Concord Academy

10A NCAC 09 .0601 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: TAMIKA POWELL Operation Type: Center Case Number: 1025-040A Visit Date: 10/7/2025 Number Present: 183 Completed Date: 10/7/2025 Age: From 0 To 3 Total Minutes: 100 Time In: 09:50 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Michelle Edwards, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Edwards, Tammy Shue, assistant administrator. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On September 30, 2025, in response to a three-year-old child not sitting in their chair, a staff member created an unsafe environment by utilizing a hot glue gun to put hot glue onto the seat of the chair and then sat the child in the chair resulting in second degree burns to the child's upper thighs. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. Although the poster was available in the classroom, on September 30, 2025, a staff member did not utilize the first aid poster to treat a child’s injury. .0802(h) 873 Center staff did not follow the EMC plan. On September 30, 2025, a staff member did not follow the center’s emergency medical care (EMC) plan by not contacting an administrator after a three-year-old child was burned on the back of their thighs. 10A NCAC 09.0802(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On September 30, 2025, a staff member did not inform anyone of a burn injury to a three-year-old child’s thighs. As a result, the injury went untreated at the center for approximately seven (7) hours. G.S. 110-91(10) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. On September 30, 2025, a staff member put hot glue on a chair and intentionally placed a three-year-old child on the chair in effort to redirect a child’s behavior, resulting in burns to the back of the child’s thighs. .1803(a)(1) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) Violations must be corrected immediately. Within one week (October 14, 2025), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at: Tamika Powell, Investigations Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 (919)715-1013 - fax Tamika.t.powell@dhhs.nc.gov You may contact me at Tamika Powell, Investigations Consultant, (704) 330-9725, Tamika.t.powell@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0802 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: TAMIKA POWELL Operation Type: Center Case Number: 1025-040A Visit Date: 10/7/2025 Number Present: 183 Completed Date: 10/7/2025 Age: From 0 To 3 Total Minutes: 100 Time In: 09:50 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Michelle Edwards, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Edwards, Tammy Shue, assistant administrator. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On September 30, 2025, in response to a three-year-old child not sitting in their chair, a staff member created an unsafe environment by utilizing a hot glue gun to put hot glue onto the seat of the chair and then sat the child in the chair resulting in second degree burns to the child's upper thighs. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. Although the poster was available in the classroom, on September 30, 2025, a staff member did not utilize the first aid poster to treat a child’s injury. .0802(h) 873 Center staff did not follow the EMC plan. On September 30, 2025, a staff member did not follow the center’s emergency medical care (EMC) plan by not contacting an administrator after a three-year-old child was burned on the back of their thighs. 10A NCAC 09.0802(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On September 30, 2025, a staff member did not inform anyone of a burn injury to a three-year-old child’s thighs. As a result, the injury went untreated at the center for approximately seven (7) hours. G.S. 110-91(10) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. On September 30, 2025, a staff member put hot glue on a chair and intentionally placed a three-year-old child on the chair in effort to redirect a child’s behavior, resulting in burns to the back of the child’s thighs. .1803(a)(1) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) Violations must be corrected immediately. Within one week (October 14, 2025), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at: Tamika Powell, Investigations Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 (919)715-1013 - fax Tamika.t.powell@dhhs.nc.gov You may contact me at Tamika Powell, Investigations Consultant, (704) 330-9725, Tamika.t.powell@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: TAMIKA POWELL Operation Type: Center Case Number: 1025-040A Visit Date: 10/7/2025 Number Present: 183 Completed Date: 10/7/2025 Age: From 0 To 3 Total Minutes: 100 Time In: 09:50 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Michelle Edwards, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Edwards, Tammy Shue, assistant administrator. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On September 30, 2025, in response to a three-year-old child not sitting in their chair, a staff member created an unsafe environment by utilizing a hot glue gun to put hot glue onto the seat of the chair and then sat the child in the chair resulting in second degree burns to the child's upper thighs. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. Although the poster was available in the classroom, on September 30, 2025, a staff member did not utilize the first aid poster to treat a child’s injury. .0802(h) 873 Center staff did not follow the EMC plan. On September 30, 2025, a staff member did not follow the center’s emergency medical care (EMC) plan by not contacting an administrator after a three-year-old child was burned on the back of their thighs. 10A NCAC 09.0802(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On September 30, 2025, a staff member did not inform anyone of a burn injury to a three-year-old child’s thighs. As a result, the injury went untreated at the center for approximately seven (7) hours. G.S. 110-91(10) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. On September 30, 2025, a staff member put hot glue on a chair and intentionally placed a three-year-old child on the chair in effort to redirect a child’s behavior, resulting in burns to the back of the child’s thighs. .1803(a)(1) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) Violations must be corrected immediately. Within one week (October 14, 2025), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at: Tamika Powell, Investigations Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 (919)715-1013 - fax Tamika.t.powell@dhhs.nc.gov You may contact me at Tamika Powell, Investigations Consultant, (704) 330-9725, Tamika.t.powell@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-105 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: TAMIKA POWELL Operation Type: Center Case Number: 1025-040A Visit Date: 10/7/2025 Number Present: 183 Completed Date: 10/7/2025 Age: From 0 To 3 Total Minutes: 100 Time In: 09:50 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Michelle Edwards, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Edwards, Tammy Shue, assistant administrator. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On September 30, 2025, in response to a three-year-old child not sitting in their chair, a staff member created an unsafe environment by utilizing a hot glue gun to put hot glue onto the seat of the chair and then sat the child in the chair resulting in second degree burns to the child's upper thighs. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. Although the poster was available in the classroom, on September 30, 2025, a staff member did not utilize the first aid poster to treat a child’s injury. .0802(h) 873 Center staff did not follow the EMC plan. On September 30, 2025, a staff member did not follow the center’s emergency medical care (EMC) plan by not contacting an administrator after a three-year-old child was burned on the back of their thighs. 10A NCAC 09.0802(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On September 30, 2025, a staff member did not inform anyone of a burn injury to a three-year-old child’s thighs. As a result, the injury went untreated at the center for approximately seven (7) hours. G.S. 110-91(10) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. On September 30, 2025, a staff member put hot glue on a chair and intentionally placed a three-year-old child on the chair in effort to redirect a child’s behavior, resulting in burns to the back of the child’s thighs. .1803(a)(1) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) Violations must be corrected immediately. Within one week (October 14, 2025), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at: Tamika Powell, Investigations Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 (919)715-1013 - fax Tamika.t.powell@dhhs.nc.gov You may contact me at Tamika Powell, Investigations Consultant, (704) 330-9725, Tamika.t.powell@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 7/2/2025 Number Present: 142 Completed Date: 7/2/2025 Age: From 0 To 4 Total Minutes: 375 Time In: 09:45 AM Time Out: 01:25 PM Time In: 02:25 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during an annual compliance visit with a rated license assessment. Your last ACV was conducted on August 9, 2024. Your compliance history score prior to today’s visit was 84%. You, Michelle Edwards, Director, and Tammy Shue, Assistant Director, assisted me with today’s visit. Ashlynn Vaughan, Child Care Consultant, assisted me with the visit. We observed a current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans, posted as required. Your facility is owned by Multiply Church and was current/active on the NC Secretary of State website. Your facility received a Provisional License issued on March 14, 2025, due to a Disapproved Sanitation inspection on February 12, 2025, and March 10, 2025. You received a Superior Sanitation rating on April 4, 2025. Rated License paperwork will be completed, and a new Notice of Compliance will be issued. Once received, you shall send your Provisional License, and outdated Notice of Compliance to me via United States Postal Service. Your facility is exempt from having daily schedules and activity plans; however, I observed activity plans and schedules posted in some of the classrooms. Today, children were adequately supervised, staff-child ratios maintained, and adequate approved space use maintained during the visit. We used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Children were engaged in free play, group times, reading books, transitions, lunch, and nap. I observed toys and equipment in all spaces to be of sufficient minimum quantity and developmentally appropriate. I monitored general safety throughout the center. I monitored the equipment and materials in the outdoor play space. All diaper creams, ointments, and sunscreens were monitored. I monitored all prescription medications and Medical Action Plans on site. Inspections/Drills/Logs Sanitation Inspection- April 4, 2025, with a Superior rating and four demerits. Fire Inspection- May 30, 2024 Playground Inspection- June 30, 2025 Fire Drill- June 20, 2025 Emergency Drill- May 8, 2025 Incident Log-Maintained as required. Your facility does not provide transportation. We monitored a random selection of twenty children’s files. We monitored thirteen files of newly hired staff. We monitored three files of existing staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A Provisional license was issued on March 14, 2025 but was not posted. G.S. 110-99(a1) 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on May 30, 2024. Please send me the updated fire inspection within seven days. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 204 the room was too dark during nap time, it was a safety issue for staff and children moving in the classroom. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In Space 208 there was an EPI pen which had expired. 10A NCAC 09 .0803(1)(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff with a hire date of 10/24/24 had a medical report dated after their date of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff with a hire date of 10/24/24 had a TB Skin test with a date after their hire date. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three staff with the following hire dates did not have a choice of Health Care Professional listed on Emergency Information Form, 11/7/24, 6/6/22, 3/24/25. .0701(a) 1314 Emergency information did not name childs health care professional. One child's file did not include the choice of a health care professional. .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 staff with a hire date of 9/21/23 did not have a copy of the Shaken Baby Syndrome and Abusive Head Trauma policy in their file. .0608(d)(1-4) 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. One diaper cream in Space 1 did not have a permission to administer form. 10A NCAC 09 .0803(2)(b)(i-v) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19) An Administrative Action was issued on March 14, 2025 but was not posted as required. 10A NCAC 09 .2201(i)(1-4) Technical Assistance was provided in the following areas: 1. I reviewed the child’s application and discussed areas that are most often missed when completed by parents. Remember to review these areas carefully each year as applications are completed prior to signing off on them. 2. An active permit is required to be always posted in a prominent place. Administrative Actions are also required to be posted for the duration of the Action. Please ensure that documentation received from the consultant or Raleigh office is reviewed in its entirety and child care requirements are being met. 3. Staff should not be “hired” and allowed to work without the following on file: Negative Tb Skin test, and medical, once hired the Shaken Baby and Abusive Head Trauma policy should be reviewed and placed in the staff members file prior to them working with children. 4. Fire Inspections are required every year, you can set reminders on the calendar or in your phone to alert you one month prior to the due date to request an inspection. 5. Just as children’s applications are to be completed in their entirety, so should staff Emergency Information Forms. Please ensure that all staff have documented their health care professional on this form. 6. We discussed placing lamps in all the classrooms in various places throughout to ensure there is enough light to visually see all the children during rest time and there are no tripping hazards when moving about the classroom. 7. Remind staff to review their classroom medications monthly to ensure that all creams and ointments have a permission to administer form, and to verify that no medication has expired. Consultation: 1. We had a discussion regarding all the run-offs on your playground after a big rain. I suggest you use the plastic barriers around the two structures which require fall zones and only mulch those areas rather than the entire surface of the playground area. Under the large canopy is flat and showed very little evidence of mulch being washed away, this may be where you consider placing the mobile slide structure. 2. Children’s applications should be reviewed and updated each year to ensure emergency and medical information has not changed. I suggest completing all the applications at the same time each year. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than July 16, 2025. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or Supervisor Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 7/2/2025 Number Present: 142 Completed Date: 7/2/2025 Age: From 0 To 4 Total Minutes: 375 Time In: 09:45 AM Time Out: 01:25 PM Time In: 02:25 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during an annual compliance visit with a rated license assessment. Your last ACV was conducted on August 9, 2024. Your compliance history score prior to today’s visit was 84%. You, Michelle Edwards, Director, and Tammy Shue, Assistant Director, assisted me with today’s visit. Ashlynn Vaughan, Child Care Consultant, assisted me with the visit. We observed a current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans, posted as required. Your facility is owned by Multiply Church and was current/active on the NC Secretary of State website. Your facility received a Provisional License issued on March 14, 2025, due to a Disapproved Sanitation inspection on February 12, 2025, and March 10, 2025. You received a Superior Sanitation rating on April 4, 2025. Rated License paperwork will be completed, and a new Notice of Compliance will be issued. Once received, you shall send your Provisional License, and outdated Notice of Compliance to me via United States Postal Service. Your facility is exempt from having daily schedules and activity plans; however, I observed activity plans and schedules posted in some of the classrooms. Today, children were adequately supervised, staff-child ratios maintained, and adequate approved space use maintained during the visit. We used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Children were engaged in free play, group times, reading books, transitions, lunch, and nap. I observed toys and equipment in all spaces to be of sufficient minimum quantity and developmentally appropriate. I monitored general safety throughout the center. I monitored the equipment and materials in the outdoor play space. All diaper creams, ointments, and sunscreens were monitored. I monitored all prescription medications and Medical Action Plans on site. Inspections/Drills/Logs Sanitation Inspection- April 4, 2025, with a Superior rating and four demerits. Fire Inspection- May 30, 2024 Playground Inspection- June 30, 2025 Fire Drill- June 20, 2025 Emergency Drill- May 8, 2025 Incident Log-Maintained as required. Your facility does not provide transportation. We monitored a random selection of twenty children’s files. We monitored thirteen files of newly hired staff. We monitored three files of existing staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A Provisional license was issued on March 14, 2025 but was not posted. G.S. 110-99(a1) 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on May 30, 2024. Please send me the updated fire inspection within seven days. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 204 the room was too dark during nap time, it was a safety issue for staff and children moving in the classroom. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In Space 208 there was an EPI pen which had expired. 10A NCAC 09 .0803(1)(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff with a hire date of 10/24/24 had a medical report dated after their date of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff with a hire date of 10/24/24 had a TB Skin test with a date after their hire date. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three staff with the following hire dates did not have a choice of Health Care Professional listed on Emergency Information Form, 11/7/24, 6/6/22, 3/24/25. .0701(a) 1314 Emergency information did not name childs health care professional. One child's file did not include the choice of a health care professional. .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 staff with a hire date of 9/21/23 did not have a copy of the Shaken Baby Syndrome and Abusive Head Trauma policy in their file. .0608(d)(1-4) 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. One diaper cream in Space 1 did not have a permission to administer form. 10A NCAC 09 .0803(2)(b)(i-v) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19) An Administrative Action was issued on March 14, 2025 but was not posted as required. 10A NCAC 09 .2201(i)(1-4) Technical Assistance was provided in the following areas: 1. I reviewed the child’s application and discussed areas that are most often missed when completed by parents. Remember to review these areas carefully each year as applications are completed prior to signing off on them. 2. An active permit is required to be always posted in a prominent place. Administrative Actions are also required to be posted for the duration of the Action. Please ensure that documentation received from the consultant or Raleigh office is reviewed in its entirety and child care requirements are being met. 3. Staff should not be “hired” and allowed to work without the following on file: Negative Tb Skin test, and medical, once hired the Shaken Baby and Abusive Head Trauma policy should be reviewed and placed in the staff members file prior to them working with children. 4. Fire Inspections are required every year, you can set reminders on the calendar or in your phone to alert you one month prior to the due date to request an inspection. 5. Just as children’s applications are to be completed in their entirety, so should staff Emergency Information Forms. Please ensure that all staff have documented their health care professional on this form. 6. We discussed placing lamps in all the classrooms in various places throughout to ensure there is enough light to visually see all the children during rest time and there are no tripping hazards when moving about the classroom. 7. Remind staff to review their classroom medications monthly to ensure that all creams and ointments have a permission to administer form, and to verify that no medication has expired. Consultation: 1. We had a discussion regarding all the run-offs on your playground after a big rain. I suggest you use the plastic barriers around the two structures which require fall zones and only mulch those areas rather than the entire surface of the playground area. Under the large canopy is flat and showed very little evidence of mulch being washed away, this may be where you consider placing the mobile slide structure. 2. Children’s applications should be reviewed and updated each year to ensure emergency and medical information has not changed. I suggest completing all the applications at the same time each year. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than July 16, 2025. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or Supervisor Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 7/2/2025 Number Present: 142 Completed Date: 7/2/2025 Age: From 0 To 4 Total Minutes: 375 Time In: 09:45 AM Time Out: 01:25 PM Time In: 02:25 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during an annual compliance visit with a rated license assessment. Your last ACV was conducted on August 9, 2024. Your compliance history score prior to today’s visit was 84%. You, Michelle Edwards, Director, and Tammy Shue, Assistant Director, assisted me with today’s visit. Ashlynn Vaughan, Child Care Consultant, assisted me with the visit. We observed a current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans, posted as required. Your facility is owned by Multiply Church and was current/active on the NC Secretary of State website. Your facility received a Provisional License issued on March 14, 2025, due to a Disapproved Sanitation inspection on February 12, 2025, and March 10, 2025. You received a Superior Sanitation rating on April 4, 2025. Rated License paperwork will be completed, and a new Notice of Compliance will be issued. Once received, you shall send your Provisional License, and outdated Notice of Compliance to me via United States Postal Service. Your facility is exempt from having daily schedules and activity plans; however, I observed activity plans and schedules posted in some of the classrooms. Today, children were adequately supervised, staff-child ratios maintained, and adequate approved space use maintained during the visit. We used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Children were engaged in free play, group times, reading books, transitions, lunch, and nap. I observed toys and equipment in all spaces to be of sufficient minimum quantity and developmentally appropriate. I monitored general safety throughout the center. I monitored the equipment and materials in the outdoor play space. All diaper creams, ointments, and sunscreens were monitored. I monitored all prescription medications and Medical Action Plans on site. Inspections/Drills/Logs Sanitation Inspection- April 4, 2025, with a Superior rating and four demerits. Fire Inspection- May 30, 2024 Playground Inspection- June 30, 2025 Fire Drill- June 20, 2025 Emergency Drill- May 8, 2025 Incident Log-Maintained as required. Your facility does not provide transportation. We monitored a random selection of twenty children’s files. We monitored thirteen files of newly hired staff. We monitored three files of existing staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A Provisional license was issued on March 14, 2025 but was not posted. G.S. 110-99(a1) 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on May 30, 2024. Please send me the updated fire inspection within seven days. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 204 the room was too dark during nap time, it was a safety issue for staff and children moving in the classroom. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In Space 208 there was an EPI pen which had expired. 10A NCAC 09 .0803(1)(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff with a hire date of 10/24/24 had a medical report dated after their date of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff with a hire date of 10/24/24 had a TB Skin test with a date after their hire date. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three staff with the following hire dates did not have a choice of Health Care Professional listed on Emergency Information Form, 11/7/24, 6/6/22, 3/24/25. .0701(a) 1314 Emergency information did not name childs health care professional. One child's file did not include the choice of a health care professional. .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 staff with a hire date of 9/21/23 did not have a copy of the Shaken Baby Syndrome and Abusive Head Trauma policy in their file. .0608(d)(1-4) 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. One diaper cream in Space 1 did not have a permission to administer form. 10A NCAC 09 .0803(2)(b)(i-v) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19) An Administrative Action was issued on March 14, 2025 but was not posted as required. 10A NCAC 09 .2201(i)(1-4) Technical Assistance was provided in the following areas: 1. I reviewed the child’s application and discussed areas that are most often missed when completed by parents. Remember to review these areas carefully each year as applications are completed prior to signing off on them. 2. An active permit is required to be always posted in a prominent place. Administrative Actions are also required to be posted for the duration of the Action. Please ensure that documentation received from the consultant or Raleigh office is reviewed in its entirety and child care requirements are being met. 3. Staff should not be “hired” and allowed to work without the following on file: Negative Tb Skin test, and medical, once hired the Shaken Baby and Abusive Head Trauma policy should be reviewed and placed in the staff members file prior to them working with children. 4. Fire Inspections are required every year, you can set reminders on the calendar or in your phone to alert you one month prior to the due date to request an inspection. 5. Just as children’s applications are to be completed in their entirety, so should staff Emergency Information Forms. Please ensure that all staff have documented their health care professional on this form. 6. We discussed placing lamps in all the classrooms in various places throughout to ensure there is enough light to visually see all the children during rest time and there are no tripping hazards when moving about the classroom. 7. Remind staff to review their classroom medications monthly to ensure that all creams and ointments have a permission to administer form, and to verify that no medication has expired. Consultation: 1. We had a discussion regarding all the run-offs on your playground after a big rain. I suggest you use the plastic barriers around the two structures which require fall zones and only mulch those areas rather than the entire surface of the playground area. Under the large canopy is flat and showed very little evidence of mulch being washed away, this may be where you consider placing the mobile slide structure. 2. Children’s applications should be reviewed and updated each year to ensure emergency and medical information has not changed. I suggest completing all the applications at the same time each year. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than July 16, 2025. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or Supervisor Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 7/2/2025 Number Present: 142 Completed Date: 7/2/2025 Age: From 0 To 4 Total Minutes: 375 Time In: 09:45 AM Time Out: 01:25 PM Time In: 02:25 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during an annual compliance visit with a rated license assessment. Your last ACV was conducted on August 9, 2024. Your compliance history score prior to today’s visit was 84%. You, Michelle Edwards, Director, and Tammy Shue, Assistant Director, assisted me with today’s visit. Ashlynn Vaughan, Child Care Consultant, assisted me with the visit. We observed a current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans, posted as required. Your facility is owned by Multiply Church and was current/active on the NC Secretary of State website. Your facility received a Provisional License issued on March 14, 2025, due to a Disapproved Sanitation inspection on February 12, 2025, and March 10, 2025. You received a Superior Sanitation rating on April 4, 2025. Rated License paperwork will be completed, and a new Notice of Compliance will be issued. Once received, you shall send your Provisional License, and outdated Notice of Compliance to me via United States Postal Service. Your facility is exempt from having daily schedules and activity plans; however, I observed activity plans and schedules posted in some of the classrooms. Today, children were adequately supervised, staff-child ratios maintained, and adequate approved space use maintained during the visit. We used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Children were engaged in free play, group times, reading books, transitions, lunch, and nap. I observed toys and equipment in all spaces to be of sufficient minimum quantity and developmentally appropriate. I monitored general safety throughout the center. I monitored the equipment and materials in the outdoor play space. All diaper creams, ointments, and sunscreens were monitored. I monitored all prescription medications and Medical Action Plans on site. Inspections/Drills/Logs Sanitation Inspection- April 4, 2025, with a Superior rating and four demerits. Fire Inspection- May 30, 2024 Playground Inspection- June 30, 2025 Fire Drill- June 20, 2025 Emergency Drill- May 8, 2025 Incident Log-Maintained as required. Your facility does not provide transportation. We monitored a random selection of twenty children’s files. We monitored thirteen files of newly hired staff. We monitored three files of existing staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A Provisional license was issued on March 14, 2025 but was not posted. G.S. 110-99(a1) 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on May 30, 2024. Please send me the updated fire inspection within seven days. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 204 the room was too dark during nap time, it was a safety issue for staff and children moving in the classroom. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In Space 208 there was an EPI pen which had expired. 10A NCAC 09 .0803(1)(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff with a hire date of 10/24/24 had a medical report dated after their date of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff with a hire date of 10/24/24 had a TB Skin test with a date after their hire date. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three staff with the following hire dates did not have a choice of Health Care Professional listed on Emergency Information Form, 11/7/24, 6/6/22, 3/24/25. .0701(a) 1314 Emergency information did not name childs health care professional. One child's file did not include the choice of a health care professional. .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 staff with a hire date of 9/21/23 did not have a copy of the Shaken Baby Syndrome and Abusive Head Trauma policy in their file. .0608(d)(1-4) 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. One diaper cream in Space 1 did not have a permission to administer form. 10A NCAC 09 .0803(2)(b)(i-v) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19) An Administrative Action was issued on March 14, 2025 but was not posted as required. 10A NCAC 09 .2201(i)(1-4) Technical Assistance was provided in the following areas: 1. I reviewed the child’s application and discussed areas that are most often missed when completed by parents. Remember to review these areas carefully each year as applications are completed prior to signing off on them. 2. An active permit is required to be always posted in a prominent place. Administrative Actions are also required to be posted for the duration of the Action. Please ensure that documentation received from the consultant or Raleigh office is reviewed in its entirety and child care requirements are being met. 3. Staff should not be “hired” and allowed to work without the following on file: Negative Tb Skin test, and medical, once hired the Shaken Baby and Abusive Head Trauma policy should be reviewed and placed in the staff members file prior to them working with children. 4. Fire Inspections are required every year, you can set reminders on the calendar or in your phone to alert you one month prior to the due date to request an inspection. 5. Just as children’s applications are to be completed in their entirety, so should staff Emergency Information Forms. Please ensure that all staff have documented their health care professional on this form. 6. We discussed placing lamps in all the classrooms in various places throughout to ensure there is enough light to visually see all the children during rest time and there are no tripping hazards when moving about the classroom. 7. Remind staff to review their classroom medications monthly to ensure that all creams and ointments have a permission to administer form, and to verify that no medication has expired. Consultation: 1. We had a discussion regarding all the run-offs on your playground after a big rain. I suggest you use the plastic barriers around the two structures which require fall zones and only mulch those areas rather than the entire surface of the playground area. Under the large canopy is flat and showed very little evidence of mulch being washed away, this may be where you consider placing the mobile slide structure. 2. Children’s applications should be reviewed and updated each year to ensure emergency and medical information has not changed. I suggest completing all the applications at the same time each year. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than July 16, 2025. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or Supervisor Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 7/2/2025 Number Present: 142 Completed Date: 7/2/2025 Age: From 0 To 4 Total Minutes: 375 Time In: 09:45 AM Time Out: 01:25 PM Time In: 02:25 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during an annual compliance visit with a rated license assessment. Your last ACV was conducted on August 9, 2024. Your compliance history score prior to today’s visit was 84%. You, Michelle Edwards, Director, and Tammy Shue, Assistant Director, assisted me with today’s visit. Ashlynn Vaughan, Child Care Consultant, assisted me with the visit. We observed a current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans, posted as required. Your facility is owned by Multiply Church and was current/active on the NC Secretary of State website. Your facility received a Provisional License issued on March 14, 2025, due to a Disapproved Sanitation inspection on February 12, 2025, and March 10, 2025. You received a Superior Sanitation rating on April 4, 2025. Rated License paperwork will be completed, and a new Notice of Compliance will be issued. Once received, you shall send your Provisional License, and outdated Notice of Compliance to me via United States Postal Service. Your facility is exempt from having daily schedules and activity plans; however, I observed activity plans and schedules posted in some of the classrooms. Today, children were adequately supervised, staff-child ratios maintained, and adequate approved space use maintained during the visit. We used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Children were engaged in free play, group times, reading books, transitions, lunch, and nap. I observed toys and equipment in all spaces to be of sufficient minimum quantity and developmentally appropriate. I monitored general safety throughout the center. I monitored the equipment and materials in the outdoor play space. All diaper creams, ointments, and sunscreens were monitored. I monitored all prescription medications and Medical Action Plans on site. Inspections/Drills/Logs Sanitation Inspection- April 4, 2025, with a Superior rating and four demerits. Fire Inspection- May 30, 2024 Playground Inspection- June 30, 2025 Fire Drill- June 20, 2025 Emergency Drill- May 8, 2025 Incident Log-Maintained as required. Your facility does not provide transportation. We monitored a random selection of twenty children’s files. We monitored thirteen files of newly hired staff. We monitored three files of existing staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A Provisional license was issued on March 14, 2025 but was not posted. G.S. 110-99(a1) 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on May 30, 2024. Please send me the updated fire inspection within seven days. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 204 the room was too dark during nap time, it was a safety issue for staff and children moving in the classroom. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In Space 208 there was an EPI pen which had expired. 10A NCAC 09 .0803(1)(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff with a hire date of 10/24/24 had a medical report dated after their date of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff with a hire date of 10/24/24 had a TB Skin test with a date after their hire date. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three staff with the following hire dates did not have a choice of Health Care Professional listed on Emergency Information Form, 11/7/24, 6/6/22, 3/24/25. .0701(a) 1314 Emergency information did not name childs health care professional. One child's file did not include the choice of a health care professional. .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 staff with a hire date of 9/21/23 did not have a copy of the Shaken Baby Syndrome and Abusive Head Trauma policy in their file. .0608(d)(1-4) 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. One diaper cream in Space 1 did not have a permission to administer form. 10A NCAC 09 .0803(2)(b)(i-v) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19) An Administrative Action was issued on March 14, 2025 but was not posted as required. 10A NCAC 09 .2201(i)(1-4) Technical Assistance was provided in the following areas: 1. I reviewed the child’s application and discussed areas that are most often missed when completed by parents. Remember to review these areas carefully each year as applications are completed prior to signing off on them. 2. An active permit is required to be always posted in a prominent place. Administrative Actions are also required to be posted for the duration of the Action. Please ensure that documentation received from the consultant or Raleigh office is reviewed in its entirety and child care requirements are being met. 3. Staff should not be “hired” and allowed to work without the following on file: Negative Tb Skin test, and medical, once hired the Shaken Baby and Abusive Head Trauma policy should be reviewed and placed in the staff members file prior to them working with children. 4. Fire Inspections are required every year, you can set reminders on the calendar or in your phone to alert you one month prior to the due date to request an inspection. 5. Just as children’s applications are to be completed in their entirety, so should staff Emergency Information Forms. Please ensure that all staff have documented their health care professional on this form. 6. We discussed placing lamps in all the classrooms in various places throughout to ensure there is enough light to visually see all the children during rest time and there are no tripping hazards when moving about the classroom. 7. Remind staff to review their classroom medications monthly to ensure that all creams and ointments have a permission to administer form, and to verify that no medication has expired. Consultation: 1. We had a discussion regarding all the run-offs on your playground after a big rain. I suggest you use the plastic barriers around the two structures which require fall zones and only mulch those areas rather than the entire surface of the playground area. Under the large canopy is flat and showed very little evidence of mulch being washed away, this may be where you consider placing the mobile slide structure. 2. Children’s applications should be reviewed and updated each year to ensure emergency and medical information has not changed. I suggest completing all the applications at the same time each year. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than July 16, 2025. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or Supervisor Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2201 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 7/2/2025 Number Present: 142 Completed Date: 7/2/2025 Age: From 0 To 4 Total Minutes: 375 Time In: 09:45 AM Time Out: 01:25 PM Time In: 02:25 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during an annual compliance visit with a rated license assessment. Your last ACV was conducted on August 9, 2024. Your compliance history score prior to today’s visit was 84%. You, Michelle Edwards, Director, and Tammy Shue, Assistant Director, assisted me with today’s visit. Ashlynn Vaughan, Child Care Consultant, assisted me with the visit. We observed a current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans, posted as required. Your facility is owned by Multiply Church and was current/active on the NC Secretary of State website. Your facility received a Provisional License issued on March 14, 2025, due to a Disapproved Sanitation inspection on February 12, 2025, and March 10, 2025. You received a Superior Sanitation rating on April 4, 2025. Rated License paperwork will be completed, and a new Notice of Compliance will be issued. Once received, you shall send your Provisional License, and outdated Notice of Compliance to me via United States Postal Service. Your facility is exempt from having daily schedules and activity plans; however, I observed activity plans and schedules posted in some of the classrooms. Today, children were adequately supervised, staff-child ratios maintained, and adequate approved space use maintained during the visit. We used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Children were engaged in free play, group times, reading books, transitions, lunch, and nap. I observed toys and equipment in all spaces to be of sufficient minimum quantity and developmentally appropriate. I monitored general safety throughout the center. I monitored the equipment and materials in the outdoor play space. All diaper creams, ointments, and sunscreens were monitored. I monitored all prescription medications and Medical Action Plans on site. Inspections/Drills/Logs Sanitation Inspection- April 4, 2025, with a Superior rating and four demerits. Fire Inspection- May 30, 2024 Playground Inspection- June 30, 2025 Fire Drill- June 20, 2025 Emergency Drill- May 8, 2025 Incident Log-Maintained as required. Your facility does not provide transportation. We monitored a random selection of twenty children’s files. We monitored thirteen files of newly hired staff. We monitored three files of existing staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A Provisional license was issued on March 14, 2025 but was not posted. G.S. 110-99(a1) 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on May 30, 2024. Please send me the updated fire inspection within seven days. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 204 the room was too dark during nap time, it was a safety issue for staff and children moving in the classroom. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In Space 208 there was an EPI pen which had expired. 10A NCAC 09 .0803(1)(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff with a hire date of 10/24/24 had a medical report dated after their date of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff with a hire date of 10/24/24 had a TB Skin test with a date after their hire date. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three staff with the following hire dates did not have a choice of Health Care Professional listed on Emergency Information Form, 11/7/24, 6/6/22, 3/24/25. .0701(a) 1314 Emergency information did not name childs health care professional. One child's file did not include the choice of a health care professional. .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 staff with a hire date of 9/21/23 did not have a copy of the Shaken Baby Syndrome and Abusive Head Trauma policy in their file. .0608(d)(1-4) 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. One diaper cream in Space 1 did not have a permission to administer form. 10A NCAC 09 .0803(2)(b)(i-v) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19) An Administrative Action was issued on March 14, 2025 but was not posted as required. 10A NCAC 09 .2201(i)(1-4) Technical Assistance was provided in the following areas: 1. I reviewed the child’s application and discussed areas that are most often missed when completed by parents. Remember to review these areas carefully each year as applications are completed prior to signing off on them. 2. An active permit is required to be always posted in a prominent place. Administrative Actions are also required to be posted for the duration of the Action. Please ensure that documentation received from the consultant or Raleigh office is reviewed in its entirety and child care requirements are being met. 3. Staff should not be “hired” and allowed to work without the following on file: Negative Tb Skin test, and medical, once hired the Shaken Baby and Abusive Head Trauma policy should be reviewed and placed in the staff members file prior to them working with children. 4. Fire Inspections are required every year, you can set reminders on the calendar or in your phone to alert you one month prior to the due date to request an inspection. 5. Just as children’s applications are to be completed in their entirety, so should staff Emergency Information Forms. Please ensure that all staff have documented their health care professional on this form. 6. We discussed placing lamps in all the classrooms in various places throughout to ensure there is enough light to visually see all the children during rest time and there are no tripping hazards when moving about the classroom. 7. Remind staff to review their classroom medications monthly to ensure that all creams and ointments have a permission to administer form, and to verify that no medication has expired. Consultation: 1. We had a discussion regarding all the run-offs on your playground after a big rain. I suggest you use the plastic barriers around the two structures which require fall zones and only mulch those areas rather than the entire surface of the playground area. Under the large canopy is flat and showed very little evidence of mulch being washed away, this may be where you consider placing the mobile slide structure. 2. Children’s applications should be reviewed and updated each year to ensure emergency and medical information has not changed. I suggest completing all the applications at the same time each year. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than July 16, 2025. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or Supervisor Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-99 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 7/2/2025 Number Present: 142 Completed Date: 7/2/2025 Age: From 0 To 4 Total Minutes: 375 Time In: 09:45 AM Time Out: 01:25 PM Time In: 02:25 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during an annual compliance visit with a rated license assessment. Your last ACV was conducted on August 9, 2024. Your compliance history score prior to today’s visit was 84%. You, Michelle Edwards, Director, and Tammy Shue, Assistant Director, assisted me with today’s visit. Ashlynn Vaughan, Child Care Consultant, assisted me with the visit. We observed a current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans, posted as required. Your facility is owned by Multiply Church and was current/active on the NC Secretary of State website. Your facility received a Provisional License issued on March 14, 2025, due to a Disapproved Sanitation inspection on February 12, 2025, and March 10, 2025. You received a Superior Sanitation rating on April 4, 2025. Rated License paperwork will be completed, and a new Notice of Compliance will be issued. Once received, you shall send your Provisional License, and outdated Notice of Compliance to me via United States Postal Service. Your facility is exempt from having daily schedules and activity plans; however, I observed activity plans and schedules posted in some of the classrooms. Today, children were adequately supervised, staff-child ratios maintained, and adequate approved space use maintained during the visit. We used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Children were engaged in free play, group times, reading books, transitions, lunch, and nap. I observed toys and equipment in all spaces to be of sufficient minimum quantity and developmentally appropriate. I monitored general safety throughout the center. I monitored the equipment and materials in the outdoor play space. All diaper creams, ointments, and sunscreens were monitored. I monitored all prescription medications and Medical Action Plans on site. Inspections/Drills/Logs Sanitation Inspection- April 4, 2025, with a Superior rating and four demerits. Fire Inspection- May 30, 2024 Playground Inspection- June 30, 2025 Fire Drill- June 20, 2025 Emergency Drill- May 8, 2025 Incident Log-Maintained as required. Your facility does not provide transportation. We monitored a random selection of twenty children’s files. We monitored thirteen files of newly hired staff. We monitored three files of existing staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A Provisional license was issued on March 14, 2025 but was not posted. G.S. 110-99(a1) 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on May 30, 2024. Please send me the updated fire inspection within seven days. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 204 the room was too dark during nap time, it was a safety issue for staff and children moving in the classroom. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In Space 208 there was an EPI pen which had expired. 10A NCAC 09 .0803(1)(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff with a hire date of 10/24/24 had a medical report dated after their date of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff with a hire date of 10/24/24 had a TB Skin test with a date after their hire date. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three staff with the following hire dates did not have a choice of Health Care Professional listed on Emergency Information Form, 11/7/24, 6/6/22, 3/24/25. .0701(a) 1314 Emergency information did not name childs health care professional. One child's file did not include the choice of a health care professional. .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 staff with a hire date of 9/21/23 did not have a copy of the Shaken Baby Syndrome and Abusive Head Trauma policy in their file. .0608(d)(1-4) 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. One diaper cream in Space 1 did not have a permission to administer form. 10A NCAC 09 .0803(2)(b)(i-v) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19) An Administrative Action was issued on March 14, 2025 but was not posted as required. 10A NCAC 09 .2201(i)(1-4) Technical Assistance was provided in the following areas: 1. I reviewed the child’s application and discussed areas that are most often missed when completed by parents. Remember to review these areas carefully each year as applications are completed prior to signing off on them. 2. An active permit is required to be always posted in a prominent place. Administrative Actions are also required to be posted for the duration of the Action. Please ensure that documentation received from the consultant or Raleigh office is reviewed in its entirety and child care requirements are being met. 3. Staff should not be “hired” and allowed to work without the following on file: Negative Tb Skin test, and medical, once hired the Shaken Baby and Abusive Head Trauma policy should be reviewed and placed in the staff members file prior to them working with children. 4. Fire Inspections are required every year, you can set reminders on the calendar or in your phone to alert you one month prior to the due date to request an inspection. 5. Just as children’s applications are to be completed in their entirety, so should staff Emergency Information Forms. Please ensure that all staff have documented their health care professional on this form. 6. We discussed placing lamps in all the classrooms in various places throughout to ensure there is enough light to visually see all the children during rest time and there are no tripping hazards when moving about the classroom. 7. Remind staff to review their classroom medications monthly to ensure that all creams and ointments have a permission to administer form, and to verify that no medication has expired. Consultation: 1. We had a discussion regarding all the run-offs on your playground after a big rain. I suggest you use the plastic barriers around the two structures which require fall zones and only mulch those areas rather than the entire surface of the playground area. Under the large canopy is flat and showed very little evidence of mulch being washed away, this may be where you consider placing the mobile slide structure. 2. Children’s applications should be reviewed and updated each year to ensure emergency and medical information has not changed. I suggest completing all the applications at the same time each year. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than July 16, 2025. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or Supervisor Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 179 Completed Date: 1/16/2025 Age: From 0 To 4 Total Minutes: 355 Time In: 09:25 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during a Routine Unannounced visit. Your last ACV was conducted on August 9, 2024. Your compliance history score prior to today’s visit was 80%. You, Michelle Edwards, Director, and Tammy Shue, Assistant Director, assisted us with today’s visit. Carolyn Conley, Child Care Lead Consultant accompanied me on today’s visit. We observed the current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans posted as required. Children were observed adequately supervised, staff-child ratios maintained, and adequate approved space use was maintained during today’s visit. Your facility operates with a GS 110-106 Notice of Compliance. Today children were engaged in free play, group time, transitions, handwashing, and lunch. Toys and equipment in all spaces were observed to meet notice of compliance requirements. We monitored general safety throughout the center. All over the counter and prescription medications were monitored. Inspections/Drills/Logs Sanitation Inspection- February 19, 2024, with a Superior rating and nine demerits. Fire Inspection- May 30, 2024 Playground Inspection- December 12, 2024 Fire Drill- December 12, 2024, 2024 Emergency Drill- November 25, 2024 Incident Log- Completed as required Playgrounds were monitored during the annual compliance visit. Your facility does not provide transportation. We monitored all staff for valid Criminal Records Checks, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS (if applicable), BSAC (if applicable), and CPR/FA. Nine files of staff hired since the last ACV were monitored. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. In Space 3 the changing pad had cracks on both sides and was no longer a smooth, easily cleanable surface. 15A NCAC 18A .2819(a) & (b) 807 A safe indoor and outdoor environment was not provided for the children. In Spaces 1 and 3 diaper creams were stored in the child's cubby which was not five feet above the ground. 10A NCAC 09 .0601(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 10/18/24 had a TB test result on file that was completed on 9/13/23. .0701(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Room 205 the permission to administer form for a prescription medication had expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. All Staff files did not have their health information placed in a sperate file from the personnel files. .0701(d) Technical Assistance was provided in the following areas: 1. New hires are required to have a TB skin test prior to the hire date. TB skin test must be less than 12 months old. Consider requiring this documentation prior to hire to ensure the test has been completed within the last 12 months. 2. Remember to utilize your red folder for storage of Medical Reports, Health Questionnaires, and TB Skin test. These are required to be maintained separately from the personnel file. 3. Permission to administer forms for prescription medications are valid for up to six months. Refer to the forms I created for you as a resource to ensure that timeframes are accurate. Also, when monitoring medications monthly remove any with expired permission to administer forms. 4. A pad is not required for the diaper changing area, however, if one is used it must be free of cracks or rips so the surface is easily cleanable. 5. Diaper creams and lotions were observed in the child’s cubby which is not five feet up. When sending home the creams or requesting that families update the forms you can place the items on top of the cubby which is well above the five feet requirement. Consultation 1. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 2. We discussed the ITS SIDS policy being posted in the classrooms. The Policy was in one classroom, but the other infant rooms had the Safe Sleep poster posted. I suggested using the policy as your positing to meet the requirements and to maintain consistency throughout the facility. 3. Your facility does not accept subsidy and is not required to complete staff orientation. Orientation has been conducted which is best practice and I encourage your facility to continue this and complete it in its entirety. 4. I suggested sending any sunscreen home that is still in the facility since it is not typically used during the winter months. 5. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than January 30, 2025. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 179 Completed Date: 1/16/2025 Age: From 0 To 4 Total Minutes: 355 Time In: 09:25 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during a Routine Unannounced visit. Your last ACV was conducted on August 9, 2024. Your compliance history score prior to today’s visit was 80%. You, Michelle Edwards, Director, and Tammy Shue, Assistant Director, assisted us with today’s visit. Carolyn Conley, Child Care Lead Consultant accompanied me on today’s visit. We observed the current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans posted as required. Children were observed adequately supervised, staff-child ratios maintained, and adequate approved space use was maintained during today’s visit. Your facility operates with a GS 110-106 Notice of Compliance. Today children were engaged in free play, group time, transitions, handwashing, and lunch. Toys and equipment in all spaces were observed to meet notice of compliance requirements. We monitored general safety throughout the center. All over the counter and prescription medications were monitored. Inspections/Drills/Logs Sanitation Inspection- February 19, 2024, with a Superior rating and nine demerits. Fire Inspection- May 30, 2024 Playground Inspection- December 12, 2024 Fire Drill- December 12, 2024, 2024 Emergency Drill- November 25, 2024 Incident Log- Completed as required Playgrounds were monitored during the annual compliance visit. Your facility does not provide transportation. We monitored all staff for valid Criminal Records Checks, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS (if applicable), BSAC (if applicable), and CPR/FA. Nine files of staff hired since the last ACV were monitored. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. In Space 3 the changing pad had cracks on both sides and was no longer a smooth, easily cleanable surface. 15A NCAC 18A .2819(a) & (b) 807 A safe indoor and outdoor environment was not provided for the children. In Spaces 1 and 3 diaper creams were stored in the child's cubby which was not five feet above the ground. 10A NCAC 09 .0601(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 10/18/24 had a TB test result on file that was completed on 9/13/23. .0701(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Room 205 the permission to administer form for a prescription medication had expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. All Staff files did not have their health information placed in a sperate file from the personnel files. .0701(d) Technical Assistance was provided in the following areas: 1. New hires are required to have a TB skin test prior to the hire date. TB skin test must be less than 12 months old. Consider requiring this documentation prior to hire to ensure the test has been completed within the last 12 months. 2. Remember to utilize your red folder for storage of Medical Reports, Health Questionnaires, and TB Skin test. These are required to be maintained separately from the personnel file. 3. Permission to administer forms for prescription medications are valid for up to six months. Refer to the forms I created for you as a resource to ensure that timeframes are accurate. Also, when monitoring medications monthly remove any with expired permission to administer forms. 4. A pad is not required for the diaper changing area, however, if one is used it must be free of cracks or rips so the surface is easily cleanable. 5. Diaper creams and lotions were observed in the child’s cubby which is not five feet up. When sending home the creams or requesting that families update the forms you can place the items on top of the cubby which is well above the five feet requirement. Consultation 1. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 2. We discussed the ITS SIDS policy being posted in the classrooms. The Policy was in one classroom, but the other infant rooms had the Safe Sleep poster posted. I suggested using the policy as your positing to meet the requirements and to maintain consistency throughout the facility. 3. Your facility does not accept subsidy and is not required to complete staff orientation. Orientation has been conducted which is best practice and I encourage your facility to continue this and complete it in its entirety. 4. I suggested sending any sunscreen home that is still in the facility since it is not typically used during the winter months. 5. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than January 30, 2025. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 179 Completed Date: 1/16/2025 Age: From 0 To 4 Total Minutes: 355 Time In: 09:25 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during a Routine Unannounced visit. Your last ACV was conducted on August 9, 2024. Your compliance history score prior to today’s visit was 80%. You, Michelle Edwards, Director, and Tammy Shue, Assistant Director, assisted us with today’s visit. Carolyn Conley, Child Care Lead Consultant accompanied me on today’s visit. We observed the current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans posted as required. Children were observed adequately supervised, staff-child ratios maintained, and adequate approved space use was maintained during today’s visit. Your facility operates with a GS 110-106 Notice of Compliance. Today children were engaged in free play, group time, transitions, handwashing, and lunch. Toys and equipment in all spaces were observed to meet notice of compliance requirements. We monitored general safety throughout the center. All over the counter and prescription medications were monitored. Inspections/Drills/Logs Sanitation Inspection- February 19, 2024, with a Superior rating and nine demerits. Fire Inspection- May 30, 2024 Playground Inspection- December 12, 2024 Fire Drill- December 12, 2024, 2024 Emergency Drill- November 25, 2024 Incident Log- Completed as required Playgrounds were monitored during the annual compliance visit. Your facility does not provide transportation. We monitored all staff for valid Criminal Records Checks, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS (if applicable), BSAC (if applicable), and CPR/FA. Nine files of staff hired since the last ACV were monitored. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. In Space 3 the changing pad had cracks on both sides and was no longer a smooth, easily cleanable surface. 15A NCAC 18A .2819(a) & (b) 807 A safe indoor and outdoor environment was not provided for the children. In Spaces 1 and 3 diaper creams were stored in the child's cubby which was not five feet above the ground. 10A NCAC 09 .0601(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 10/18/24 had a TB test result on file that was completed on 9/13/23. .0701(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Room 205 the permission to administer form for a prescription medication had expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. All Staff files did not have their health information placed in a sperate file from the personnel files. .0701(d) Technical Assistance was provided in the following areas: 1. New hires are required to have a TB skin test prior to the hire date. TB skin test must be less than 12 months old. Consider requiring this documentation prior to hire to ensure the test has been completed within the last 12 months. 2. Remember to utilize your red folder for storage of Medical Reports, Health Questionnaires, and TB Skin test. These are required to be maintained separately from the personnel file. 3. Permission to administer forms for prescription medications are valid for up to six months. Refer to the forms I created for you as a resource to ensure that timeframes are accurate. Also, when monitoring medications monthly remove any with expired permission to administer forms. 4. A pad is not required for the diaper changing area, however, if one is used it must be free of cracks or rips so the surface is easily cleanable. 5. Diaper creams and lotions were observed in the child’s cubby which is not five feet up. When sending home the creams or requesting that families update the forms you can place the items on top of the cubby which is well above the five feet requirement. Consultation 1. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 2. We discussed the ITS SIDS policy being posted in the classrooms. The Policy was in one classroom, but the other infant rooms had the Safe Sleep poster posted. I suggested using the policy as your positing to meet the requirements and to maintain consistency throughout the facility. 3. Your facility does not accept subsidy and is not required to complete staff orientation. Orientation has been conducted which is best practice and I encourage your facility to continue this and complete it in its entirety. 4. I suggested sending any sunscreen home that is still in the facility since it is not typically used during the winter months. 5. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than January 30, 2025. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 149 Completed Date: 8/12/2024 Age: From 0 To 4 Total Minutes: 480 Time In: 09:30 AM Time Out: 05:30 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 with applicable child care requirements during an annual compliance visit. Your last ACV was conducted on October 16, 2023. Your compliance history score prior to today’s visit was 75%. You, Michelle Edwards, Director, and JoAnne Sphar, Administrative Assistant, assisted me with today’s visit. I observed the Notice of Compliance, current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans, posted as required. Your facility is exempt from having daily schedules and activity plans; however, I observed activity plans and schedules posted in some of the classrooms. Today, children were adequately supervised, staff-child ratios maintained, and adequate approved space use maintained during today’s visit. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Children were engaged in free play, group times, reading books, transitions, lunch, and nap. I observed toys and equipment in all spaces to be of sufficient minimum quantity and developmentally appropriate. I monitored general safety throughout the center. I monitored the equipment and materials in the outdoor play space. There had been some puddling of water from hurricane Debby, I observed the maintenance crew on the campus doing clean up. A random sampling of diaper creams and ointments were monitored. I monitored all prescription medications and Medical Action Plans on site. Inspections/Drills/Logs Sanitation Inspection- February 19, 2024, with a Superior rating and nine demerits. Fire Inspection- May 30, 2024 Playground Inspection- July 10, 2024 Fire Drill- July 22, 2024 Emergency Drill- May 29, 2024 Incident Log-Maintained as required. Your facility does not provide transportation. I monitored a random selection of twenty children’s files. I monitored four files of newly hired staff. Two of the newly hired staff, Ashley Quinniee and Leena Parveez did not have a qualifying letter on file. They were not present at the facility today. I discussed with you they may not return to the facility until they have received their qualifying letter. There are eighteen additional files of staff who have been hired since my last ACV which I will need to return to monitor. There are three existing staff member’s files I will need to monitor when I return. I returned on August 12, 2024 and monitored the remaining 18 files of newly hired staff and the 3 files of existing staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space 4 there was drywall exposed. In Space 1 there was water damage to several ceiling tiles and one tile was missing with insulation exposed over the diaper changing table. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 3, the classroom with one year old children, there was a plastic mat with torn areas exposing the foam underneath. In Space 213 the face plate was missing from an outlet. In Space 210 a fan cord was dangling within children's reach. 10A NCAC 09 .0601(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 208 the cabinet that stored hazardous cleaning supplies and aerosol containers was left unlocked. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Employees with hire dates of 1/24/2024 and 1/22/2024 did not have a medical on file prior to their hire date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Eight staff did not have a negative TB skin test prior to their hire dates. The hire dates for the eight staff were, July 1, 2024, June 26, 2024, July 18, 2024, January 24, 2024, March 22, 2024, May 3, 2024, July 17, 2024, and another hire date of July 18, 2024. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Eight staff members with hire dates of May 22, 2024, May 28, 2024, June 26, 2024, July 18, 2024, another with the hire date of July 18, 2024, July 17, 2024, July 22, 2024 and July 29, 2024 were all hired for employment prior to having a Criminal Background Check completed. G.S. 110-90.2(b) 1314 Emergency information did not name childs health care professional. The files of two children were missing health care choice information. .0802(c)(2) 1329 Application for enrollment did not include all required information. The files of six children were missing information regarding fears/dislikes, likes and other special information regarding the child. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. Two staff, Leena Parveez and Ashley Quinniee did not have a qualifying letter on file. They should not be allowed to work in the facility until the qualifying letter is received. G.S. 110-90.2(b) & (d) & .2703(e) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The files of two children did not contain a signed acknowledgement of the smoking and tobacco restriction policy. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff with hire dates of 5/3/2024 and 7/29/2024 did not have a signed Shaken Baby and Abusive Head Trauma policy signed prior to providing care. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not contain the required Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signature page. .0608(b)(1-6) Technical Assistance was provided in the following areas: 1. Conducting classroom checks prior to children arriving to ensure classroom spaces are safe for children and cabinets are locked. Cords shall be secured and not dangling, any items which are torn or worn should be removed or covered. 2. Areas of drywall that become exposed can be covered with contact paper until it can be permanently repaired so if moisture is splashed on the wall, it will wipe off. Also, it will deter children from picking at it which can be a choking hazard for toddlers. 3. I reviewed the child’s application and discussed areas that are most often missed when completed by parents. Remember to review these areas carefully each year as applications are completed prior to signing off on them. 4. When policies are added ensure that existing families have documented proof of signing off on them. Two files of children enrolled over three years ago did not have the Tobacco or Smoking restriction policy. 5. Staff should not be “hired” and allowed to work without the following on file: Negative Tb Skin test, Qualifying letter, and once hired the Shaken Baby and Abusive Head Trauma policy should be reviewed and placed in the staff members file prior to them working with children. I reviewed this with you in depth and explained at what point in the process a hire date should be assigned to a potential employee. You may also review the Rule regarding CBC in 10A NCAC 09 .2703(e). This is a repeat violation. Consultation: We discussed compliance history today. Currently the facility's compliance history is 75%. I will run a new report when I complete the visit next week and review it with you. I reminded you that a compliance history which falls below 75% may result in the issuance of a provisional license or other administrative action against the facility's license. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than August 23, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or Supervisor Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 149 Completed Date: 8/12/2024 Age: From 0 To 4 Total Minutes: 480 Time In: 09:30 AM Time Out: 05:30 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 with applicable child care requirements during an annual compliance visit. Your last ACV was conducted on October 16, 2023. Your compliance history score prior to today’s visit was 75%. You, Michelle Edwards, Director, and JoAnne Sphar, Administrative Assistant, assisted me with today’s visit. I observed the Notice of Compliance, current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans, posted as required. Your facility is exempt from having daily schedules and activity plans; however, I observed activity plans and schedules posted in some of the classrooms. Today, children were adequately supervised, staff-child ratios maintained, and adequate approved space use maintained during today’s visit. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Children were engaged in free play, group times, reading books, transitions, lunch, and nap. I observed toys and equipment in all spaces to be of sufficient minimum quantity and developmentally appropriate. I monitored general safety throughout the center. I monitored the equipment and materials in the outdoor play space. There had been some puddling of water from hurricane Debby, I observed the maintenance crew on the campus doing clean up. A random sampling of diaper creams and ointments were monitored. I monitored all prescription medications and Medical Action Plans on site. Inspections/Drills/Logs Sanitation Inspection- February 19, 2024, with a Superior rating and nine demerits. Fire Inspection- May 30, 2024 Playground Inspection- July 10, 2024 Fire Drill- July 22, 2024 Emergency Drill- May 29, 2024 Incident Log-Maintained as required. Your facility does not provide transportation. I monitored a random selection of twenty children’s files. I monitored four files of newly hired staff. Two of the newly hired staff, Ashley Quinniee and Leena Parveez did not have a qualifying letter on file. They were not present at the facility today. I discussed with you they may not return to the facility until they have received their qualifying letter. There are eighteen additional files of staff who have been hired since my last ACV which I will need to return to monitor. There are three existing staff member’s files I will need to monitor when I return. I returned on August 12, 2024 and monitored the remaining 18 files of newly hired staff and the 3 files of existing staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space 4 there was drywall exposed. In Space 1 there was water damage to several ceiling tiles and one tile was missing with insulation exposed over the diaper changing table. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 3, the classroom with one year old children, there was a plastic mat with torn areas exposing the foam underneath. In Space 213 the face plate was missing from an outlet. In Space 210 a fan cord was dangling within children's reach. 10A NCAC 09 .0601(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 208 the cabinet that stored hazardous cleaning supplies and aerosol containers was left unlocked. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Employees with hire dates of 1/24/2024 and 1/22/2024 did not have a medical on file prior to their hire date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Eight staff did not have a negative TB skin test prior to their hire dates. The hire dates for the eight staff were, July 1, 2024, June 26, 2024, July 18, 2024, January 24, 2024, March 22, 2024, May 3, 2024, July 17, 2024, and another hire date of July 18, 2024. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Eight staff members with hire dates of May 22, 2024, May 28, 2024, June 26, 2024, July 18, 2024, another with the hire date of July 18, 2024, July 17, 2024, July 22, 2024 and July 29, 2024 were all hired for employment prior to having a Criminal Background Check completed. G.S. 110-90.2(b) 1314 Emergency information did not name childs health care professional. The files of two children were missing health care choice information. .0802(c)(2) 1329 Application for enrollment did not include all required information. The files of six children were missing information regarding fears/dislikes, likes and other special information regarding the child. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. Two staff, Leena Parveez and Ashley Quinniee did not have a qualifying letter on file. They should not be allowed to work in the facility until the qualifying letter is received. G.S. 110-90.2(b) & (d) & .2703(e) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The files of two children did not contain a signed acknowledgement of the smoking and tobacco restriction policy. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff with hire dates of 5/3/2024 and 7/29/2024 did not have a signed Shaken Baby and Abusive Head Trauma policy signed prior to providing care. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not contain the required Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signature page. .0608(b)(1-6) Technical Assistance was provided in the following areas: 1. Conducting classroom checks prior to children arriving to ensure classroom spaces are safe for children and cabinets are locked. Cords shall be secured and not dangling, any items which are torn or worn should be removed or covered. 2. Areas of drywall that become exposed can be covered with contact paper until it can be permanently repaired so if moisture is splashed on the wall, it will wipe off. Also, it will deter children from picking at it which can be a choking hazard for toddlers. 3. I reviewed the child’s application and discussed areas that are most often missed when completed by parents. Remember to review these areas carefully each year as applications are completed prior to signing off on them. 4. When policies are added ensure that existing families have documented proof of signing off on them. Two files of children enrolled over three years ago did not have the Tobacco or Smoking restriction policy. 5. Staff should not be “hired” and allowed to work without the following on file: Negative Tb Skin test, Qualifying letter, and once hired the Shaken Baby and Abusive Head Trauma policy should be reviewed and placed in the staff members file prior to them working with children. I reviewed this with you in depth and explained at what point in the process a hire date should be assigned to a potential employee. You may also review the Rule regarding CBC in 10A NCAC 09 .2703(e). This is a repeat violation. Consultation: We discussed compliance history today. Currently the facility's compliance history is 75%. I will run a new report when I complete the visit next week and review it with you. I reminded you that a compliance history which falls below 75% may result in the issuance of a provisional license or other administrative action against the facility's license. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than August 23, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or Supervisor Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2703 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 149 Completed Date: 8/12/2024 Age: From 0 To 4 Total Minutes: 480 Time In: 09:30 AM Time Out: 05:30 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 with applicable child care requirements during an annual compliance visit. Your last ACV was conducted on October 16, 2023. Your compliance history score prior to today’s visit was 75%. You, Michelle Edwards, Director, and JoAnne Sphar, Administrative Assistant, assisted me with today’s visit. I observed the Notice of Compliance, current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans, posted as required. Your facility is exempt from having daily schedules and activity plans; however, I observed activity plans and schedules posted in some of the classrooms. Today, children were adequately supervised, staff-child ratios maintained, and adequate approved space use maintained during today’s visit. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Children were engaged in free play, group times, reading books, transitions, lunch, and nap. I observed toys and equipment in all spaces to be of sufficient minimum quantity and developmentally appropriate. I monitored general safety throughout the center. I monitored the equipment and materials in the outdoor play space. There had been some puddling of water from hurricane Debby, I observed the maintenance crew on the campus doing clean up. A random sampling of diaper creams and ointments were monitored. I monitored all prescription medications and Medical Action Plans on site. Inspections/Drills/Logs Sanitation Inspection- February 19, 2024, with a Superior rating and nine demerits. Fire Inspection- May 30, 2024 Playground Inspection- July 10, 2024 Fire Drill- July 22, 2024 Emergency Drill- May 29, 2024 Incident Log-Maintained as required. Your facility does not provide transportation. I monitored a random selection of twenty children’s files. I monitored four files of newly hired staff. Two of the newly hired staff, Ashley Quinniee and Leena Parveez did not have a qualifying letter on file. They were not present at the facility today. I discussed with you they may not return to the facility until they have received their qualifying letter. There are eighteen additional files of staff who have been hired since my last ACV which I will need to return to monitor. There are three existing staff member’s files I will need to monitor when I return. I returned on August 12, 2024 and monitored the remaining 18 files of newly hired staff and the 3 files of existing staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space 4 there was drywall exposed. In Space 1 there was water damage to several ceiling tiles and one tile was missing with insulation exposed over the diaper changing table. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 3, the classroom with one year old children, there was a plastic mat with torn areas exposing the foam underneath. In Space 213 the face plate was missing from an outlet. In Space 210 a fan cord was dangling within children's reach. 10A NCAC 09 .0601(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 208 the cabinet that stored hazardous cleaning supplies and aerosol containers was left unlocked. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Employees with hire dates of 1/24/2024 and 1/22/2024 did not have a medical on file prior to their hire date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Eight staff did not have a negative TB skin test prior to their hire dates. The hire dates for the eight staff were, July 1, 2024, June 26, 2024, July 18, 2024, January 24, 2024, March 22, 2024, May 3, 2024, July 17, 2024, and another hire date of July 18, 2024. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Eight staff members with hire dates of May 22, 2024, May 28, 2024, June 26, 2024, July 18, 2024, another with the hire date of July 18, 2024, July 17, 2024, July 22, 2024 and July 29, 2024 were all hired for employment prior to having a Criminal Background Check completed. G.S. 110-90.2(b) 1314 Emergency information did not name childs health care professional. The files of two children were missing health care choice information. .0802(c)(2) 1329 Application for enrollment did not include all required information. The files of six children were missing information regarding fears/dislikes, likes and other special information regarding the child. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. Two staff, Leena Parveez and Ashley Quinniee did not have a qualifying letter on file. They should not be allowed to work in the facility until the qualifying letter is received. G.S. 110-90.2(b) & (d) & .2703(e) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The files of two children did not contain a signed acknowledgement of the smoking and tobacco restriction policy. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff with hire dates of 5/3/2024 and 7/29/2024 did not have a signed Shaken Baby and Abusive Head Trauma policy signed prior to providing care. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not contain the required Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signature page. .0608(b)(1-6) Technical Assistance was provided in the following areas: 1. Conducting classroom checks prior to children arriving to ensure classroom spaces are safe for children and cabinets are locked. Cords shall be secured and not dangling, any items which are torn or worn should be removed or covered. 2. Areas of drywall that become exposed can be covered with contact paper until it can be permanently repaired so if moisture is splashed on the wall, it will wipe off. Also, it will deter children from picking at it which can be a choking hazard for toddlers. 3. I reviewed the child’s application and discussed areas that are most often missed when completed by parents. Remember to review these areas carefully each year as applications are completed prior to signing off on them. 4. When policies are added ensure that existing families have documented proof of signing off on them. Two files of children enrolled over three years ago did not have the Tobacco or Smoking restriction policy. 5. Staff should not be “hired” and allowed to work without the following on file: Negative Tb Skin test, Qualifying letter, and once hired the Shaken Baby and Abusive Head Trauma policy should be reviewed and placed in the staff members file prior to them working with children. I reviewed this with you in depth and explained at what point in the process a hire date should be assigned to a potential employee. You may also review the Rule regarding CBC in 10A NCAC 09 .2703(e). This is a repeat violation. Consultation: We discussed compliance history today. Currently the facility's compliance history is 75%. I will run a new report when I complete the visit next week and review it with you. I reminded you that a compliance history which falls below 75% may result in the issuance of a provisional license or other administrative action against the facility's license. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than August 23, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or Supervisor Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 149 Completed Date: 8/12/2024 Age: From 0 To 4 Total Minutes: 480 Time In: 09:30 AM Time Out: 05:30 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 with applicable child care requirements during an annual compliance visit. Your last ACV was conducted on October 16, 2023. Your compliance history score prior to today’s visit was 75%. You, Michelle Edwards, Director, and JoAnne Sphar, Administrative Assistant, assisted me with today’s visit. I observed the Notice of Compliance, current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans, posted as required. Your facility is exempt from having daily schedules and activity plans; however, I observed activity plans and schedules posted in some of the classrooms. Today, children were adequately supervised, staff-child ratios maintained, and adequate approved space use maintained during today’s visit. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Children were engaged in free play, group times, reading books, transitions, lunch, and nap. I observed toys and equipment in all spaces to be of sufficient minimum quantity and developmentally appropriate. I monitored general safety throughout the center. I monitored the equipment and materials in the outdoor play space. There had been some puddling of water from hurricane Debby, I observed the maintenance crew on the campus doing clean up. A random sampling of diaper creams and ointments were monitored. I monitored all prescription medications and Medical Action Plans on site. Inspections/Drills/Logs Sanitation Inspection- February 19, 2024, with a Superior rating and nine demerits. Fire Inspection- May 30, 2024 Playground Inspection- July 10, 2024 Fire Drill- July 22, 2024 Emergency Drill- May 29, 2024 Incident Log-Maintained as required. Your facility does not provide transportation. I monitored a random selection of twenty children’s files. I monitored four files of newly hired staff. Two of the newly hired staff, Ashley Quinniee and Leena Parveez did not have a qualifying letter on file. They were not present at the facility today. I discussed with you they may not return to the facility until they have received their qualifying letter. There are eighteen additional files of staff who have been hired since my last ACV which I will need to return to monitor. There are three existing staff member’s files I will need to monitor when I return. I returned on August 12, 2024 and monitored the remaining 18 files of newly hired staff and the 3 files of existing staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space 4 there was drywall exposed. In Space 1 there was water damage to several ceiling tiles and one tile was missing with insulation exposed over the diaper changing table. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 3, the classroom with one year old children, there was a plastic mat with torn areas exposing the foam underneath. In Space 213 the face plate was missing from an outlet. In Space 210 a fan cord was dangling within children's reach. 10A NCAC 09 .0601(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 208 the cabinet that stored hazardous cleaning supplies and aerosol containers was left unlocked. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Employees with hire dates of 1/24/2024 and 1/22/2024 did not have a medical on file prior to their hire date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Eight staff did not have a negative TB skin test prior to their hire dates. The hire dates for the eight staff were, July 1, 2024, June 26, 2024, July 18, 2024, January 24, 2024, March 22, 2024, May 3, 2024, July 17, 2024, and another hire date of July 18, 2024. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Eight staff members with hire dates of May 22, 2024, May 28, 2024, June 26, 2024, July 18, 2024, another with the hire date of July 18, 2024, July 17, 2024, July 22, 2024 and July 29, 2024 were all hired for employment prior to having a Criminal Background Check completed. G.S. 110-90.2(b) 1314 Emergency information did not name childs health care professional. The files of two children were missing health care choice information. .0802(c)(2) 1329 Application for enrollment did not include all required information. The files of six children were missing information regarding fears/dislikes, likes and other special information regarding the child. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. Two staff, Leena Parveez and Ashley Quinniee did not have a qualifying letter on file. They should not be allowed to work in the facility until the qualifying letter is received. G.S. 110-90.2(b) & (d) & .2703(e) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The files of two children did not contain a signed acknowledgement of the smoking and tobacco restriction policy. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff with hire dates of 5/3/2024 and 7/29/2024 did not have a signed Shaken Baby and Abusive Head Trauma policy signed prior to providing care. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not contain the required Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signature page. .0608(b)(1-6) Technical Assistance was provided in the following areas: 1. Conducting classroom checks prior to children arriving to ensure classroom spaces are safe for children and cabinets are locked. Cords shall be secured and not dangling, any items which are torn or worn should be removed or covered. 2. Areas of drywall that become exposed can be covered with contact paper until it can be permanently repaired so if moisture is splashed on the wall, it will wipe off. Also, it will deter children from picking at it which can be a choking hazard for toddlers. 3. I reviewed the child’s application and discussed areas that are most often missed when completed by parents. Remember to review these areas carefully each year as applications are completed prior to signing off on them. 4. When policies are added ensure that existing families have documented proof of signing off on them. Two files of children enrolled over three years ago did not have the Tobacco or Smoking restriction policy. 5. Staff should not be “hired” and allowed to work without the following on file: Negative Tb Skin test, Qualifying letter, and once hired the Shaken Baby and Abusive Head Trauma policy should be reviewed and placed in the staff members file prior to them working with children. I reviewed this with you in depth and explained at what point in the process a hire date should be assigned to a potential employee. You may also review the Rule regarding CBC in 10A NCAC 09 .2703(e). This is a repeat violation. Consultation: We discussed compliance history today. Currently the facility's compliance history is 75%. I will run a new report when I complete the visit next week and review it with you. I reminded you that a compliance history which falls below 75% may result in the issuance of a provisional license or other administrative action against the facility's license. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than August 23, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or Supervisor Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 158 Completed Date: 5/10/2024 Age: From 0 To 4 Total Minutes: 420 Time In: 09:45 AM Time Out: 01:30 PM Time In: 02:30 PM Time Out: 05:45 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during a Routine Unannounced visit. Your last ACV was conducted on October 16, 2023. Your compliance history score prior to today’s visit was 75%. You, Michelle Edwards, Director, were not present today. Tammy Shue, Assistant Director, assisted us with today’s visit. Ashlynn Vaughan, Child Care Consultant accompanied me on today’s visit. We observed the current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, evacuation plans, posted as required. Children were observed adequately supervised, staff-child ratios maintained, and adequate approved space use maintained during today’s visit. Your facility operates with a GS 110-106 Notice of Compliance. Today children were engaged in free play, group time, transitions, outdoor play, handwashing, and lunch. Toys and equipment in all spaces were observed to meet notice of compliance requirements. We monitored general safety throughout the center. All over the counter and prescription medications were monitored. Inspections/Drills/Logs Sanitation Inspection- February 19, 2024, with a Superior rating and nine demerits. Fire Inspection- June 26, 2023 Fire Drill- April 29, 2024 Emergency Drill- February 22, 2024 Incident Log- Completed as required Playgrounds were monitored during the annual compliance visit. We monitored all staff for valid Criminal Records Checks, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS (if applicable), BSAC (if applicable), and CPR/FA. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this 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. Electrical outlets in the hallway, Space 13, and Space 16 were not covered with safety plugs. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Spaces 11, 19, 6, and 13 there were diaper creams and sunscreens without permission to administer forms. In Spaces 10, 15, and 14 there were permission to administer forms without specific instructions. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In Space 18, there was an expired medication. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. In spaces 6 and 11 the Permission to Administer forms did not contain the required information. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff members did not have First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff members did not have CPR training on file. .1102(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Spaces 7,6,4,11,15,17,and 18 there were permission to administer forms which had expired or had no parent signature. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance was provided in the following areas: 1. All staff with direct care responsibilities are required to complete CPR/FA within the first 90 days of hire. Upon hiring new staff who do not have a valid certificate you may consider signing them up during the first few days of hire to ensure that the 90-day time frame is met. 2. I recommend all staff take the Medication Administration course on the Division website provided by MOODLE. Permission to administer forms are to be completed in their entirety. Measurable amounts are to be indicated on the forms. Ensure that parents sign the forms and put correct dates. Develop a plan/method to monitor medications in the classrooms monthly. Additionally, do not accept any creams, ointments, sprays, or medications without a completed Permission to Administer form. Utilize the examples of Permission to Administer forms I completed as an example to the teacher of how they should be completed to meet compliance. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than May 24, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 158 Completed Date: 5/10/2024 Age: From 0 To 4 Total Minutes: 420 Time In: 09:45 AM Time Out: 01:30 PM Time In: 02:30 PM Time Out: 05:45 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during a Routine Unannounced visit. Your last ACV was conducted on October 16, 2023. Your compliance history score prior to today’s visit was 75%. You, Michelle Edwards, Director, were not present today. Tammy Shue, Assistant Director, assisted us with today’s visit. Ashlynn Vaughan, Child Care Consultant accompanied me on today’s visit. We observed the current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, evacuation plans, posted as required. Children were observed adequately supervised, staff-child ratios maintained, and adequate approved space use maintained during today’s visit. Your facility operates with a GS 110-106 Notice of Compliance. Today children were engaged in free play, group time, transitions, outdoor play, handwashing, and lunch. Toys and equipment in all spaces were observed to meet notice of compliance requirements. We monitored general safety throughout the center. All over the counter and prescription medications were monitored. Inspections/Drills/Logs Sanitation Inspection- February 19, 2024, with a Superior rating and nine demerits. Fire Inspection- June 26, 2023 Fire Drill- April 29, 2024 Emergency Drill- February 22, 2024 Incident Log- Completed as required Playgrounds were monitored during the annual compliance visit. We monitored all staff for valid Criminal Records Checks, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS (if applicable), BSAC (if applicable), and CPR/FA. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this 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. Electrical outlets in the hallway, Space 13, and Space 16 were not covered with safety plugs. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Spaces 11, 19, 6, and 13 there were diaper creams and sunscreens without permission to administer forms. In Spaces 10, 15, and 14 there were permission to administer forms without specific instructions. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In Space 18, there was an expired medication. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. In spaces 6 and 11 the Permission to Administer forms did not contain the required information. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff members did not have First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff members did not have CPR training on file. .1102(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Spaces 7,6,4,11,15,17,and 18 there were permission to administer forms which had expired or had no parent signature. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance was provided in the following areas: 1. All staff with direct care responsibilities are required to complete CPR/FA within the first 90 days of hire. Upon hiring new staff who do not have a valid certificate you may consider signing them up during the first few days of hire to ensure that the 90-day time frame is met. 2. I recommend all staff take the Medication Administration course on the Division website provided by MOODLE. Permission to administer forms are to be completed in their entirety. Measurable amounts are to be indicated on the forms. Ensure that parents sign the forms and put correct dates. Develop a plan/method to monitor medications in the classrooms monthly. Additionally, do not accept any creams, ointments, sprays, or medications without a completed Permission to Administer form. Utilize the examples of Permission to Administer forms I completed as an example to the teacher of how they should be completed to meet compliance. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than May 24, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 158 Completed Date: 5/10/2024 Age: From 0 To 4 Total Minutes: 420 Time In: 09:45 AM Time Out: 01:30 PM Time In: 02:30 PM Time Out: 05:45 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during a Routine Unannounced visit. Your last ACV was conducted on October 16, 2023. Your compliance history score prior to today’s visit was 75%. You, Michelle Edwards, Director, were not present today. Tammy Shue, Assistant Director, assisted us with today’s visit. Ashlynn Vaughan, Child Care Consultant accompanied me on today’s visit. We observed the current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, evacuation plans, posted as required. Children were observed adequately supervised, staff-child ratios maintained, and adequate approved space use maintained during today’s visit. Your facility operates with a GS 110-106 Notice of Compliance. Today children were engaged in free play, group time, transitions, outdoor play, handwashing, and lunch. Toys and equipment in all spaces were observed to meet notice of compliance requirements. We monitored general safety throughout the center. All over the counter and prescription medications were monitored. Inspections/Drills/Logs Sanitation Inspection- February 19, 2024, with a Superior rating and nine demerits. Fire Inspection- June 26, 2023 Fire Drill- April 29, 2024 Emergency Drill- February 22, 2024 Incident Log- Completed as required Playgrounds were monitored during the annual compliance visit. We monitored all staff for valid Criminal Records Checks, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS (if applicable), BSAC (if applicable), and CPR/FA. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this 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. Electrical outlets in the hallway, Space 13, and Space 16 were not covered with safety plugs. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Spaces 11, 19, 6, and 13 there were diaper creams and sunscreens without permission to administer forms. In Spaces 10, 15, and 14 there were permission to administer forms without specific instructions. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In Space 18, there was an expired medication. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. In spaces 6 and 11 the Permission to Administer forms did not contain the required information. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff members did not have First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff members did not have CPR training on file. .1102(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Spaces 7,6,4,11,15,17,and 18 there were permission to administer forms which had expired or had no parent signature. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance was provided in the following areas: 1. All staff with direct care responsibilities are required to complete CPR/FA within the first 90 days of hire. Upon hiring new staff who do not have a valid certificate you may consider signing them up during the first few days of hire to ensure that the 90-day time frame is met. 2. I recommend all staff take the Medication Administration course on the Division website provided by MOODLE. Permission to administer forms are to be completed in their entirety. Measurable amounts are to be indicated on the forms. Ensure that parents sign the forms and put correct dates. Develop a plan/method to monitor medications in the classrooms monthly. Additionally, do not accept any creams, ointments, sprays, or medications without a completed Permission to Administer form. Utilize the examples of Permission to Administer forms I completed as an example to the teacher of how they should be completed to meet compliance. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than May 24, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 158 Completed Date: 5/10/2024 Age: From 0 To 4 Total Minutes: 420 Time In: 09:45 AM Time Out: 01:30 PM Time In: 02:30 PM Time Out: 05:45 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during a Routine Unannounced visit. Your last ACV was conducted on October 16, 2023. Your compliance history score prior to today’s visit was 75%. You, Michelle Edwards, Director, were not present today. Tammy Shue, Assistant Director, assisted us with today’s visit. Ashlynn Vaughan, Child Care Consultant accompanied me on today’s visit. We observed the current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, evacuation plans, posted as required. Children were observed adequately supervised, staff-child ratios maintained, and adequate approved space use maintained during today’s visit. Your facility operates with a GS 110-106 Notice of Compliance. Today children were engaged in free play, group time, transitions, outdoor play, handwashing, and lunch. Toys and equipment in all spaces were observed to meet notice of compliance requirements. We monitored general safety throughout the center. All over the counter and prescription medications were monitored. Inspections/Drills/Logs Sanitation Inspection- February 19, 2024, with a Superior rating and nine demerits. Fire Inspection- June 26, 2023 Fire Drill- April 29, 2024 Emergency Drill- February 22, 2024 Incident Log- Completed as required Playgrounds were monitored during the annual compliance visit. We monitored all staff for valid Criminal Records Checks, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS (if applicable), BSAC (if applicable), and CPR/FA. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this 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. Electrical outlets in the hallway, Space 13, and Space 16 were not covered with safety plugs. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Spaces 11, 19, 6, and 13 there were diaper creams and sunscreens without permission to administer forms. In Spaces 10, 15, and 14 there were permission to administer forms without specific instructions. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In Space 18, there was an expired medication. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. In spaces 6 and 11 the Permission to Administer forms did not contain the required information. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff members did not have First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff members did not have CPR training on file. .1102(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Spaces 7,6,4,11,15,17,and 18 there were permission to administer forms which had expired or had no parent signature. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance was provided in the following areas: 1. All staff with direct care responsibilities are required to complete CPR/FA within the first 90 days of hire. Upon hiring new staff who do not have a valid certificate you may consider signing them up during the first few days of hire to ensure that the 90-day time frame is met. 2. I recommend all staff take the Medication Administration course on the Division website provided by MOODLE. Permission to administer forms are to be completed in their entirety. Measurable amounts are to be indicated on the forms. Ensure that parents sign the forms and put correct dates. Develop a plan/method to monitor medications in the classrooms monthly. Additionally, do not accept any creams, ointments, sprays, or medications without a completed Permission to Administer form. Utilize the examples of Permission to Administer forms I completed as an example to the teacher of how they should be completed to meet compliance. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than May 24, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 146 Completed Date: 10/16/2023 Age: From 0 To 3 Total Minutes: 605 Time In: 09:15 AM Time Out: 07:20 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 with applicable child care requirements during an annual compliance visit. Your last ACV was conducted on November 14, 2022. Your compliance history score prior to today’s visit was 83%. You, Michelle Edwards, Director, were not present today. JoAnne Sphar, Administrative Assistant, assisted me with today’s visit. I observed the current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, evacuation plans, posted as required. Your facility is exempt from having daily schedules and activity plans; however, I observed activity plans and schedules posted in some of the classrooms. I observed children adequately supervised during today’s visit. I observed staff-child ratios maintained during today’s visit. I observed adequate approved space use maintained during today’s visit. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed children engaged in free play, transitions, outdoor play, lunch, and nap. I observed toys and equipment in all spaces to be of sufficient minimum quantity and developmentally appropriate. I monitored general safety throughout the center. I monitored the equipment and materials in the three outdoor play spaces. I observed the outdoor space supplied with a variety of age-appropriate equipment and shaded areas. I observed the fences to of sufficient height. I monitored a random sampling of diaper creams and ointments. I monitored all prescription medications and Medical Action Plans on site. Fire and Sanitation inspections are occurring as required. Current copies are in your file. I observed fire and emergency drills to be documented and up to date as required. Your facility does not provide transportation. I monitored a random selection of eighteen children’s files. I monitored the files of twenty-one staff members which have been hired since the last ACV. I monitored two more additional staff members’ files. Your signature on all forms will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this 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. Space 210 had three outlets accessible to children with no covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Spaces 8 and 11 there were aerosol containers of Lysol in unlocked cabinets or closets. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One prescription ointment was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 3 the permission to administer form did not include the name of the medication. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 1 a prescription medication was not in the original pharmaceutical container. .0803(2)(a) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In three classrooms for children ages 0-1 there were ointments being used with warnings "Not for use for children under 2 years of age". 10A NCAC 09 .0803(5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One prescription ointment was in the classroom after the course of treatment was completed according to the prescription label. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff members did not have a medical report in their file prior to the first day of work. One staff member did not have a medical report in their file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Four staff did not have a TB test on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members did not have a health questionnaire on file on or before their first day of work. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff did not have an Emergency Information form in their file prior to the first day of work. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff did not have a Qualifying letter until after their hire dated. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff did not have a valid First Aid Certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff did not have a valid CPR certification. .1102(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not contain proof of immunizations. 10A NCAC 09 .0302(d)(2) 1329 Application for enrollment did not include all required information. Eleven children's applications did not have complete information including fears, unique behavior characteristics, or other health concerns. .0801(a)(1-7) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The area under the monkey bars did not have loose surfacing, all the mulch was brushed away and there was just packed dirt. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff did not have the policy signed prior to working in the classroom with children. .0608(d)(1-4) Technical Assistance was provided in the following areas: 1. Conducting classroom checks prior to children arriving to ensure outlets are covered and cabinets are locked. 2. Consider having an upcoming staff meeting to focus on medication administration and accurate completion of forms. Another option is to require staff to complete the Medication Administration training available on MOODLE. 3. Staff should not be “hired” and allowed to work without the following on file: Medical, Tb Skin test, Qualifying letter, Health Questionnaire and once hired the Shaken Baby and Abusive Head Trauma policy should be reviewed and placed in the staff members file prior to them working with children. 4. Consider using a whiteboard or other tracking system for new hires and seasoned staff to keep up with time sensitive dates of required training like CPR/FA etc. This will prevent staff having expired trainings. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than October 30, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or Lead Consultant Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 146 Completed Date: 10/16/2023 Age: From 0 To 3 Total Minutes: 605 Time In: 09:15 AM Time Out: 07:20 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 with applicable child care requirements during an annual compliance visit. Your last ACV was conducted on November 14, 2022. Your compliance history score prior to today’s visit was 83%. You, Michelle Edwards, Director, were not present today. JoAnne Sphar, Administrative Assistant, assisted me with today’s visit. I observed the current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, evacuation plans, posted as required. Your facility is exempt from having daily schedules and activity plans; however, I observed activity plans and schedules posted in some of the classrooms. I observed children adequately supervised during today’s visit. I observed staff-child ratios maintained during today’s visit. I observed adequate approved space use maintained during today’s visit. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed children engaged in free play, transitions, outdoor play, lunch, and nap. I observed toys and equipment in all spaces to be of sufficient minimum quantity and developmentally appropriate. I monitored general safety throughout the center. I monitored the equipment and materials in the three outdoor play spaces. I observed the outdoor space supplied with a variety of age-appropriate equipment and shaded areas. I observed the fences to of sufficient height. I monitored a random sampling of diaper creams and ointments. I monitored all prescription medications and Medical Action Plans on site. Fire and Sanitation inspections are occurring as required. Current copies are in your file. I observed fire and emergency drills to be documented and up to date as required. Your facility does not provide transportation. I monitored a random selection of eighteen children’s files. I monitored the files of twenty-one staff members which have been hired since the last ACV. I monitored two more additional staff members’ files. Your signature on all forms will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this 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. Space 210 had three outlets accessible to children with no covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Spaces 8 and 11 there were aerosol containers of Lysol in unlocked cabinets or closets. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One prescription ointment was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 3 the permission to administer form did not include the name of the medication. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 1 a prescription medication was not in the original pharmaceutical container. .0803(2)(a) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In three classrooms for children ages 0-1 there were ointments being used with warnings "Not for use for children under 2 years of age". 10A NCAC 09 .0803(5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One prescription ointment was in the classroom after the course of treatment was completed according to the prescription label. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff members did not have a medical report in their file prior to the first day of work. One staff member did not have a medical report in their file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Four staff did not have a TB test on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members did not have a health questionnaire on file on or before their first day of work. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff did not have an Emergency Information form in their file prior to the first day of work. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff did not have a Qualifying letter until after their hire dated. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff did not have a valid First Aid Certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff did not have a valid CPR certification. .1102(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not contain proof of immunizations. 10A NCAC 09 .0302(d)(2) 1329 Application for enrollment did not include all required information. Eleven children's applications did not have complete information including fears, unique behavior characteristics, or other health concerns. .0801(a)(1-7) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The area under the monkey bars did not have loose surfacing, all the mulch was brushed away and there was just packed dirt. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff did not have the policy signed prior to working in the classroom with children. .0608(d)(1-4) Technical Assistance was provided in the following areas: 1. Conducting classroom checks prior to children arriving to ensure outlets are covered and cabinets are locked. 2. Consider having an upcoming staff meeting to focus on medication administration and accurate completion of forms. Another option is to require staff to complete the Medication Administration training available on MOODLE. 3. Staff should not be “hired” and allowed to work without the following on file: Medical, Tb Skin test, Qualifying letter, Health Questionnaire and once hired the Shaken Baby and Abusive Head Trauma policy should be reviewed and placed in the staff members file prior to them working with children. 4. Consider using a whiteboard or other tracking system for new hires and seasoned staff to keep up with time sensitive dates of required training like CPR/FA etc. This will prevent staff having expired trainings. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than October 30, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or Lead Consultant Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 146 Completed Date: 10/16/2023 Age: From 0 To 3 Total Minutes: 605 Time In: 09:15 AM Time Out: 07:20 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 with applicable child care requirements during an annual compliance visit. Your last ACV was conducted on November 14, 2022. Your compliance history score prior to today’s visit was 83%. You, Michelle Edwards, Director, were not present today. JoAnne Sphar, Administrative Assistant, assisted me with today’s visit. I observed the current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, evacuation plans, posted as required. Your facility is exempt from having daily schedules and activity plans; however, I observed activity plans and schedules posted in some of the classrooms. I observed children adequately supervised during today’s visit. I observed staff-child ratios maintained during today’s visit. I observed adequate approved space use maintained during today’s visit. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed children engaged in free play, transitions, outdoor play, lunch, and nap. I observed toys and equipment in all spaces to be of sufficient minimum quantity and developmentally appropriate. I monitored general safety throughout the center. I monitored the equipment and materials in the three outdoor play spaces. I observed the outdoor space supplied with a variety of age-appropriate equipment and shaded areas. I observed the fences to of sufficient height. I monitored a random sampling of diaper creams and ointments. I monitored all prescription medications and Medical Action Plans on site. Fire and Sanitation inspections are occurring as required. Current copies are in your file. I observed fire and emergency drills to be documented and up to date as required. Your facility does not provide transportation. I monitored a random selection of eighteen children’s files. I monitored the files of twenty-one staff members which have been hired since the last ACV. I monitored two more additional staff members’ files. Your signature on all forms will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this 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. Space 210 had three outlets accessible to children with no covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Spaces 8 and 11 there were aerosol containers of Lysol in unlocked cabinets or closets. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One prescription ointment was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 3 the permission to administer form did not include the name of the medication. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 1 a prescription medication was not in the original pharmaceutical container. .0803(2)(a) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In three classrooms for children ages 0-1 there were ointments being used with warnings "Not for use for children under 2 years of age". 10A NCAC 09 .0803(5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One prescription ointment was in the classroom after the course of treatment was completed according to the prescription label. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff members did not have a medical report in their file prior to the first day of work. One staff member did not have a medical report in their file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Four staff did not have a TB test on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members did not have a health questionnaire on file on or before their first day of work. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff did not have an Emergency Information form in their file prior to the first day of work. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff did not have a Qualifying letter until after their hire dated. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff did not have a valid First Aid Certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff did not have a valid CPR certification. .1102(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not contain proof of immunizations. 10A NCAC 09 .0302(d)(2) 1329 Application for enrollment did not include all required information. Eleven children's applications did not have complete information including fears, unique behavior characteristics, or other health concerns. .0801(a)(1-7) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The area under the monkey bars did not have loose surfacing, all the mulch was brushed away and there was just packed dirt. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff did not have the policy signed prior to working in the classroom with children. .0608(d)(1-4) Technical Assistance was provided in the following areas: 1. Conducting classroom checks prior to children arriving to ensure outlets are covered and cabinets are locked. 2. Consider having an upcoming staff meeting to focus on medication administration and accurate completion of forms. Another option is to require staff to complete the Medication Administration training available on MOODLE. 3. Staff should not be “hired” and allowed to work without the following on file: Medical, Tb Skin test, Qualifying letter, Health Questionnaire and once hired the Shaken Baby and Abusive Head Trauma policy should be reviewed and placed in the staff members file prior to them working with children. 4. Consider using a whiteboard or other tracking system for new hires and seasoned staff to keep up with time sensitive dates of required training like CPR/FA etc. This will prevent staff having expired trainings. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than October 30, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or Lead Consultant Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 146 Completed Date: 10/16/2023 Age: From 0 To 3 Total Minutes: 605 Time In: 09:15 AM Time Out: 07:20 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 with applicable child care requirements during an annual compliance visit. Your last ACV was conducted on November 14, 2022. Your compliance history score prior to today’s visit was 83%. You, Michelle Edwards, Director, were not present today. JoAnne Sphar, Administrative Assistant, assisted me with today’s visit. I observed the current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, evacuation plans, posted as required. Your facility is exempt from having daily schedules and activity plans; however, I observed activity plans and schedules posted in some of the classrooms. I observed children adequately supervised during today’s visit. I observed staff-child ratios maintained during today’s visit. I observed adequate approved space use maintained during today’s visit. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed children engaged in free play, transitions, outdoor play, lunch, and nap. I observed toys and equipment in all spaces to be of sufficient minimum quantity and developmentally appropriate. I monitored general safety throughout the center. I monitored the equipment and materials in the three outdoor play spaces. I observed the outdoor space supplied with a variety of age-appropriate equipment and shaded areas. I observed the fences to of sufficient height. I monitored a random sampling of diaper creams and ointments. I monitored all prescription medications and Medical Action Plans on site. Fire and Sanitation inspections are occurring as required. Current copies are in your file. I observed fire and emergency drills to be documented and up to date as required. Your facility does not provide transportation. I monitored a random selection of eighteen children’s files. I monitored the files of twenty-one staff members which have been hired since the last ACV. I monitored two more additional staff members’ files. Your signature on all forms will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this 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. Space 210 had three outlets accessible to children with no covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Spaces 8 and 11 there were aerosol containers of Lysol in unlocked cabinets or closets. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One prescription ointment was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 3 the permission to administer form did not include the name of the medication. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 1 a prescription medication was not in the original pharmaceutical container. .0803(2)(a) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In three classrooms for children ages 0-1 there were ointments being used with warnings "Not for use for children under 2 years of age". 10A NCAC 09 .0803(5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One prescription ointment was in the classroom after the course of treatment was completed according to the prescription label. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff members did not have a medical report in their file prior to the first day of work. One staff member did not have a medical report in their file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Four staff did not have a TB test on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members did not have a health questionnaire on file on or before their first day of work. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff did not have an Emergency Information form in their file prior to the first day of work. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff did not have a Qualifying letter until after their hire dated. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff did not have a valid First Aid Certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff did not have a valid CPR certification. .1102(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not contain proof of immunizations. 10A NCAC 09 .0302(d)(2) 1329 Application for enrollment did not include all required information. Eleven children's applications did not have complete information including fears, unique behavior characteristics, or other health concerns. .0801(a)(1-7) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The area under the monkey bars did not have loose surfacing, all the mulch was brushed away and there was just packed dirt. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff did not have the policy signed prior to working in the classroom with children. .0608(d)(1-4) Technical Assistance was provided in the following areas: 1. Conducting classroom checks prior to children arriving to ensure outlets are covered and cabinets are locked. 2. Consider having an upcoming staff meeting to focus on medication administration and accurate completion of forms. Another option is to require staff to complete the Medication Administration training available on MOODLE. 3. Staff should not be “hired” and allowed to work without the following on file: Medical, Tb Skin test, Qualifying letter, Health Questionnaire and once hired the Shaken Baby and Abusive Head Trauma policy should be reviewed and placed in the staff members file prior to them working with children. 4. Consider using a whiteboard or other tracking system for new hires and seasoned staff to keep up with time sensitive dates of required training like CPR/FA etc. This will prevent staff having expired trainings. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than October 30, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or Lead Consultant Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 146 Completed Date: 10/16/2023 Age: From 0 To 3 Total Minutes: 605 Time In: 09:15 AM Time Out: 07:20 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 with applicable child care requirements during an annual compliance visit. Your last ACV was conducted on November 14, 2022. Your compliance history score prior to today’s visit was 83%. You, Michelle Edwards, Director, were not present today. JoAnne Sphar, Administrative Assistant, assisted me with today’s visit. I observed the current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, evacuation plans, posted as required. Your facility is exempt from having daily schedules and activity plans; however, I observed activity plans and schedules posted in some of the classrooms. I observed children adequately supervised during today’s visit. I observed staff-child ratios maintained during today’s visit. I observed adequate approved space use maintained during today’s visit. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed children engaged in free play, transitions, outdoor play, lunch, and nap. I observed toys and equipment in all spaces to be of sufficient minimum quantity and developmentally appropriate. I monitored general safety throughout the center. I monitored the equipment and materials in the three outdoor play spaces. I observed the outdoor space supplied with a variety of age-appropriate equipment and shaded areas. I observed the fences to of sufficient height. I monitored a random sampling of diaper creams and ointments. I monitored all prescription medications and Medical Action Plans on site. Fire and Sanitation inspections are occurring as required. Current copies are in your file. I observed fire and emergency drills to be documented and up to date as required. Your facility does not provide transportation. I monitored a random selection of eighteen children’s files. I monitored the files of twenty-one staff members which have been hired since the last ACV. I monitored two more additional staff members’ files. Your signature on all forms will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this 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. Space 210 had three outlets accessible to children with no covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Spaces 8 and 11 there were aerosol containers of Lysol in unlocked cabinets or closets. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One prescription ointment was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 3 the permission to administer form did not include the name of the medication. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 1 a prescription medication was not in the original pharmaceutical container. .0803(2)(a) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In three classrooms for children ages 0-1 there were ointments being used with warnings "Not for use for children under 2 years of age". 10A NCAC 09 .0803(5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One prescription ointment was in the classroom after the course of treatment was completed according to the prescription label. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff members did not have a medical report in their file prior to the first day of work. One staff member did not have a medical report in their file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Four staff did not have a TB test on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members did not have a health questionnaire on file on or before their first day of work. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff did not have an Emergency Information form in their file prior to the first day of work. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff did not have a Qualifying letter until after their hire dated. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff did not have a valid First Aid Certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff did not have a valid CPR certification. .1102(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not contain proof of immunizations. 10A NCAC 09 .0302(d)(2) 1329 Application for enrollment did not include all required information. Eleven children's applications did not have complete information including fears, unique behavior characteristics, or other health concerns. .0801(a)(1-7) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The area under the monkey bars did not have loose surfacing, all the mulch was brushed away and there was just packed dirt. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff did not have the policy signed prior to working in the classroom with children. .0608(d)(1-4) Technical Assistance was provided in the following areas: 1. Conducting classroom checks prior to children arriving to ensure outlets are covered and cabinets are locked. 2. Consider having an upcoming staff meeting to focus on medication administration and accurate completion of forms. Another option is to require staff to complete the Medication Administration training available on MOODLE. 3. Staff should not be “hired” and allowed to work without the following on file: Medical, Tb Skin test, Qualifying letter, Health Questionnaire and once hired the Shaken Baby and Abusive Head Trauma policy should be reviewed and placed in the staff members file prior to them working with children. 4. Consider using a whiteboard or other tracking system for new hires and seasoned staff to keep up with time sensitive dates of required training like CPR/FA etc. This will prevent staff having expired trainings. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than October 30, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or Lead Consultant Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: Concord Academy Facility ID: 1355025 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 146 Completed Date: 10/16/2023 Age: From 0 To 3 Total Minutes: 605 Time In: 09:15 AM Time Out: 07:20 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 with applicable child care requirements during an annual compliance visit. Your last ACV was conducted on November 14, 2022. Your compliance history score prior to today’s visit was 83%. You, Michelle Edwards, Director, were not present today. JoAnne Sphar, Administrative Assistant, assisted me with today’s visit. I observed the current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, evacuation plans, posted as required. Your facility is exempt from having daily schedules and activity plans; however, I observed activity plans and schedules posted in some of the classrooms. I observed children adequately supervised during today’s visit. I observed staff-child ratios maintained during today’s visit. I observed adequate approved space use maintained during today’s visit. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed children engaged in free play, transitions, outdoor play, lunch, and nap. I observed toys and equipment in all spaces to be of sufficient minimum quantity and developmentally appropriate. I monitored general safety throughout the center. I monitored the equipment and materials in the three outdoor play spaces. I observed the outdoor space supplied with a variety of age-appropriate equipment and shaded areas. I observed the fences to of sufficient height. I monitored a random sampling of diaper creams and ointments. I monitored all prescription medications and Medical Action Plans on site. Fire and Sanitation inspections are occurring as required. Current copies are in your file. I observed fire and emergency drills to be documented and up to date as required. Your facility does not provide transportation. I monitored a random selection of eighteen children’s files. I monitored the files of twenty-one staff members which have been hired since the last ACV. I monitored two more additional staff members’ files. Your signature on all forms will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this 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. Space 210 had three outlets accessible to children with no covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Spaces 8 and 11 there were aerosol containers of Lysol in unlocked cabinets or closets. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One prescription ointment was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 3 the permission to administer form did not include the name of the medication. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 1 a prescription medication was not in the original pharmaceutical container. .0803(2)(a) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In three classrooms for children ages 0-1 there were ointments being used with warnings "Not for use for children under 2 years of age". 10A NCAC 09 .0803(5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One prescription ointment was in the classroom after the course of treatment was completed according to the prescription label. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff members did not have a medical report in their file prior to the first day of work. One staff member did not have a medical report in their file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Four staff did not have a TB test on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members did not have a health questionnaire on file on or before their first day of work. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff did not have an Emergency Information form in their file prior to the first day of work. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff did not have a Qualifying letter until after their hire dated. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff did not have a valid First Aid Certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff did not have a valid CPR certification. .1102(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not contain proof of immunizations. 10A NCAC 09 .0302(d)(2) 1329 Application for enrollment did not include all required information. Eleven children's applications did not have complete information including fears, unique behavior characteristics, or other health concerns. .0801(a)(1-7) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The area under the monkey bars did not have loose surfacing, all the mulch was brushed away and there was just packed dirt. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff did not have the policy signed prior to working in the classroom with children. .0608(d)(1-4) Technical Assistance was provided in the following areas: 1. Conducting classroom checks prior to children arriving to ensure outlets are covered and cabinets are locked. 2. Consider having an upcoming staff meeting to focus on medication administration and accurate completion of forms. Another option is to require staff to complete the Medication Administration training available on MOODLE. 3. Staff should not be “hired” and allowed to work without the following on file: Medical, Tb Skin test, Qualifying letter, Health Questionnaire and once hired the Shaken Baby and Abusive Head Trauma policy should be reviewed and placed in the staff members file prior to them working with children. 4. Consider using a whiteboard or other tracking system for new hires and seasoned staff to keep up with time sensitive dates of required training like CPR/FA etc. This will prevent staff having expired trainings. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than October 30, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or Lead Consultant Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times