10A NCAC 09 .0701 · Violation

Name of Operation: RANDY'S FIVE STAR ACADEMY, INC Facility ID: 32001752 Consultant: MANDY ANNUNZIATA Operation Type: Center Case Number: Visit Date: 10/14/2025 Number Present: 26 Completed Date: 10/14/2025 Age: From 1 To 5 Total Minutes: 255 Time In: 10:15 AM Time Out: 02:30 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 applicable child care requirements during your annual compliance visit. Upon arrival, I was greeted by the director, Dalphia Murphy, who assisted me during today’s visit. LICENSE STATUS The center currently operates with a Five Star License issued on October 1, 2024. The program received six points for Staff Education, six points for Program Standards, and one Quality Point. The center is licensed to serve 100 children on first shift. Prior to today’s visit, I reviewed the NC Secretary of State’s website and noted that the owner of this facility, Randy’s Five Star Academy, Inc., is listed as current/active. INSPECTIONS/DRILLS STATUS -The last sanitation inspection was completed on 7/15/25, and the center scored a superior rating with four demerits. -The last fire inspection was completed on 3/19/25. -The last documented outdoor play area inspection was completed on 10/10/25. -The last documented fire drill was conducted on 10/13/25. -The last documented lockdown/shelter-in-place drill was conducted on 9/10/25. -The last annual compliance visit was conducted on 10/22/24. MONITORING I completed a walk-through of the center, visiting eight classrooms as well as the outdoor learning environment. The toddlers were observed playing on the playground and transitioning inside. Preschoolers were observed playing with duplo blocks, engaging in pretend play in the home living center, playing on the playground, and eating lunch. Lunch today was spaghetti, green beans, strawberries, and milk. A full assessment of child care requirements was conducted. I used a checklist to monitor all applicable requirements, including but not limited to supervision, staff-child ratios, health and safety requirements, equipment and furnishings, and program records. Six staff and five children’s files were reviewed. This program does not provide transportation; therefore, this requirement was not monitored. No children require medications or have medical care plans; therefore, this requirement was not monitored. No children under one year of age are enrolled, thus, safe sleep requirements were not monitored. VIOLATIONS The following violations were observed and documented during today’s visit: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member had a medical statement on file which was more than 12 months old, and six staff members submitted medical reports after their first day of employment. 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. Five staff members submitted TB tests after their first day of employment. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Three staff members did not review and sign the shaken baby policy until after their first day of employment. .0608(d)(1-4) In order to comply with the NC Laws and Rules, any violations documented today must be corrected immediately. I need to receive your compliance letter by October 28, 2025. The letter must address each violation and explain specifically when and how it was corrected, as well as how you will prevent the same violations from happening in the future. Please send this to mandy.annunziata@dhhs.nc.gov and include the following information: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today’s visit, the center’s compliance history score was 88%. According to NC General Statute 110-90(4)(d), all facilities must maintain a compliance history of at least 75% for the past 18 months. Failure to maintain compliance may result in an administrative action. The center was not in compliance with all applicable minimum licensing requirements during today’s visit and violations were documented that could impact the center’s overall compliance history score. An updated compliance history score will be generated after today’s visit, and you will be informed of the results during the next visit to your center. TECHNICAL ASSISTANCE -When new staff are hired, they are required to submit a medical report and Tb test that were completed no more than 12 months prior to the first day of employment, and that information must be on file prior to working with children. Several staff members submitted medical documentation after their first day of work (D.B., P.F., G.M.,E.A.,S.H., Y. N. and P.G.). You stated that you are aware of the rule, but you needed to hire several staff quickly when teachers quit, so you had to have them start working in classrooms immediately. Moving forward, please be sure staff members do not begin work in classrooms until the medical report and Tb test are on file and are no more than 12 months old. You may have to temporarily close a classroom or find a qualified sub while you wait for teachers to submit required paperwork. -Staff members must review and sign the “Shaken Baby Head Trauma Policy” before beginning work with young children. It is important for program staff to have training and understand the vulnerabilities of children to help prevent injuries and properly handle infants. Three staff members (G.S., S.H., and Y.N) did not complete this document until after beginning work. Moving forward, please have new staff review and sign this document prior to beginning their work with children. CONSULTATION -We reviewed QRIS information and completed a form stating that you will pursue Pathway #2, Curriculum and Instructional Quality, with a targeted license transition date of April 2026. -Per sanitation inspectors, centers must discontinue the use of baby gates to make kitchens inaccessible to children. If found at an inspection, the center will be placed into provisional status (which will be longer than 7 days since it will be a construction issue), and it will remain in that status until they have addressed the issue. -The Clean Classrooms for Carolina Kids Program provides free facility-wide testing for lead in water and inspections for asbestos and lead-based paint hazards without any out-of-pocket costs. You are required to test for lead in your water every three years. -You can access and update your EPR plan by using your NCID to log into the North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx. Please review and update your EPR plan yearly. -Criminal Backgrounds Checks for all staff members should be completed every five years. One staff member’s (P.G.) qualification letter will expire on 12/30/25, and another (Y.M) on 1/27/26. I recommend that they both start the renewal process now. You may contact the CBC Unit via telephone (919) 814-6401 or by email DHHS.CBC.Unit@dhhs.nc.gov if you have questions or need assistance. TRAINING REMINDERS -Training from 10/22/24 to 10/13/25 was reviewed today and results can be found on the attached Staff/Training Worksheet. All required staff ongoing training hours for the current year should be completed by 10/22/25. -CPR and First Aid must be renewed every two years. Several staff members are due for CPR and First Aid renewal by 12/9/25. New staff members must complete training within 90 days of hire. -Health and Safety Training must be renewed every five years. You can find this training in Moodle on the DCDEE website. New staff members must complete training within one year of hire. -“Recognizing and Responding to Suspicions of Child Maltreatment” (part of the Health and Safety Training) should be completed within 90 days of hire and renewed every five years. This training can be found on the Positive Child Alliance NC website: https://preventchildabusenc.org/online-trainings/. Two staff members (D.T. and P.G.) are due to renew now. -ITS-SIDS training must be renewed every three years. New staff members working with infants must complete training within two months of hire, and must not be left alone with infants during that time period. RATED LICENSE STATUS The NC State Legislature has extended “hold harmless” status until new rated licensing guidelines are in place, and you may opt to keep your current license and delay your rated license assessment until the new guidelines are adopted. Please use this time to update your WORKS account with your staff members’ education information. You can visit the North Carolina Rated License Project website (https://www.ncrlap.org) for resources regarding the rated license assessment process. AGENCY UPDATES Please check the Division of Child Development and Early Education’s website frequently for any new policies or rules. Go to https://ncchildcare.ncdhhs.gov/, and click on the “What’s New” tab for all agency updates, including QRIS Modernization. I recommend exploring the new pathway options to obtain a rated license. New QRIS rules are in effect, and the Division is preparing for a gradual transition to the new requirements. Resources, forms, and training will be provided to support you in preparing for new options to earn your Two- through Five-Star Rated License. All the newest information will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and will also be provided through emails and Raise NC newsletters. CONTACT INFORMATION If you have questions or need further assistance, please contact me at (919) 971-6255 or mandy.annunziata@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: RANDY'S FIVE STAR ACADEMY, INC Facility ID: 32001752 Consultant: MANDY ANNUNZIATA Operation Type: Center Case Number: 0525-178L Visit Date: 6/5/2025 Number Present: 40 Completed Date: 6/5/2025 Age: From 1 To 5 Total Minutes: 80 Time In: 09:25 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor concerns regarding maintenance of Child Care Requirements at the center. Upon arrival, I was greeted by Dalphia Murphy, director, who assisted me during today’s visit. We discussed the nature of the visit, and I conducted a general walk-through of the center. The center has 51 children enrolled, and 40 were present today, ranging in age from one to five years old. The center currently operates with a Five Star license issued on October 1, 2024. The program received six points for Program Standards, six points for Staff Education, and one Quality Point. It is licensed to serve 100 children on first shift. MONITORING Today I conducted a partial assessment of child care requirements including supervision, staff-child ratios, health and safety requirements, equipment and furnishings, and program records. Toddlers were observed working on an art activity with their teacher and playing outside. Preschoolers were observed participating in circle time and playing on the playground. During my last visit on 5/22/25, I observed both Pre-K classrooms during rest time and interviewed all four Pre-K teachers regarding rest time practices. The lead teacher in the first classroom stated that she does not believe in taking things away (including playground time) as punishment for misbehavior during rest time. A teacher in the second classroom stated that if the whole class is disruptive during nap time, they may lose afternoon outside recess. Individual children who continue to be disruptive may lose five minutes of afternoon playground time. Children who misbehaved during rest time also were made to stand with their arms raised above their heads for a period of approximately five minutes. I asked all Pre-K teachers if they had concerns about staff not following the discipline policy or not speaking to children in a caring or nurturing manner. None of them expressed any concerns. At that time, the director was on vacation and unavailable for an interview. One violation for using inappropriate discipline practices was cited. Today, I discussed rest time procedures with the director and reviewed the nap and discipline policies in the center’s handbook. I also reviewed the playground schedule for both Pre-K classes and noted that each class has a designated 45-minute playground time before lunch. No outdoor time is scheduled after lunch, although the teachers and director stated that they sometimes take children outside for a short period after lunch if they have time. I reminded the director that child care rules require all children 2-12 years old in care five or more hours per day to have at least 60 minutes of outdoor playtime per day, weather permitting. In addition, I asked about the director’s observations of staff interactions with children. I discussed the discipline violation cited during my last visit and asked the director how she planned to address this issue moving forward. The director said she had not witnessed inappropriate discipline or interactions herself, but she had spoken to the Pre-K teachers who were involved in the complaint and had given one teacher a written warning for not following the school’s discipline policy. She is requiring that teacher to take classes on behavior management through Moodle, and she had a meeting with all staff to review the discipline policy. After our conversation today, she is planning to have both Pre-K teachers sign up for Conscious Discipline training. VIOLATIONS The following violation was observed and documented during today’s visit: Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Teachers in one Pre-K class reported that they sometimes withheld afternoon outdoor playtime as punishment for misbehavior during rest time, which would not allow the class to meet the required 60 minutes of daily outdoor playtime. GS 110-91(2);.0508(c) In order to comply with the NC Laws and Rules, any violations documented today must be corrected immediately. I need to receive your compliance letter by June 19, 2025. The letter must address each violation and explain specifically when and how it was corrected, as well as how you will prevent the same violations from happening in the future. Please send this to mandy.annunziata@dhhs.nc.gov and include the following information: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today’s visit, the center’s compliance history score was 89%. According to NC General Statute 110-90(4)(d), all facilities must maintain a compliance history of at least 75% for the past 18 months. Failure to maintain compliance may result in an administrative action. The center was not in compliance with all applicable minimum licensing requirements during today’s visit and violations were documented that could impact the center’s overall compliance history score. An updated compliance history score will be generated after today’s visit, and you will be informed of the results during the next visit to your center. RESOLUTION Based on staff members admitting that children were asked to stand with their hands raised above their heads during nap time in response to misbehavior, a review of the nap and discipline policies, and classroom observations, I determined that violations related to discipline had occurred; therefore, those allegations are substantiated. Based on interviews with the staff and director, as well as observations made during the investigation, I was unable to determine whether violations related to staff interactions had occurred; therefore, those allegations are unsubstantiated. Because one allegation has been substantiated, you are at risk of an administrative action. TECHNICAL ASSISTANCE -Outdoor play is important for children’s overall development. Exposure to nature boosts children’s mood and emotional health, children develop important gross motor skills as they run and climb, and there are opportunities to practice social skills when engaging with other children during child-directed free play. In addition, outdoor play provides an appropriate outlet for children to burn off excess energy, which may lead to improved behavior indoors. The Pre-K teachers in one classroom confirmed that afternoon outdoor time is sometimes withheld as a consequence for misbehavior during rest time. Child care rules require that preschool-aged children in full-day childcare participate in at least one hour of outdoor play per day, weather permitting. Your schedule indicates that morning playtime is 45 minutes; therefore, they must be given a minimum of 15 additional minutes of outdoor play during the day to meet the required 60 minutes. It is never appropriate to withhold outdoor play time as a punishment for classroom misbehavior or a refusal to nap. CONSULTATION -As noted in my previous visit summary, it is permissible for children to move about the classroom and play with quiet toys during the scheduled nap time with only one teacher monitoring the room. -I gave you two handouts today from “Caring for Our Children” regarding discipline practices. One referenced methods of positive behavior support and the other outlined prohibited staff behaviors. Please share these with your staff. AGENCY UPDATES Please check the Division of Child Development and Early Education’s website frequently for any new policies or rules. Go to https://ncchildcare.ncdhhs.gov/, and click on the “What’s New” tab for all agency updates, including QRIS Modernization. I recommend exploring the new pathway options to obtain a rated license. It is important to note that the new QRIS rules are not yet effective. However, the Division is preparing for a gradual transition to the new requirements. Resources, forms, and training will be provided to support you in preparing for new options to earn your Two- through Five-Star Rated License. All the newest information will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and will also be provided through emails and Raise NC newsletters. CONTACT INFORMATION If you have questions or need further assistance, please contact me at (919) 971-6255 or mandy.annunziata@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: RANDY'S FIVE STAR ACADEMY, INC Facility ID: 32001752 Consultant: MANDY ANNUNZIATA Operation Type: Center Case Number: Visit Date: 10/22/2024 Number Present: 38 Completed Date: 10/22/2024 Age: From 1 To 5 Total Minutes: 310 Time In: 09:20 AM Time Out: 02:30 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 applicable child care requirements during your annual compliance visit. Upon arrival, I was greeted by the director, Dalphia Murphy, who assisted me during today’s visit. LICENSE STATUS The center currently operates with a five star license issued on October 1, 2024. The program received six points for staff education, six points for program standards, and one quality point for having a staff benefits package and infrastructure for parental involvement. It is licensed to serve 100 children on first shift. Prior to today’s visit, I reviewed the NC Secretary of State’s website and noted that the owner of this facility, Randy’s Five Star Academy, Inc., is listed as current/active. INSPECTIONS/DRILLS STATUS -The last sanitation inspection was completed on 8/27/24, and the center scored a superior rating with six demerits. -The last fire inspection was completed on 2/10/23. -The last documented outdoor play area inspection was completed on 9/30/24. -The last documented fire drill was conducted on 9/30/24. -The last documented lockdown/shelter-in-place drill was conducted on 9/30/24. -The last annual compliance visit was conducted on 11/8/23. MONITORING I completed a walk-through of the center, visiting five classrooms as well as the outdoor play areas The infant classroom was closed today because the teacher was out sick and there was no one available to sub. The toddlers were observed getting their diapers changed and transitioning to the playground. Preschoolers were observed playing on the playground. A full assessment of child care requirements was conducted. I used a checklist to monitor all applicable requirements, including but not limited to supervision, staff-child ratios, health and safety requirements, equipment and furnishings, and program records. Five staff and ten children’s files were reviewed. This program does not provide transportation; therefore, this requirement was not monitored. Several children require emergency medications; these were monitored and found in compliance. The center serves children under one year of age, thus, safe sleep requirements were monitored and found in compliance. VIOLATIONS The following violations were observed and documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A piece of lattice had become detached from a storage structure on the toddler playground, exposing the sharp ends of the nails. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A cleaning product was stored in a bathroom cabinet accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Disposable gloves and adult scissors were stored in an unlocked drawer accessible to children in the classroom for two year old children. .0604(q) 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. Three staff members who started work on 10/10/22, 6/10/24, and 6/24/24 did not have a medical report on file. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member's First Aid certification expired on 9/7/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR certification expired on 9/7/24. .1102(d) In order to comply with the NC Laws and Rules, any violations documented today must be corrected immediately. I need to receive your compliance letter by 11/5/24. The letter must address each violation and explain specifically when and how it was corrected, as well as how you will prevent the same violations from happening in the future. Please send this to mandy.annunziata@dhhs.nc.gov and include the following information: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today’s visit, the center’s compliance history score was 89%. According to NC General Statute 110-90(4)(d), all facilities must maintain a compliance history of at least 75% for the past 18 months. Failure to maintain compliance may result in an administrative action. The center was not in compliance with all applicable minimum licensing requirements during today’s visit and violations were documented that could impact the center’s overall compliance history score. An updated compliance history score will be generated after today’s visit, and you will be informed of the results during the next visit to your center. TECHNICAL ASSISTANCE -Safety is a top priority when providing care for young children. Today I observed teacher's scissors and disposable gloves stored within reach of children in a classroom for two and three year olds, which could be harmful to children who might find them. I suggest conducting a walk-through of the children’s space prior to children’s arrival each morning, removing any potentials hazards and placing them at least five feet high. -Today a cleaning product was stored in a cabinet under a sink in a children’s bathroom. Cleaning products labeled as hazardous to children must be placed in locked storage. Although there was a plastic childproof lock on the cabinet, child care rules require metal or magnetic locks. -For safety reasons, teachers who care for young children need to remain current with their CPR and First Aid certifications. One staff member’s CPR and First Aid certification expired on 9/7/24 and needs to be renewed immediately. Another staff member’s certification will expire on 10/31/24. Please arrange for both staff members to renew their certifications as soon as possible. You might consider setting reminders on your calendar to show when teachers are due to renew their training. -Before working with children, teachers are required to have a medical exam that ensures they are healthy and able to care for children. Three of your staff members are missing this documentation. Please be sure they make appointments for a physical with a medical professional within the next two weeks to obtain this documentation. -Today, there were exposed nails on a piece of latticework on the playground. I would suggest doing a quick inspection/walk-through of the outdoor play areas and block off any hazardous areas for children until you can call someone to make the repair. CONSULTATION -You can access and update your EPR plan by using your NCID to log into the North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx. Please review and update your EPR plan yearly. -Criminal Backgrounds Checks for all staff members should be completed every five years. One staff member’s qualifying letter will expire 12/20/24. I recommend starting the renewal process this week. TRAINING REMINDERS -Training from 11/8/23 to 10/21/24 was reviewed today and results can be found on the attached Staff/Training Worksheet. All required staff ongoing training hours for the current year should be completed by 11/8/2024. -Health and safety training must be renewed every five years. Be sure new staff members complete all parts of the Health and Safety training within one year of hire. --ITS-SIDS training must be renewed every three years. Staff members who completed training in 2024 will be due to renew in 2027. RATED LICENSE STATUS The NC State Legislature has extended “hold harmless” status until new rated licensing guidelines are in place, and you may opt to keep your current license and delay your rated license assessment until the new guidelines are adopted. Please use this time to update your WORKS account with your staff members’ education information. You can visit the North Carolina Rated License Project website (https://www.ncrlap.org) for resources regarding the rated license assessment process. AGENCY UPDATES Please check the Division of Child Development and Early Education’s website frequently for any new policies or rules. Go to https://ncchildcare.ncdhhs.gov/, and click on the “What’s New” tab for all agency updates. CONTACT INFORMATION If you have questions or need further assistance, please contact me at (919) 971-6255 or mandy.annunziata@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: RANDY'S FIVE STAR ACADEMY, INC Facility ID: 32001752 Consultant: MANDY ANNUNZIATA Operation Type: Center Case Number: Visit Date: 10/22/2024 Number Present: 38 Completed Date: 10/22/2024 Age: From 1 To 5 Total Minutes: 310 Time In: 09:20 AM Time Out: 02:30 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 applicable child care requirements during your annual compliance visit. Upon arrival, I was greeted by the director, Dalphia Murphy, who assisted me during today’s visit. LICENSE STATUS The center currently operates with a five star license issued on October 1, 2024. The program received six points for staff education, six points for program standards, and one quality point for having a staff benefits package and infrastructure for parental involvement. It is licensed to serve 100 children on first shift. Prior to today’s visit, I reviewed the NC Secretary of State’s website and noted that the owner of this facility, Randy’s Five Star Academy, Inc., is listed as current/active. INSPECTIONS/DRILLS STATUS -The last sanitation inspection was completed on 8/27/24, and the center scored a superior rating with six demerits. -The last fire inspection was completed on 2/10/23. -The last documented outdoor play area inspection was completed on 9/30/24. -The last documented fire drill was conducted on 9/30/24. -The last documented lockdown/shelter-in-place drill was conducted on 9/30/24. -The last annual compliance visit was conducted on 11/8/23. MONITORING I completed a walk-through of the center, visiting five classrooms as well as the outdoor play areas The infant classroom was closed today because the teacher was out sick and there was no one available to sub. The toddlers were observed getting their diapers changed and transitioning to the playground. Preschoolers were observed playing on the playground. A full assessment of child care requirements was conducted. I used a checklist to monitor all applicable requirements, including but not limited to supervision, staff-child ratios, health and safety requirements, equipment and furnishings, and program records. Five staff and ten children’s files were reviewed. This program does not provide transportation; therefore, this requirement was not monitored. Several children require emergency medications; these were monitored and found in compliance. The center serves children under one year of age, thus, safe sleep requirements were monitored and found in compliance. VIOLATIONS The following violations were observed and documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A piece of lattice had become detached from a storage structure on the toddler playground, exposing the sharp ends of the nails. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A cleaning product was stored in a bathroom cabinet accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Disposable gloves and adult scissors were stored in an unlocked drawer accessible to children in the classroom for two year old children. .0604(q) 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. Three staff members who started work on 10/10/22, 6/10/24, and 6/24/24 did not have a medical report on file. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member's First Aid certification expired on 9/7/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR certification expired on 9/7/24. .1102(d) In order to comply with the NC Laws and Rules, any violations documented today must be corrected immediately. I need to receive your compliance letter by 11/5/24. The letter must address each violation and explain specifically when and how it was corrected, as well as how you will prevent the same violations from happening in the future. Please send this to mandy.annunziata@dhhs.nc.gov and include the following information: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today’s visit, the center’s compliance history score was 89%. According to NC General Statute 110-90(4)(d), all facilities must maintain a compliance history of at least 75% for the past 18 months. Failure to maintain compliance may result in an administrative action. The center was not in compliance with all applicable minimum licensing requirements during today’s visit and violations were documented that could impact the center’s overall compliance history score. An updated compliance history score will be generated after today’s visit, and you will be informed of the results during the next visit to your center. TECHNICAL ASSISTANCE -Safety is a top priority when providing care for young children. Today I observed teacher's scissors and disposable gloves stored within reach of children in a classroom for two and three year olds, which could be harmful to children who might find them. I suggest conducting a walk-through of the children’s space prior to children’s arrival each morning, removing any potentials hazards and placing them at least five feet high. -Today a cleaning product was stored in a cabinet under a sink in a children’s bathroom. Cleaning products labeled as hazardous to children must be placed in locked storage. Although there was a plastic childproof lock on the cabinet, child care rules require metal or magnetic locks. -For safety reasons, teachers who care for young children need to remain current with their CPR and First Aid certifications. One staff member’s CPR and First Aid certification expired on 9/7/24 and needs to be renewed immediately. Another staff member’s certification will expire on 10/31/24. Please arrange for both staff members to renew their certifications as soon as possible. You might consider setting reminders on your calendar to show when teachers are due to renew their training. -Before working with children, teachers are required to have a medical exam that ensures they are healthy and able to care for children. Three of your staff members are missing this documentation. Please be sure they make appointments for a physical with a medical professional within the next two weeks to obtain this documentation. -Today, there were exposed nails on a piece of latticework on the playground. I would suggest doing a quick inspection/walk-through of the outdoor play areas and block off any hazardous areas for children until you can call someone to make the repair. CONSULTATION -You can access and update your EPR plan by using your NCID to log into the North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx. Please review and update your EPR plan yearly. -Criminal Backgrounds Checks for all staff members should be completed every five years. One staff member’s qualifying letter will expire 12/20/24. I recommend starting the renewal process this week. TRAINING REMINDERS -Training from 11/8/23 to 10/21/24 was reviewed today and results can be found on the attached Staff/Training Worksheet. All required staff ongoing training hours for the current year should be completed by 11/8/2024. -Health and safety training must be renewed every five years. Be sure new staff members complete all parts of the Health and Safety training within one year of hire. --ITS-SIDS training must be renewed every three years. Staff members who completed training in 2024 will be due to renew in 2027. RATED LICENSE STATUS The NC State Legislature has extended “hold harmless” status until new rated licensing guidelines are in place, and you may opt to keep your current license and delay your rated license assessment until the new guidelines are adopted. Please use this time to update your WORKS account with your staff members’ education information. You can visit the North Carolina Rated License Project website (https://www.ncrlap.org) for resources regarding the rated license assessment process. AGENCY UPDATES Please check the Division of Child Development and Early Education’s website frequently for any new policies or rules. Go to https://ncchildcare.ncdhhs.gov/, and click on the “What’s New” tab for all agency updates. CONTACT INFORMATION If you have questions or need further assistance, please contact me at (919) 971-6255 or mandy.annunziata@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: RANDY'S FIVE STAR ACADEMY, INC Facility ID: 32001752 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 40 Completed Date: 4/18/2024 Age: From 0 To 5 Total Minutes: 130 Time In: 10:50 AM Time Out: 01:00 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 complete your Routine Unannounced visit. Upon arrival I was greeted by Ms. Timmons, the Pre-K Teacher. Ms. Timmons assisted me with the visit. I spoke with the Director, Mrs. Murphy, over the phone. I completed a general walk-through of the center. At the time of the visit, there were a total of forty (40) children present, ranging in age from infant to five (5) years old. The children were observed eating lunch, returning from Soccer Shots, and completing routine tasks. LICENSE STATUS The center currently operates with a Five-star license issued on January 1, 2021, earning six (6) points in Staff Education, seven (7) points in Program Standards and one (1) Quality point. INSPECTIONS *The last fire drill was conducted 4/18/24. *The last emergency drill was conducted 2/22/24. *The last playground inspection was completed 4/18/24. *The last sanitation was completed on 2/21/24 with a ‘Superior’ classification. MONITORING During today’s visit, a partial assessment was conducted, monitoring all space occupied by the children, including the outdoor play environment. New staff CPR/FA, qualification letters and newly enrolled children files were reviewed. All spaces were monitored for supervision, staff/child ratios, materials, equipment and required postings. The program records were reviewed for current inspections. The following violations were observed and documented during today’s visit. Violation Number Comment Rule 1328 Children's records were not made available for review. One child enrolled on 4/17/24 only had the Children's Application form on file. All other forms such as Discipline policy, Shaken Baby, operational statement, and summary of child care laws were not on file. G.S. 110-91(9) 1757 A valid qualification letter was not on file and available to review at the facility. The individual conducting Soccer Shots during today's visit did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) To comply with the NC Laws and Rules any violations cited today MUST be corrected immediately. A compliance letter must be received on or before May 2, 2024, letter must address each violation, explain how it has been corrected and how the violation will maintain compliance in the future. Please make sure to include: -Facility name -Facility ID number -Each item number The letter can be emailed to Shamequa.Wilkerson-Harris@dhhs.nc.gov or mailed to: Shamequa Wilkerson-Harris 300 Sugar Maple Avenue Wake Forest, NC 27587 COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 87%. According to NC General Statue 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen 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. TECHNICAL ASSISTANCE During today’s visit, the information below was shared with you to maintain quality within your program and to prevent further violations. CHILDREN FILES I would recommend you use the children checklist file for all enrolled children. I would also recommend collecting all forms on or before enrollment date. Ms. Timmons discussed with me that the parents would be bringing all completed forms including immunization and medical this afternoon at pick up. SOCCER SHOTS (Outside Vendors) I would recommend that you create a file for outside vendors such as Soccer Shots, Kinder Music, etc. with their criminal background check for everyone that will be assisting with the activity. Ms. Timmons received an email with the individual who conducted Soccer Shots with the criminal background check during the visit. CONSULTATION AND REMINDERS The following items were discussed during today’s visit to improve the quality of your program. RATED LICENSE STATUS On Monday June 12, 2023, the hold harmless legislation was extended and signed into law. All facilities are allowed to remain at their current star level without reassessment until June 30, 2024. Your facility has been determined to be in Cohort 2. Your reassessment year will be between July 1, 2025, and June 30, 2026. I discussed with the provider to consider going through the Rated License assessment in the prep year. I also discussed that if the Rated License assessment is completed during the prep year and the scores are liked they can be used immediately upon the administrators request or be held until the actual assessment year. HEALTH CONSULTANT Ellie Morrise is the new Child Care Health Consultant. If you should have any health related questions, please reach out to her at morrise@email.unc.edu and/or 919.809.9645. HEALTH AND SAFETY TRAINING Health and Safety trainings are now available through Moodle on the DCDEE website. These trainings are provided free of charge. You should use your NCID username and password to access the Moodle portal. The Health and Safety trainings must be renewed at least every five (5) years. If you completed the trainings in 2019, you should begin to retake the training now. CLEAN CLASSROOMS FOR CAROLINA KIDS I encourage you to enroll in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids. Facilities are now required to meet rule requirements NC 10A NCAC 41C. 1001-1007, NC 154A NCAC 18A .2816. Clean Classrooms for Carolina Kids is designed to ensure facilities meet all requirements, receive direct support throughout the participation process, and have access to communication resources. If you need more information on this topic please refer to your December 7, 2023 email from NCDHHS Division of Child Development and Early Education. CRIMINAL BACKGROUND As of July 11, 2022, criminal record checks are now to be renewed every five (5) years instead of three (3) years. Please make arrangements to complete your 5-year re-qualification before the expiration date. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website (ncchildcare.gov) on a weekly basis to stay up to date on all new policies and rules. If you have any questions or need assistance, please contact me at Shamequa.Wilkerson-Harris@dhhs.nc.gov or by phone at 919 417-2872. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: RANDY'S FIVE STAR ACADEMY, INC Facility ID: 32001752 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 40 Completed Date: 4/18/2024 Age: From 0 To 5 Total Minutes: 130 Time In: 10:50 AM Time Out: 01:00 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 complete your Routine Unannounced visit. Upon arrival I was greeted by Ms. Timmons, the Pre-K Teacher. Ms. Timmons assisted me with the visit. I spoke with the Director, Mrs. Murphy, over the phone. I completed a general walk-through of the center. At the time of the visit, there were a total of forty (40) children present, ranging in age from infant to five (5) years old. The children were observed eating lunch, returning from Soccer Shots, and completing routine tasks. LICENSE STATUS The center currently operates with a Five-star license issued on January 1, 2021, earning six (6) points in Staff Education, seven (7) points in Program Standards and one (1) Quality point. INSPECTIONS *The last fire drill was conducted 4/18/24. *The last emergency drill was conducted 2/22/24. *The last playground inspection was completed 4/18/24. *The last sanitation was completed on 2/21/24 with a ‘Superior’ classification. MONITORING During today’s visit, a partial assessment was conducted, monitoring all space occupied by the children, including the outdoor play environment. New staff CPR/FA, qualification letters and newly enrolled children files were reviewed. All spaces were monitored for supervision, staff/child ratios, materials, equipment and required postings. The program records were reviewed for current inspections. The following violations were observed and documented during today’s visit. Violation Number Comment Rule 1328 Children's records were not made available for review. One child enrolled on 4/17/24 only had the Children's Application form on file. All other forms such as Discipline policy, Shaken Baby, operational statement, and summary of child care laws were not on file. G.S. 110-91(9) 1757 A valid qualification letter was not on file and available to review at the facility. The individual conducting Soccer Shots during today's visit did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) To comply with the NC Laws and Rules any violations cited today MUST be corrected immediately. A compliance letter must be received on or before May 2, 2024, letter must address each violation, explain how it has been corrected and how the violation will maintain compliance in the future. Please make sure to include: -Facility name -Facility ID number -Each item number The letter can be emailed to Shamequa.Wilkerson-Harris@dhhs.nc.gov or mailed to: Shamequa Wilkerson-Harris 300 Sugar Maple Avenue Wake Forest, NC 27587 COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 87%. According to NC General Statue 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen 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. TECHNICAL ASSISTANCE During today’s visit, the information below was shared with you to maintain quality within your program and to prevent further violations. CHILDREN FILES I would recommend you use the children checklist file for all enrolled children. I would also recommend collecting all forms on or before enrollment date. Ms. Timmons discussed with me that the parents would be bringing all completed forms including immunization and medical this afternoon at pick up. SOCCER SHOTS (Outside Vendors) I would recommend that you create a file for outside vendors such as Soccer Shots, Kinder Music, etc. with their criminal background check for everyone that will be assisting with the activity. Ms. Timmons received an email with the individual who conducted Soccer Shots with the criminal background check during the visit. CONSULTATION AND REMINDERS The following items were discussed during today’s visit to improve the quality of your program. RATED LICENSE STATUS On Monday June 12, 2023, the hold harmless legislation was extended and signed into law. All facilities are allowed to remain at their current star level without reassessment until June 30, 2024. Your facility has been determined to be in Cohort 2. Your reassessment year will be between July 1, 2025, and June 30, 2026. I discussed with the provider to consider going through the Rated License assessment in the prep year. I also discussed that if the Rated License assessment is completed during the prep year and the scores are liked they can be used immediately upon the administrators request or be held until the actual assessment year. HEALTH CONSULTANT Ellie Morrise is the new Child Care Health Consultant. If you should have any health related questions, please reach out to her at morrise@email.unc.edu and/or 919.809.9645. HEALTH AND SAFETY TRAINING Health and Safety trainings are now available through Moodle on the DCDEE website. These trainings are provided free of charge. You should use your NCID username and password to access the Moodle portal. The Health and Safety trainings must be renewed at least every five (5) years. If you completed the trainings in 2019, you should begin to retake the training now. CLEAN CLASSROOMS FOR CAROLINA KIDS I encourage you to enroll in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids. Facilities are now required to meet rule requirements NC 10A NCAC 41C. 1001-1007, NC 154A NCAC 18A .2816. Clean Classrooms for Carolina Kids is designed to ensure facilities meet all requirements, receive direct support throughout the participation process, and have access to communication resources. If you need more information on this topic please refer to your December 7, 2023 email from NCDHHS Division of Child Development and Early Education. CRIMINAL BACKGROUND As of July 11, 2022, criminal record checks are now to be renewed every five (5) years instead of three (3) years. Please make arrangements to complete your 5-year re-qualification before the expiration date. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website (ncchildcare.gov) on a weekly basis to stay up to date on all new policies and rules. If you have any questions or need assistance, please contact me at Shamequa.Wilkerson-Harris@dhhs.nc.gov or by phone at 919 417-2872. 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: RANDY'S FIVE STAR ACADEMY, INC Facility ID: 32001752 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 40 Completed Date: 11/8/2023 Age: From 0 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 assess applicable child-care requirements during your annual compliance visit. A checklist was used to note the requirements monitored today. Upon arrival I was greeted by the cook, G. Stanton. The director, Dalphia Murphy, was not present for today’s visit. Mrs. Midgette assisted me with today’s visit. There was a total of 40 children present, aging in range from infant to five years old. The children were observed playing in centers and with materials, participating in circle time, playing outside, completing routine tasks, and transitioning into lunch time. LICENSE STATUS The center currently operates with a Five-star license issued on January 1, 2021, earning six (6) points in Staff Education, seven (7) points in Program Standards and one (1) Quality point. MONITORING During today’s visit, a full assessment was conducted monitoring all spaces occupied by the children, including the outdoor play environment. All staff and a selection of children’s files were reviewed. All spaces were monitored for supervision, staff/child ratios, materials, equipment and required postings. The program records were reviewed for current inspections. INSERVICE TRAINING I reviewed staff training for the period of November 16, 2022, through November 7, 2023. Details can be found on the attached Staff-Training Worksheets. --PROGRAM RECORDS * The last annual compliance visit was completed on 11/15/22. * The last sanitation was conducted on 8/17/23. This facility received 7 demerits and a “Superior” classification. *The last documented fire drill was conducted 10/31/23. *The last fire inspection was conducted 2/10/23. *The last documented shelter-in-place or lockdown drill was conducted 6/28/23. *The last documented playground inspection was conducted 11/3/23. Prior to today’s visit I reviewed the NC Secretary of State’s website and observed that the current status of Randy’s Five Star Academy, Inc. is listed as current/active. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. Children two years and younger were having screen time during today's visit. .0510(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Albuterol was not in it's original container. .0803(2)(a) 1043 All staff records, except financial records, were not made available for review. The new staff members medical reports and TB were not made available. G.S. 110-91( 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. A staff member First Aid expired on 2/22/23, and another staff member First Aid had an expiration date of 6/17/23. .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 CPR expired on 2/22/23, and another staff member CPR had an expiration date of 6/17/23. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place/lockdown was conducted on 6/28/23. .0604(u);.0302(d)(8) To comply with the NC Laws and Rules any violations cited today MUST be corrected immediately. A compliance letter must be received on or before November 22, 2023, letter must address each violation, explain how it has been corrected and how the violation will maintain compliance in the future. Please make sure to include: -Facility name -Facility ID number -Each item number The letter can be emailed to Shamequa.Wilkerson-Harris@dhhs.nc.gov or mailed to: Shamequa Wilkerson-Harris 300 Sugar Maple Avenue Wake Forest, NC 27587 COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 91%. According to NC General Statue 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen 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. TECHNICAL ASSISTANCE The following items were discussed during today’s visit to help you maintain quality within your program and to prevent further violations. QUARTERLY EMERGENCY DRILL I would recommend using a reminder in your outlook calendar or desktop to ensure that you complete the emergency drill every three (3) months. SCREEN TIME I would suggest discussing with the staff during your next staff meeting the appropriate age that children are able to have screen time. I would also recommend reviewing the screen time log form with all staff. STAFF FILE Medical reports, proof of tuberculosis test and other health information must be kept separate from the individual personnel file. I would suggest coming up with a filing system to separate the medical from the personnel file. The medical and personnel file must be available for review. MEDICATION I would recommend medication be checked using a check off system to make sure that it is in its original container before sending to the classrooms. CPR/FA I would recommend using a reminder in your outlook calendar to remind you of staff members CPR/FA expiration dates. CONSULTATION AND REMINDERS The following items were discussed during today’s visit to improve the quality of your program. RATED LICENSE STATUS On Monday June 12, 2023, the hold harmless legislation was extended and signed into law. All facilities are allowed to remain at their current star level without reassessment until June 30, 2024. Your facility has been determined to be in Cohort 2. Your reassessment year will be between July 1, 2025, and June 30, 2026. I will reach out to you prior to the beginning of your preparation year. Please use this time to make sure all your staff have a WORKS account with all education information updated. Also review updated resources on the North Carolina Rated License Project (NCRLAP) website (www.ncrlap.org). HEALTH AND SAFETY TRAINING Health and Safety trainings are now available through Moodle on the DCDEE website. These trainings are provided free of charge. You should use your NCID username and password to access the Moodle portal. The Health and Safety trainings must be renewed at least every five (5) years. If you completed the trainings in 2017, you should begin to retake the training now. CRIMINAL BACKGROUND As of July 11, 2022, criminal record checks are now to be renewed every five (5) years instead of three (3) years. Please make arrangements to complete your 5-year re-qualification before the expiration date. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website (ncchildcare.gov) on a weekly basis to stay up to date on all new policies and rules. If you have any questions or need assistance, please contact me at Shamequa.Wilkerson-Harris@dhhs.nc.gov or by phone at 919 417-2872. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.