Dixon Academy AT Northeast

G.S. 110-91 · Violation

Name of Operation: DIXON ACADEMY AT NORTHEAST Facility ID: 13000266 Consultant: TAMIKA POWELL Operation Type: Center Case Number: 0426-008A Visit Date: 4/7/2026 Number Present: 72 Completed Date: 4/7/2026 Age: From 0 To 5 Total Minutes: 110 Time In: 10:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Veronica Grant, South Central Investigations Team Supervisor, was also present during the visit. Laurie Donnally, administrator, accompanied us during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Donnally, Morgan Allison, assistant administrator, and an additional staff member. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On March 31, 2026, a staff member yelled at a five-year-old child. 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 March 31, 2026, a staff member handled a five-year-old child in a rough manner by using the child’s hand to slap the child’s face, pushed and/or pulled on the child arms and/or wrists, forcefully pushed/kicked the child away from her while the child was on the floor, and pushed the child by the neck onto the floor. .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) 1877 A child was restrained as a form of discipline. On March 31, 2026, for approximately one minute and forty seconds, a staff member restrained a five-year-old child by holding the child by the wrists as the child repeatedly tried to get away. The staff member wrapped her arms around the child to hold the child and dug her nails into the child’s arms. At one point, the staff member was positioned with her arm around the child’s neck area. .1803(a)(10) Violations must be corrected immediately. Within one week (April 14, 2026), 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 (984) 236-8224- 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: DIXON ACADEMY AT NORTHEAST Facility ID: 13000266 Consultant: TAMIKA POWELL Operation Type: Center Case Number: 0426-008A Visit Date: 4/7/2026 Number Present: 72 Completed Date: 4/7/2026 Age: From 0 To 5 Total Minutes: 110 Time In: 10:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Veronica Grant, South Central Investigations Team Supervisor, was also present during the visit. Laurie Donnally, administrator, accompanied us during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Donnally, Morgan Allison, assistant administrator, and an additional staff member. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On March 31, 2026, a staff member yelled at a five-year-old child. 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 March 31, 2026, a staff member handled a five-year-old child in a rough manner by using the child’s hand to slap the child’s face, pushed and/or pulled on the child arms and/or wrists, forcefully pushed/kicked the child away from her while the child was on the floor, and pushed the child by the neck onto the floor. .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) 1877 A child was restrained as a form of discipline. On March 31, 2026, for approximately one minute and forty seconds, a staff member restrained a five-year-old child by holding the child by the wrists as the child repeatedly tried to get away. The staff member wrapped her arms around the child to hold the child and dug her nails into the child’s arms. At one point, the staff member was positioned with her arm around the child’s neck area. .1803(a)(10) Violations must be corrected immediately. Within one week (April 14, 2026), 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 (984) 236-8224- 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 .1106 · Violation

Name of Operation: DIXON ACADEMY AT NORTHEAST Facility ID: 13000266 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 10/23/2025 Number Present: 75 Completed Date: 10/23/2025 Age: From 0 To 5 Total Minutes: 303 Time In: 10:47 AM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Morgan Allison, Assistant Director, assisted me with today’s visit. The last annual compliance visit was conducted on December 13, 2024. The last sanitation inspection was completed on October 21, 2025. The last fire inspection was conducted January 19, 2025, and your facility was approved for daytime care only. The program’s compliance history was 93% prior to today’s visit. The center's five star license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice and teacher directed activities, routine care taking, meal time and rest time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Incident reports are being filed in children’s individual files. Playground inspections are being conducted monthly. Your playground meets child care safety standards. Materials, toys, and equipment throughout the facility were developmentally appropriate and in good repair. All emergency medications, permission to administer forms, and medical action plans were monitored today and found to be in compliance. A selection of staff files and children’s files were monitored during today’s visit. I reviewed staff files for required documents utilizing the staff and training worksheets. Upon review, several documents were missing from the files. I requested that you review the files that I already reviewed, to possibly retrieve documents I may have missed. Upon your review of the staff files and after you retrieved additional binders, you were able to find some of the missing documents. This facility does not provide transportation. The following violations were cited today: Violation Number Comment Rule 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired on 3/5/07 and 6/23/25 did not receive at least 16 hrs. orientation within first 6 weeks. .1101(a) 1054 Documentation of staff's on-going training was not on file and/or was not current. Staff members hired on 7/30/18 and 3/5/07 did not have documentation of on-going training on file. 10A NCAC 09 .1106(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff members hired on 7/30/18 and 3/5/07 did not complete Health and safety training topics as part of on-going training within five years of completing the previous health and safety training topics. .1103(b) Technical Assistance was provided on the following: Please review staff and training worksheets and staff files every 30-90 days to ensure all required documents are listed, up to date, and available for review in staff files. Please ensure all expired trainings are completed as soon as possible, and certificates are submitted to me along with your compliance letter. Consultation was provided on the following: I have listed a link to find information concerning QRIS Pathways: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 6, 2025, I must receive a compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. You can send an email and in the body of the email you can simply include the following items: Facility Name: Facility ID #: Administrator's Name: Violation Item # (List each violation item # separately): How the violation was corrected or what you will do to prevent this violation from reoccurring (List each violation correction separately under the corresponding violation item #): Email the information to: brittany.j.adams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DIXON ACADEMY AT NORTHEAST Facility ID: 13000266 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 10/23/2025 Number Present: 75 Completed Date: 10/23/2025 Age: From 0 To 5 Total Minutes: 303 Time In: 10:47 AM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Morgan Allison, Assistant Director, assisted me with today’s visit. The last annual compliance visit was conducted on December 13, 2024. The last sanitation inspection was completed on October 21, 2025. The last fire inspection was conducted January 19, 2025, and your facility was approved for daytime care only. The program’s compliance history was 93% prior to today’s visit. The center's five star license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice and teacher directed activities, routine care taking, meal time and rest time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Incident reports are being filed in children’s individual files. Playground inspections are being conducted monthly. Your playground meets child care safety standards. Materials, toys, and equipment throughout the facility were developmentally appropriate and in good repair. All emergency medications, permission to administer forms, and medical action plans were monitored today and found to be in compliance. A selection of staff files and children’s files were monitored during today’s visit. I reviewed staff files for required documents utilizing the staff and training worksheets. Upon review, several documents were missing from the files. I requested that you review the files that I already reviewed, to possibly retrieve documents I may have missed. Upon your review of the staff files and after you retrieved additional binders, you were able to find some of the missing documents. This facility does not provide transportation. The following violations were cited today: Violation Number Comment Rule 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired on 3/5/07 and 6/23/25 did not receive at least 16 hrs. orientation within first 6 weeks. .1101(a) 1054 Documentation of staff's on-going training was not on file and/or was not current. Staff members hired on 7/30/18 and 3/5/07 did not have documentation of on-going training on file. 10A NCAC 09 .1106(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff members hired on 7/30/18 and 3/5/07 did not complete Health and safety training topics as part of on-going training within five years of completing the previous health and safety training topics. .1103(b) Technical Assistance was provided on the following: Please review staff and training worksheets and staff files every 30-90 days to ensure all required documents are listed, up to date, and available for review in staff files. Please ensure all expired trainings are completed as soon as possible, and certificates are submitted to me along with your compliance letter. Consultation was provided on the following: I have listed a link to find information concerning QRIS Pathways: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 6, 2025, I must receive a compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. You can send an email and in the body of the email you can simply include the following items: Facility Name: Facility ID #: Administrator's Name: Violation Item # (List each violation item # separately): How the violation was corrected or what you will do to prevent this violation from reoccurring (List each violation correction separately under the corresponding violation item #): Email the information to: brittany.j.adams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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: DIXON ACADEMY AT NORTHEAST Facility ID: 13000266 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 82 Completed Date: 5/27/2025 Age: From 0 To 6 Total Minutes: 310 Time In: 10:35 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Laurie Donnally, Director, assisted me with today’s visit. The last annual compliance visit was conducted on December 13, 2024. Your facility is approved for first shift only. The center's compliance history was reviewed with the operator. The program’s compliance history was 91% prior to today’s visit. The center's five star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor environment was completed. Children were observed engaged in free choice activities, teacher directed activities, caretaking routines, meal time, staff/child interaction, and rest time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Playground inspections are being conducted monthly. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. Medications, Permission to Administer forms, and medical action plans were monitored during today’s visit. All staff files were monitored for criminal background checks, First Aid/CPR, Recognizing and Responding, ITS/SIDS and BSAC during today’s visit. The administrator stated that staff members hired on 12/4/20 and 5/1/23 are not currently working at the facility until they have completed a First Aid/CPR training and both certificates are on file and available for review. The following violations were cited today: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 12/12/13 did not have a current First Aid certificate on file and available for review. .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. A staff member hired on 12/12/13 did not have a current CPR certificate on file and available for review. .1102(d) Technical Assistance was provided on the following: Please review the staff and training worksheets and staff files at least quarterly to ensure all items on the worksheet are accurate and up to date. Please ensure each staff member has taken all of the required trainings, and those trainings are reflected on the staff and training worksheets. Consultation was provided on the following: Please continue ensuring that medical action plans and permission to administer emergency medication forms are completed in their entirety prior to them being placed in the classroom. Also, please continue ensuring both documents are located with the medication, so that in the event of an emergency, staff has easy access to the documents along with the medication. Please continue ensuring that medication is also placed wherever the child is located. Please continue ensuring tables are properly sanitized and children’s hands are washed correctly prior to children being served meals. NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -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 ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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 as stated in G.S. 110-90.2 & .2703(r) 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. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before , June 10, 2025. I must receive a compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: brittany.j.adams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DIXON ACADEMY AT NORTHEAST Facility ID: 13000266 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 82 Completed Date: 5/27/2025 Age: From 0 To 6 Total Minutes: 310 Time In: 10:35 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Laurie Donnally, Director, assisted me with today’s visit. The last annual compliance visit was conducted on December 13, 2024. Your facility is approved for first shift only. The center's compliance history was reviewed with the operator. The program’s compliance history was 91% prior to today’s visit. The center's five star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor environment was completed. Children were observed engaged in free choice activities, teacher directed activities, caretaking routines, meal time, staff/child interaction, and rest time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Playground inspections are being conducted monthly. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. Medications, Permission to Administer forms, and medical action plans were monitored during today’s visit. All staff files were monitored for criminal background checks, First Aid/CPR, Recognizing and Responding, ITS/SIDS and BSAC during today’s visit. The administrator stated that staff members hired on 12/4/20 and 5/1/23 are not currently working at the facility until they have completed a First Aid/CPR training and both certificates are on file and available for review. The following violations were cited today: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 12/12/13 did not have a current First Aid certificate on file and available for review. .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. A staff member hired on 12/12/13 did not have a current CPR certificate on file and available for review. .1102(d) Technical Assistance was provided on the following: Please review the staff and training worksheets and staff files at least quarterly to ensure all items on the worksheet are accurate and up to date. Please ensure each staff member has taken all of the required trainings, and those trainings are reflected on the staff and training worksheets. Consultation was provided on the following: Please continue ensuring that medical action plans and permission to administer emergency medication forms are completed in their entirety prior to them being placed in the classroom. Also, please continue ensuring both documents are located with the medication, so that in the event of an emergency, staff has easy access to the documents along with the medication. Please continue ensuring that medication is also placed wherever the child is located. Please continue ensuring tables are properly sanitized and children’s hands are washed correctly prior to children being served meals. NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -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 ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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 as stated in G.S. 110-90.2 & .2703(r) 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. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before , June 10, 2025. I must receive a compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: brittany.j.adams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DIXON ACADEMY AT NORTHEAST Facility ID: 13000266 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: 1124-062L Visit Date: 11/19/2024 Number Present: 77 Completed Date: 11/19/2024 Age: From 0 To 5 Total Minutes: 90 Time In: 01:30 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. You, Laurie Donnally, Director, assisted me with the visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored during today’s visit. The allegations are as follows: There is a concern regarding supervision. I visited each classroom during today’s visit. Children were observed engaged in rest time, meal time and free choice activities. I spoke with you and asked if you had any concerns with supervision. You stated that you did have concerns regarding supervision and self-reported an incident that occurred on November 5, 2024. You stated that a 4-year-old child from the 4-year-old classroom was left unattended on the playground for 30 minutes. I interviewed two staff members who stated that while transitioning from the playground back into the classroom they left a 4-year-old child on the playground unattended for 30 minutes. I was able to confirm the allegation based on information received from interviewed staff. Therefore, the allegation regarding supervision was substantiated. The following violation was cited during today’s visit Violation Number Comment Rule 303 Children were not adequately supervised at all times. On November 5, 2024 a 4-year-old child enrolled in space 169 was left unattended on the playground for 30 minutes. .1801(a)(1-5) Technical Assistance was provided on the following: We discussed continuing to use the name to face sheet, playground count sheet and revised playground count sheet that was implemented on November 11, 2024. Administrator stated teachers are no longer allowed to split the children in the classroom into groups at any point throughout the day. One teacher must be present at the front of the line and one teacher must be present at the back of the line when transitions are being made. We discussed continuing to utilize the code system which includes teachers informing administrators via walkie talkie when they are transitioning so that administrators can go into the classroom or on the playground and check to ensure there are no children left behind. Consultation was provided on the following: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Due to a supervision violation being cited an Administrative Action may be recommended according to Child Care rule .2200. The violation(s) documented must be corrected immediately. On or before December 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Brittany Adams Child Care Consultant P.O. 470753 Charlotte, NC, 28247 brittany.j.adams@dhhs.nc.gov You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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: DIXON ACADEMY AT NORTHEAST Facility ID: 13000266 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 77 Completed Date: 1/5/2024 Age: From 0 To 4 Total Minutes: 440 Time In: 09:40 AM Time Out: 05:00 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 annual compliance visit was conducted on February 15, 2023. Prior to today’s visit your compliance history was 94%. You, Laurie Donnally, Director, assisted me with today’s visit. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved enhanced space use and permit restrictions maintained during today’s visit. I observed children engaged in free play in activity areas, toileting, washing hands, transitions, outdoor play, and lunch preparation. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed all bathrooms stocked with necessary supplies and handwashing procedure signs posted as required. I monitored a random selection of OTC diaper ointments. I monitored one prescription medication. I monitored general safety throughout the center. I monitored the equipment and materials in the three outdoor play spaces. I observed all spaces supplied with a variety of age-appropriate materials and equipment. There was a four-foot fence surrounding each playground, trees and gazebos offered shade. Fire and Sanitation inspections are occurring as required. Fire and Emergency drills are occurring and documented as required. You stated your program does not provide transportation. I monitored a random selection of ten children’s files. I monitored nine files of staff hired since the last annual compliance visit and three randomly selected existing staff files. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space 2 an infant feeding plan did not include the parent signature or date it was received. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 6 there were outlets on a multi-plug uncovered and accessible to children. 10A NCAC 09 .0604(c) 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 3 a prescription ointment was not in its original pharmaceutical labeled container. .0803(2)(a) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child with an enrollment date of 1/2/24 did not have a signed safe sleep policy in their file. 10A NCAC 09 .0606(c) 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. Staff with hire dates of June 26, 2023 and October 23, 2023 had medical reports dated after the 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 October 23, 2023 had a TB skin test after their hire date. .0701(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff with a hire date of September 5, 2023 had completed the "What is Prevention" training. This is the incorrect training. .1102(g) Today, I provided technical assistance to you and your staff regarding the following topics: 1. When accepting medications, remember not to accept any prescription medication unless it is in the original pharmaceutical container or has the pharmaceutical label attached. If you have a question read the fine print. Prescription medication will say “Rx Only” or “Use as prescribed”. 2. Consider a two-factor check system to ensure that forms are signed and completed by families prior to placing in classrooms or files. 3. Remind all staff to periodically check outlets for covers and keep them covered when not in use. 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. 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 18, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered a 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. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or Licensing Supervisor Erin Pickard at erin.pickard@dhhs.nc.gov, if you have any questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: DIXON ACADEMY AT NORTHEAST Facility ID: 13000266 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 77 Completed Date: 1/5/2024 Age: From 0 To 4 Total Minutes: 440 Time In: 09:40 AM Time Out: 05:00 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 annual compliance visit was conducted on February 15, 2023. Prior to today’s visit your compliance history was 94%. You, Laurie Donnally, Director, assisted me with today’s visit. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved enhanced space use and permit restrictions maintained during today’s visit. I observed children engaged in free play in activity areas, toileting, washing hands, transitions, outdoor play, and lunch preparation. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed all bathrooms stocked with necessary supplies and handwashing procedure signs posted as required. I monitored a random selection of OTC diaper ointments. I monitored one prescription medication. I monitored general safety throughout the center. I monitored the equipment and materials in the three outdoor play spaces. I observed all spaces supplied with a variety of age-appropriate materials and equipment. There was a four-foot fence surrounding each playground, trees and gazebos offered shade. Fire and Sanitation inspections are occurring as required. Fire and Emergency drills are occurring and documented as required. You stated your program does not provide transportation. I monitored a random selection of ten children’s files. I monitored nine files of staff hired since the last annual compliance visit and three randomly selected existing staff files. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space 2 an infant feeding plan did not include the parent signature or date it was received. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 6 there were outlets on a multi-plug uncovered and accessible to children. 10A NCAC 09 .0604(c) 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 3 a prescription ointment was not in its original pharmaceutical labeled container. .0803(2)(a) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child with an enrollment date of 1/2/24 did not have a signed safe sleep policy in their file. 10A NCAC 09 .0606(c) 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. Staff with hire dates of June 26, 2023 and October 23, 2023 had medical reports dated after the 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 October 23, 2023 had a TB skin test after their hire date. .0701(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff with a hire date of September 5, 2023 had completed the "What is Prevention" training. This is the incorrect training. .1102(g) Today, I provided technical assistance to you and your staff regarding the following topics: 1. When accepting medications, remember not to accept any prescription medication unless it is in the original pharmaceutical container or has the pharmaceutical label attached. If you have a question read the fine print. Prescription medication will say “Rx Only” or “Use as prescribed”. 2. Consider a two-factor check system to ensure that forms are signed and completed by families prior to placing in classrooms or files. 3. Remind all staff to periodically check outlets for covers and keep them covered when not in use. 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. 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 18, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered a 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. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or Licensing Supervisor Erin Pickard at erin.pickard@dhhs.nc.gov, if you have any questions. Thank you for your time today. 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: DIXON ACADEMY AT NORTHEAST Facility ID: 13000266 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 77 Completed Date: 1/5/2024 Age: From 0 To 4 Total Minutes: 440 Time In: 09:40 AM Time Out: 05:00 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 annual compliance visit was conducted on February 15, 2023. Prior to today’s visit your compliance history was 94%. You, Laurie Donnally, Director, assisted me with today’s visit. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved enhanced space use and permit restrictions maintained during today’s visit. I observed children engaged in free play in activity areas, toileting, washing hands, transitions, outdoor play, and lunch preparation. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed all bathrooms stocked with necessary supplies and handwashing procedure signs posted as required. I monitored a random selection of OTC diaper ointments. I monitored one prescription medication. I monitored general safety throughout the center. I monitored the equipment and materials in the three outdoor play spaces. I observed all spaces supplied with a variety of age-appropriate materials and equipment. There was a four-foot fence surrounding each playground, trees and gazebos offered shade. Fire and Sanitation inspections are occurring as required. Fire and Emergency drills are occurring and documented as required. You stated your program does not provide transportation. I monitored a random selection of ten children’s files. I monitored nine files of staff hired since the last annual compliance visit and three randomly selected existing staff files. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space 2 an infant feeding plan did not include the parent signature or date it was received. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 6 there were outlets on a multi-plug uncovered and accessible to children. 10A NCAC 09 .0604(c) 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 3 a prescription ointment was not in its original pharmaceutical labeled container. .0803(2)(a) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child with an enrollment date of 1/2/24 did not have a signed safe sleep policy in their file. 10A NCAC 09 .0606(c) 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. Staff with hire dates of June 26, 2023 and October 23, 2023 had medical reports dated after the 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 October 23, 2023 had a TB skin test after their hire date. .0701(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff with a hire date of September 5, 2023 had completed the "What is Prevention" training. This is the incorrect training. .1102(g) Today, I provided technical assistance to you and your staff regarding the following topics: 1. When accepting medications, remember not to accept any prescription medication unless it is in the original pharmaceutical container or has the pharmaceutical label attached. If you have a question read the fine print. Prescription medication will say “Rx Only” or “Use as prescribed”. 2. Consider a two-factor check system to ensure that forms are signed and completed by families prior to placing in classrooms or files. 3. Remind all staff to periodically check outlets for covers and keep them covered when not in use. 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. 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 18, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered a 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. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or Licensing Supervisor Erin Pickard at erin.pickard@dhhs.nc.gov, if you have any questions. Thank you for your time today. 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