated as needed and that teachers are aware of any changes and have access to these forms as necessary. -We discussed the importance of keeping allergy list updated and making changes to reflect any children that are no longer enrolled in the program, have changes in their diagnosis or may have transitioned to a new classroom, as necessary. -It was discussed that if the walls, ceiling tiles, flooring or any materials appear to be damaged or in poor repair they new to be either made in accessible to children repaired or removed immediately. -It was recommended to keep the staff and training worksheets current at all times. Thank you for your time and if you have any questions about today’s visit, please feel free to contact Resha Washington at 704-910-7947 or email resha.washington@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