10A NCAC 09 .0604 · Violation

Name of Operation: THE WILLOW OAKS ACADEMY, LLC Facility ID: 60003963 Consultant: LASHAWNDA BERRY Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 46 Completed Date: 5/14/2025 Age: From 1 To 5 Total Minutes: 270 Time In: 09:15 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance visit. The center operates with a Five-Star license and an 18-month compliance history score of 89%, effective November 23, 2019. The Secretary of State website was checked and THE WILLOW OAKS ACADEMY, LLC was current and active. The restrictions include: Daytime care only; Meets enhanced ratios; Meets enhanced space; Children under 2 ½ year olds in rooms with direct exits only. Upon arrival, I was greeted by T. Boyd, Director. I discussed with Ms. Boyd the Annual Compliance Monitoring guidelines. Ms. Boyd assisted me with the walkthrough of the center and the visit. The following items were posted within the center/ classrooms: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/ departure procedures, summary of law and menus. Indoor Learning Environment: Staff/child ratio, supervision, capacity, group size and space were observed in compliance today. Children were observed engaged in nurturing interactions with caregivers, teacher directed activities and multi-play opportunities. There were forty-six (46) children present today. There are eighty-eight (88) children enrolled in the center. Outdoor Learning Environment: The outdoor learning environment was monitored today and not in compliance. There was debris on the playground, this was corrected during the visit. Inspections: The outdoor inspections and fire drills were monitored. The last fire drill was conducted on 4/2/25. The centers last shelter in place/ lockdown drill was conducted on 3/31/25. The last monthly playground inspection was conducted on 4/1/25. The center last had a sanitation inspection on 1/23/25. The center received five (5) demerits and received a superior classification. The inspection was completed by the Mecklenburg County Health Department. The center last had a fire inspection on 4/3/25. Transportation: The center does not provide transportation. Nutrition: Meals met nutritional value during today’s visit. Files: Children records were monitored today and in compliance. Staff files were monitored today and in compliance. There were four (4) violations cited 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. In space #3, I observed an electrical outlet that was not in use without a safety cover. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. I observed debris on the Outdoor Learning Environment. 10A NCAC 09 .0604(p) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member, with a start date of 1/8/25 did not have documentation of completing First Aid training within 90 days of hire. (A.B) .1102(c) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In space #2, I observed an asthma pump that was not in the original packaging, was not labeled with the child's name and did not include written instructions. 10A NCAC 09 .0803(2)(b)(i-v) Violations must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 5/28/2025, stating how each violation was corrected and how compliance will be maintained in the future include the violation number, statement of compliance, license ID and your signature in the letter or e-mail. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Please email me a signed copy of the letter to Lashawnda.Berry@dhhs.nc.gov Technical Assistance: 1. Inspections: After each sanitation and fire inspection you must send a copy of the report to you Child Care consultant within one week. *I encouraged the Administrator to stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. Rated License: Hold harmless has been extended until the new QRIS is implemented (SB 425). The provider was able to ask questions and did not have any at this time. If you have questions or concerns, please feel free to contact me by email at: Lashawnda.berry@dhhs.nc.gov or by phone at 704-242-0960. Thank you for your assistance! Lashawnda Berry PO Box 550424 Gastonia, NC 28054 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: THE WILLOW OAKS ACADEMY, LLC Facility ID: 60003963 Consultant: LASHAWNDA BERRY Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 46 Completed Date: 5/14/2025 Age: From 1 To 5 Total Minutes: 270 Time In: 09:15 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance visit. The center operates with a Five-Star license and an 18-month compliance history score of 89%, effective November 23, 2019. The Secretary of State website was checked and THE WILLOW OAKS ACADEMY, LLC was current and active. The restrictions include: Daytime care only; Meets enhanced ratios; Meets enhanced space; Children under 2 ½ year olds in rooms with direct exits only. Upon arrival, I was greeted by T. Boyd, Director. I discussed with Ms. Boyd the Annual Compliance Monitoring guidelines. Ms. Boyd assisted me with the walkthrough of the center and the visit. The following items were posted within the center/ classrooms: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/ departure procedures, summary of law and menus. Indoor Learning Environment: Staff/child ratio, supervision, capacity, group size and space were observed in compliance today. Children were observed engaged in nurturing interactions with caregivers, teacher directed activities and multi-play opportunities. There were forty-six (46) children present today. There are eighty-eight (88) children enrolled in the center. Outdoor Learning Environment: The outdoor learning environment was monitored today and not in compliance. There was debris on the playground, this was corrected during the visit. Inspections: The outdoor inspections and fire drills were monitored. The last fire drill was conducted on 4/2/25. The centers last shelter in place/ lockdown drill was conducted on 3/31/25. The last monthly playground inspection was conducted on 4/1/25. The center last had a sanitation inspection on 1/23/25. The center received five (5) demerits and received a superior classification. The inspection was completed by the Mecklenburg County Health Department. The center last had a fire inspection on 4/3/25. Transportation: The center does not provide transportation. Nutrition: Meals met nutritional value during today’s visit. Files: Children records were monitored today and in compliance. Staff files were monitored today and in compliance. There were four (4) violations cited 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. In space #3, I observed an electrical outlet that was not in use without a safety cover. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. I observed debris on the Outdoor Learning Environment. 10A NCAC 09 .0604(p) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member, with a start date of 1/8/25 did not have documentation of completing First Aid training within 90 days of hire. (A.B) .1102(c) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In space #2, I observed an asthma pump that was not in the original packaging, was not labeled with the child's name and did not include written instructions. 10A NCAC 09 .0803(2)(b)(i-v) Violations must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 5/28/2025, stating how each violation was corrected and how compliance will be maintained in the future include the violation number, statement of compliance, license ID and your signature in the letter or e-mail. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Please email me a signed copy of the letter to Lashawnda.Berry@dhhs.nc.gov Technical Assistance: 1. Inspections: After each sanitation and fire inspection you must send a copy of the report to you Child Care consultant within one week. *I encouraged the Administrator to stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. Rated License: Hold harmless has been extended until the new QRIS is implemented (SB 425). The provider was able to ask questions and did not have any at this time. If you have questions or concerns, please feel free to contact me by email at: Lashawnda.berry@dhhs.nc.gov or by phone at 704-242-0960. Thank you for your assistance! Lashawnda Berry PO Box 550424 Gastonia, NC 28054 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: THE WILLOW OAKS ACADEMY, LLC Facility ID: 60003963 Consultant: LASHAWNDA BERRY Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 40 Completed Date: 5/17/2024 Age: From 1 To 5 Total Minutes: 385 Time In: 09:05 AM Time Out: 03:30 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 during an annual compliance visit. The center operates with a Four-Star license and an 18-month compliance history score of 81%, effective November 23, 2019. The restrictions include: Daytime care only; Meets enhanced space; Children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was checked and the status of THE WILLOW OAKS ACADEMY, LLC was current and active. I was greeted by T. Byrd, Administrator. I discussed with Ms. Byrd the Annual Compliance Monitoring guidelines and she assisted me with the walk through of the center. The following items were posted within the center/ classrooms: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/ departure procedures, summary of law and menus. Indoor Learning Environment: Staff/child ratio, supervision, capacity, group size and space were observed in compliance today. Children were observed engaged in multi-play opportunities, transitions, and naptime. There were forty (40) children present today. There are eighty-one (81) children enrolled in the center. Outdoor Learning Environment: The outdoor learning environment was monitored today and in compliance. Inspections: The outdoor inspections and fire drills were monitored. The last fire drill was conducted on 4/29/24. The centers last documented lockdown was conducted on 4/30/24. The last monthly playground inspection was conducted on 5/1/2024. The center last had a sanitation inspection on 1/4/2024. The center received 5 demerits and received superior classification. The center last had a fire inspection on 4/4/24. Transportation: The center does not provide transportation. Nutrition: Meals met nutritional value during today’s visit. Files: Children records were monitored today and not in compliance. Staff files were monitored today and not in compliance. There were eight (8) violations cited during today's visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. One child in space #5 did not have documentation of their arrival time. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space #1, #2 and #5 I observed peeling paint and walls not in good repair. 15A NCAC 18A .2825(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #2, I observed diaper cream in a zip lock bag in the cabinet that was not locked. 15A NCAC 18A .2820(d) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One out of eleven staff members health questionnaire expired on 2/3/23, they did not have have documentation of an annual health questionnaire. (AP) .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member out of eleven, did not complete the required hours of on-going training. (AP) .1103(a) 1314 Emergency information did not name childs health care professional. One childs records did not have documentation of the child's hospital preference. .0802(c)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One new staff member, with a start date of 1/16/24 signed their Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on 1/18/24, which was after their start date. (JB) .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One new staff member with a start date of 1/16/24 completed their Recognizing and Responding to Suspicions of Child Maltreatment training on 4/26/24, which after 90 days of their start date. (JB) .1102(g) Violations must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 5/31/2024, stating how each violation was corrected and how compliance will be maintained in the future include the violation number, statement of compliance, license ID and your signature in the letter or e-mail. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Please email me a signed copy of the letter to Lashawnda.Berry@dhhs.nc.gov Technical Assistance: 1. Inspections: After each sanitation and fire inspection you must send a copy of the report to you Child Care consultant within one week. *I encouraged the Administrator to stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. Rated License: Your facility is in cohort two. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process The provider was able to ask questions and did not have any at this time. If you have questions or concerns, please feel free to contact me by email at: Lashawnda.berry@dhhs.nc.gov or by phone at 704-242-0960. Thank you for your assistance! Lashawnda Berry PO Box 550424 Gastonia, NC 28055 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.