Academe Child Development Center

10A NCAC 09 .0508 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 4/25/2025 Number Present: 14 Completed Date: 4/25/2025 Age: From 0 To 4 Total Minutes: 220 Time In: 09:00 AM Time Out: 11:40 AM Time In: 12:30 PM Time Out: 01:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training . The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 85%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed February 11, 2025. Fire Classification of Approved completed April 09, 2025. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. In Space #2, the children were observed building with the Legos, pushing cars, pushing a grocery cart, playing with dinosaurs, and soft toys. In Space #4, the children were observed playing with musical shakers, soft books, and musical toys. A violation was observed in both Space #2 and Space #4, for activity plans. In addition, two violations were observed for staff records. Toileting and handwashing routines were observed. Lunch served was turkey, pork with beans, pears, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #1 and Space #2. This was corrected when the staff member posted a current activity plan. GS 110-91(12); .0508(a) 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. A medical report was not on file prior to employment for one staff member. 10A NCAC 09 .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. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not signed and on file. .0608(d)(1-4) 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. The violation observed and documented today may impact the compliance history score. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 9, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders : Activity Plan: A violation was cited because there was not a current activity plan posted. Activity plans will need to be completed monthly and posted for easy reference. The activity plan will need to contain the dates for the weeks assigned. I suggest to have the staff complete the activity plans during their planning period or when children are resting and submitting weekly for approval by the administrator. I also suggested that the staff will need to post the activity plan at the end of the week to ensure that the activity plan is available for the upcoming week. For more information on the requirement per each domain review Child Care Rules: 10A NCAC 09 .0508. Staff Record Requirements/Training/Forms A violation was cited today for the medical statement and unsigned shaken baby head trauma policy. Today we talked about using the checklist on our website. This would help identify any missing documents/forms. *Refer to 10A NCAC 09 .0701 Health Standards for Child Care Providers, Substitute Providers, Volunteers, and Uncompensated for information regarding medical statements, health questionnaires, and emergency information. Also review, DCDEE website https://ncchildcare.ncdhhs.gov/ for pertinent information regarding new rule requirements for medical statements. Medical Statements are required before the staff member’s date of hire and a signed shaken baby head trauma policy is required to be signed prior to caring for children. Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/, under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ . My mailing address is: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 4/25/2025 Number Present: 14 Completed Date: 4/25/2025 Age: From 0 To 4 Total Minutes: 220 Time In: 09:00 AM Time Out: 11:40 AM Time In: 12:30 PM Time Out: 01:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training . The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 85%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed February 11, 2025. Fire Classification of Approved completed April 09, 2025. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. In Space #2, the children were observed building with the Legos, pushing cars, pushing a grocery cart, playing with dinosaurs, and soft toys. In Space #4, the children were observed playing with musical shakers, soft books, and musical toys. A violation was observed in both Space #2 and Space #4, for activity plans. In addition, two violations were observed for staff records. Toileting and handwashing routines were observed. Lunch served was turkey, pork with beans, pears, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #1 and Space #2. This was corrected when the staff member posted a current activity plan. GS 110-91(12); .0508(a) 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. A medical report was not on file prior to employment for one staff member. 10A NCAC 09 .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. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not signed and on file. .0608(d)(1-4) 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. The violation observed and documented today may impact the compliance history score. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 9, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders : Activity Plan: A violation was cited because there was not a current activity plan posted. Activity plans will need to be completed monthly and posted for easy reference. The activity plan will need to contain the dates for the weeks assigned. I suggest to have the staff complete the activity plans during their planning period or when children are resting and submitting weekly for approval by the administrator. I also suggested that the staff will need to post the activity plan at the end of the week to ensure that the activity plan is available for the upcoming week. For more information on the requirement per each domain review Child Care Rules: 10A NCAC 09 .0508. Staff Record Requirements/Training/Forms A violation was cited today for the medical statement and unsigned shaken baby head trauma policy. Today we talked about using the checklist on our website. This would help identify any missing documents/forms. *Refer to 10A NCAC 09 .0701 Health Standards for Child Care Providers, Substitute Providers, Volunteers, and Uncompensated for information regarding medical statements, health questionnaires, and emergency information. Also review, DCDEE website https://ncchildcare.ncdhhs.gov/ for pertinent information regarding new rule requirements for medical statements. Medical Statements are required before the staff member’s date of hire and a signed shaken baby head trauma policy is required to be signed prior to caring for children. Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/, under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ . My mailing address is: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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 110-91 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 4/25/2025 Number Present: 14 Completed Date: 4/25/2025 Age: From 0 To 4 Total Minutes: 220 Time In: 09:00 AM Time Out: 11:40 AM Time In: 12:30 PM Time Out: 01:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training . The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 85%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed February 11, 2025. Fire Classification of Approved completed April 09, 2025. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. In Space #2, the children were observed building with the Legos, pushing cars, pushing a grocery cart, playing with dinosaurs, and soft toys. In Space #4, the children were observed playing with musical shakers, soft books, and musical toys. A violation was observed in both Space #2 and Space #4, for activity plans. In addition, two violations were observed for staff records. Toileting and handwashing routines were observed. Lunch served was turkey, pork with beans, pears, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #1 and Space #2. This was corrected when the staff member posted a current activity plan. GS 110-91(12); .0508(a) 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. A medical report was not on file prior to employment for one staff member. 10A NCAC 09 .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. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not signed and on file. .0608(d)(1-4) 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. The violation observed and documented today may impact the compliance history score. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 9, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders : Activity Plan: A violation was cited because there was not a current activity plan posted. Activity plans will need to be completed monthly and posted for easy reference. The activity plan will need to contain the dates for the weeks assigned. I suggest to have the staff complete the activity plans during their planning period or when children are resting and submitting weekly for approval by the administrator. I also suggested that the staff will need to post the activity plan at the end of the week to ensure that the activity plan is available for the upcoming week. For more information on the requirement per each domain review Child Care Rules: 10A NCAC 09 .0508. Staff Record Requirements/Training/Forms A violation was cited today for the medical statement and unsigned shaken baby head trauma policy. Today we talked about using the checklist on our website. This would help identify any missing documents/forms. *Refer to 10A NCAC 09 .0701 Health Standards for Child Care Providers, Substitute Providers, Volunteers, and Uncompensated for information regarding medical statements, health questionnaires, and emergency information. Also review, DCDEE website https://ncchildcare.ncdhhs.gov/ for pertinent information regarding new rule requirements for medical statements. Medical Statements are required before the staff member’s date of hire and a signed shaken baby head trauma policy is required to be signed prior to caring for children. Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/, under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ . My mailing address is: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 4/25/2025 Number Present: 14 Completed Date: 4/25/2025 Age: From 0 To 4 Total Minutes: 220 Time In: 09:00 AM Time Out: 11:40 AM Time In: 12:30 PM Time Out: 01:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training . The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 85%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed February 11, 2025. Fire Classification of Approved completed April 09, 2025. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. In Space #2, the children were observed building with the Legos, pushing cars, pushing a grocery cart, playing with dinosaurs, and soft toys. In Space #4, the children were observed playing with musical shakers, soft books, and musical toys. A violation was observed in both Space #2 and Space #4, for activity plans. In addition, two violations were observed for staff records. Toileting and handwashing routines were observed. Lunch served was turkey, pork with beans, pears, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #1 and Space #2. This was corrected when the staff member posted a current activity plan. GS 110-91(12); .0508(a) 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. A medical report was not on file prior to employment for one staff member. 10A NCAC 09 .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. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not signed and on file. .0608(d)(1-4) 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. The violation observed and documented today may impact the compliance history score. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 9, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders : Activity Plan: A violation was cited because there was not a current activity plan posted. Activity plans will need to be completed monthly and posted for easy reference. The activity plan will need to contain the dates for the weeks assigned. I suggest to have the staff complete the activity plans during their planning period or when children are resting and submitting weekly for approval by the administrator. I also suggested that the staff will need to post the activity plan at the end of the week to ensure that the activity plan is available for the upcoming week. For more information on the requirement per each domain review Child Care Rules: 10A NCAC 09 .0508. Staff Record Requirements/Training/Forms A violation was cited today for the medical statement and unsigned shaken baby head trauma policy. Today we talked about using the checklist on our website. This would help identify any missing documents/forms. *Refer to 10A NCAC 09 .0701 Health Standards for Child Care Providers, Substitute Providers, Volunteers, and Uncompensated for information regarding medical statements, health questionnaires, and emergency information. Also review, DCDEE website https://ncchildcare.ncdhhs.gov/ for pertinent information regarding new rule requirements for medical statements. Medical Statements are required before the staff member’s date of hire and a signed shaken baby head trauma policy is required to be signed prior to caring for children. Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/, under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ . My mailing address is: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 11 Completed Date: 11/13/2024 Age: From 0 To 3 Total Minutes: 160 Time In: 02:00 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an administrative action follow-up visit. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 87%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed June 24, 2024. Fire Classification of Approved completed May 07, 2024. Upon arrival, I was greeted by one of the staff members. Mr. Rogers arrived at approximately 2:30 pm. In Space #4, one infant was observed sleeping in an infant swing, one infant was awake in their crib, one child was sleeping in their crib, two children were awake in their crib, and six children were observed awake on their mat. The six children that were lying awake on their mat were redirected outdoors to play. Violations were observed for the following: staff to child ratios, grouping of children, infant sleep, and infant safe sleep. In Space #2, the children were observed playing outdoors. The snack served was blueberry muffin and milk. During today’s visit for the Administrative Action (AA) Three Month Written Warning was reviewed. The facility was issued the administrative action dated September 04, 2024. The action was received on September 09, 2024. The action was placed near the entrance of the facility. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. There were eleven children with one caregiver. The ages of the children were infant through three years of age. This was corrected when another caregiver assisted in the classroom. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. The children under one year of age were not kept separate from children two years and older. This was corrected when another caregiver redirected the children two years and older outdoors. 10A NCAC 09 .0713(a)(5) 871 Center staff did not comply with the safe sleep policy. There was one infant sleeping with a blanket. The child was sleeping in an infant swing. This was corrected when the caregiver removed the blanket from the sleeping infant and held the child. 10A NCAC 09 .0606(a) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. There was one infant under the age of 12 months that was observed sleeping in an infant swing. This was corrected when the caregiver removed the infant from the infant swing and held the infant. .0606(a)(1)(A-B) required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact the compliance history score. The violation observed and documented today were corrected during today’s visit. A compliance letter was not required. Facility Specific TA/Consultation/Reminders : Staff/Child Ratios/Grouping: A violation was observed for Staff/Child Ratio and Grouping of Children today. Upon my arrival, there was a brief wait at the door. The teacher responsible for a group of children left the children in the classroom (Space #4) to open the door. During my walk-through, it was determined that children over the age of 2 years of age were grouped with infants under the age of 1 year of age. The staff member opened the door for me leaving one caregiver with a group of eleven children. I did inform Mr. Rogers that children over the age of 2 years old could not be grouped with children under the age of one year. It was also stated that one teacher left the classroom prior to my arrival to change their soiled clothing. I suggest purchasing adult smocks to cover the staff members’ clothing. This will help prevent the clothes from being soiled. I also suggested that the staff members should have taken all of the children with them to open the door. At the time, all of the children that were sleeping on their cots were awake. Refer to Child Care Rule 10A NCAC 09 .0713 (a). We discussed strategies for maintaining compliance. Safe Sleep Policy/Infant Sleep Device: A violation was cited today for safe sleep policy. The facility did not comply with the safe sleep policy. The infant children should not be given a blanket to sleep with. In addition, the infants would need to be removed from the infant swing and placed in their crib. Today, I observed five empty cribs with the mattress placed upright with no bedding on the mattress, this included the infant’s crib of the infant child that was placed in the infant swing for sleeping. It was evident that the infant did not have their crib ready for sleep. The infant was sleeping and to reduce the risk of SIDS, (sudden infant death syndrome), it is important to make sure that infants are moved to their cribs for sleeping. This was corrected during today’s visit. Refer to Child Care Rules 10A NCAC 09 .0606. Administrator Action The administrative action and cover letter dated September 04, 2024, was hand delivered on September 09, 2024. As a reminder, the administrator action will need to remain posted for three months and until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Administrative Action Timeline: Today, we reviewed the action and talked about the remaining deadlines. In Stipulation #2, the required items were reviewed. On September 18, 2024, Ms. Blackmon completed the training, and Mr. Rogers emailed the required items from the training on September 24, 2024. Mr. Rogers submitted copies of all documents required and received for that visit. In addition, during today’s visit, the documents were on file for review. In Stipulation #3, the written plan was received on September 25, 2024, and on October 2, 2024, the written plan was approved. In Stipulation #5, the training was completed with Ms. Jett for October 26, 2024. The attendance roster was submitted by email and the required documents (activity plans) were submitted. The required items in Stipulation #5 and #6 were completed. The staff meeting was conducted on November 5, 2024, and the inventory was submitted by email on November 12, 2024, for review. On October 16, 2024, we reviewed the Nutrition guidelines in the Child Care Rules and USDA website. The written policies and procedures for the meal planning requirements were submitted on October 17, 2024. On October 25, 2024, the written policies and procedures were approved. The requirements for Stipulation #8 were completed on November 5, 2024. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-22.44 if you have any questions, comments, or concerns. 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 .0713 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 11 Completed Date: 11/13/2024 Age: From 0 To 3 Total Minutes: 160 Time In: 02:00 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an administrative action follow-up visit. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 87%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed June 24, 2024. Fire Classification of Approved completed May 07, 2024. Upon arrival, I was greeted by one of the staff members. Mr. Rogers arrived at approximately 2:30 pm. In Space #4, one infant was observed sleeping in an infant swing, one infant was awake in their crib, one child was sleeping in their crib, two children were awake in their crib, and six children were observed awake on their mat. The six children that were lying awake on their mat were redirected outdoors to play. Violations were observed for the following: staff to child ratios, grouping of children, infant sleep, and infant safe sleep. In Space #2, the children were observed playing outdoors. The snack served was blueberry muffin and milk. During today’s visit for the Administrative Action (AA) Three Month Written Warning was reviewed. The facility was issued the administrative action dated September 04, 2024. The action was received on September 09, 2024. The action was placed near the entrance of the facility. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. There were eleven children with one caregiver. The ages of the children were infant through three years of age. This was corrected when another caregiver assisted in the classroom. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. The children under one year of age were not kept separate from children two years and older. This was corrected when another caregiver redirected the children two years and older outdoors. 10A NCAC 09 .0713(a)(5) 871 Center staff did not comply with the safe sleep policy. There was one infant sleeping with a blanket. The child was sleeping in an infant swing. This was corrected when the caregiver removed the blanket from the sleeping infant and held the child. 10A NCAC 09 .0606(a) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. There was one infant under the age of 12 months that was observed sleeping in an infant swing. This was corrected when the caregiver removed the infant from the infant swing and held the infant. .0606(a)(1)(A-B) required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact the compliance history score. The violation observed and documented today were corrected during today’s visit. A compliance letter was not required. Facility Specific TA/Consultation/Reminders : Staff/Child Ratios/Grouping: A violation was observed for Staff/Child Ratio and Grouping of Children today. Upon my arrival, there was a brief wait at the door. The teacher responsible for a group of children left the children in the classroom (Space #4) to open the door. During my walk-through, it was determined that children over the age of 2 years of age were grouped with infants under the age of 1 year of age. The staff member opened the door for me leaving one caregiver with a group of eleven children. I did inform Mr. Rogers that children over the age of 2 years old could not be grouped with children under the age of one year. It was also stated that one teacher left the classroom prior to my arrival to change their soiled clothing. I suggest purchasing adult smocks to cover the staff members’ clothing. This will help prevent the clothes from being soiled. I also suggested that the staff members should have taken all of the children with them to open the door. At the time, all of the children that were sleeping on their cots were awake. Refer to Child Care Rule 10A NCAC 09 .0713 (a). We discussed strategies for maintaining compliance. Safe Sleep Policy/Infant Sleep Device: A violation was cited today for safe sleep policy. The facility did not comply with the safe sleep policy. The infant children should not be given a blanket to sleep with. In addition, the infants would need to be removed from the infant swing and placed in their crib. Today, I observed five empty cribs with the mattress placed upright with no bedding on the mattress, this included the infant’s crib of the infant child that was placed in the infant swing for sleeping. It was evident that the infant did not have their crib ready for sleep. The infant was sleeping and to reduce the risk of SIDS, (sudden infant death syndrome), it is important to make sure that infants are moved to their cribs for sleeping. This was corrected during today’s visit. Refer to Child Care Rules 10A NCAC 09 .0606. Administrator Action The administrative action and cover letter dated September 04, 2024, was hand delivered on September 09, 2024. As a reminder, the administrator action will need to remain posted for three months and until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Administrative Action Timeline: Today, we reviewed the action and talked about the remaining deadlines. In Stipulation #2, the required items were reviewed. On September 18, 2024, Ms. Blackmon completed the training, and Mr. Rogers emailed the required items from the training on September 24, 2024. Mr. Rogers submitted copies of all documents required and received for that visit. In addition, during today’s visit, the documents were on file for review. In Stipulation #3, the written plan was received on September 25, 2024, and on October 2, 2024, the written plan was approved. In Stipulation #5, the training was completed with Ms. Jett for October 26, 2024. The attendance roster was submitted by email and the required documents (activity plans) were submitted. The required items in Stipulation #5 and #6 were completed. The staff meeting was conducted on November 5, 2024, and the inventory was submitted by email on November 12, 2024, for review. On October 16, 2024, we reviewed the Nutrition guidelines in the Child Care Rules and USDA website. The written policies and procedures for the meal planning requirements were submitted on October 17, 2024. On October 25, 2024, the written policies and procedures were approved. The requirements for Stipulation #8 were completed on November 5, 2024. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-22.44 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2201 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 11 Completed Date: 11/13/2024 Age: From 0 To 3 Total Minutes: 160 Time In: 02:00 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an administrative action follow-up visit. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 87%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed June 24, 2024. Fire Classification of Approved completed May 07, 2024. Upon arrival, I was greeted by one of the staff members. Mr. Rogers arrived at approximately 2:30 pm. In Space #4, one infant was observed sleeping in an infant swing, one infant was awake in their crib, one child was sleeping in their crib, two children were awake in their crib, and six children were observed awake on their mat. The six children that were lying awake on their mat were redirected outdoors to play. Violations were observed for the following: staff to child ratios, grouping of children, infant sleep, and infant safe sleep. In Space #2, the children were observed playing outdoors. The snack served was blueberry muffin and milk. During today’s visit for the Administrative Action (AA) Three Month Written Warning was reviewed. The facility was issued the administrative action dated September 04, 2024. The action was received on September 09, 2024. The action was placed near the entrance of the facility. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. There were eleven children with one caregiver. The ages of the children were infant through three years of age. This was corrected when another caregiver assisted in the classroom. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. The children under one year of age were not kept separate from children two years and older. This was corrected when another caregiver redirected the children two years and older outdoors. 10A NCAC 09 .0713(a)(5) 871 Center staff did not comply with the safe sleep policy. There was one infant sleeping with a blanket. The child was sleeping in an infant swing. This was corrected when the caregiver removed the blanket from the sleeping infant and held the child. 10A NCAC 09 .0606(a) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. There was one infant under the age of 12 months that was observed sleeping in an infant swing. This was corrected when the caregiver removed the infant from the infant swing and held the infant. .0606(a)(1)(A-B) required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact the compliance history score. The violation observed and documented today were corrected during today’s visit. A compliance letter was not required. Facility Specific TA/Consultation/Reminders : Staff/Child Ratios/Grouping: A violation was observed for Staff/Child Ratio and Grouping of Children today. Upon my arrival, there was a brief wait at the door. The teacher responsible for a group of children left the children in the classroom (Space #4) to open the door. During my walk-through, it was determined that children over the age of 2 years of age were grouped with infants under the age of 1 year of age. The staff member opened the door for me leaving one caregiver with a group of eleven children. I did inform Mr. Rogers that children over the age of 2 years old could not be grouped with children under the age of one year. It was also stated that one teacher left the classroom prior to my arrival to change their soiled clothing. I suggest purchasing adult smocks to cover the staff members’ clothing. This will help prevent the clothes from being soiled. I also suggested that the staff members should have taken all of the children with them to open the door. At the time, all of the children that were sleeping on their cots were awake. Refer to Child Care Rule 10A NCAC 09 .0713 (a). We discussed strategies for maintaining compliance. Safe Sleep Policy/Infant Sleep Device: A violation was cited today for safe sleep policy. The facility did not comply with the safe sleep policy. The infant children should not be given a blanket to sleep with. In addition, the infants would need to be removed from the infant swing and placed in their crib. Today, I observed five empty cribs with the mattress placed upright with no bedding on the mattress, this included the infant’s crib of the infant child that was placed in the infant swing for sleeping. It was evident that the infant did not have their crib ready for sleep. The infant was sleeping and to reduce the risk of SIDS, (sudden infant death syndrome), it is important to make sure that infants are moved to their cribs for sleeping. This was corrected during today’s visit. Refer to Child Care Rules 10A NCAC 09 .0606. Administrator Action The administrative action and cover letter dated September 04, 2024, was hand delivered on September 09, 2024. As a reminder, the administrator action will need to remain posted for three months and until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Administrative Action Timeline: Today, we reviewed the action and talked about the remaining deadlines. In Stipulation #2, the required items were reviewed. On September 18, 2024, Ms. Blackmon completed the training, and Mr. Rogers emailed the required items from the training on September 24, 2024. Mr. Rogers submitted copies of all documents required and received for that visit. In addition, during today’s visit, the documents were on file for review. In Stipulation #3, the written plan was received on September 25, 2024, and on October 2, 2024, the written plan was approved. In Stipulation #5, the training was completed with Ms. Jett for October 26, 2024. The attendance roster was submitted by email and the required documents (activity plans) were submitted. The required items in Stipulation #5 and #6 were completed. The staff meeting was conducted on November 5, 2024, and the inventory was submitted by email on November 12, 2024, for review. On October 16, 2024, we reviewed the Nutrition guidelines in the Child Care Rules and USDA website. The written policies and procedures for the meal planning requirements were submitted on October 17, 2024. On October 25, 2024, the written policies and procedures were approved. The requirements for Stipulation #8 were completed on November 5, 2024. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-22.44 if you have any questions, comments, or concerns. 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 110-91 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 11 Completed Date: 11/13/2024 Age: From 0 To 3 Total Minutes: 160 Time In: 02:00 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an administrative action follow-up visit. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 87%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed June 24, 2024. Fire Classification of Approved completed May 07, 2024. Upon arrival, I was greeted by one of the staff members. Mr. Rogers arrived at approximately 2:30 pm. In Space #4, one infant was observed sleeping in an infant swing, one infant was awake in their crib, one child was sleeping in their crib, two children were awake in their crib, and six children were observed awake on their mat. The six children that were lying awake on their mat were redirected outdoors to play. Violations were observed for the following: staff to child ratios, grouping of children, infant sleep, and infant safe sleep. In Space #2, the children were observed playing outdoors. The snack served was blueberry muffin and milk. During today’s visit for the Administrative Action (AA) Three Month Written Warning was reviewed. The facility was issued the administrative action dated September 04, 2024. The action was received on September 09, 2024. The action was placed near the entrance of the facility. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. There were eleven children with one caregiver. The ages of the children were infant through three years of age. This was corrected when another caregiver assisted in the classroom. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. The children under one year of age were not kept separate from children two years and older. This was corrected when another caregiver redirected the children two years and older outdoors. 10A NCAC 09 .0713(a)(5) 871 Center staff did not comply with the safe sleep policy. There was one infant sleeping with a blanket. The child was sleeping in an infant swing. This was corrected when the caregiver removed the blanket from the sleeping infant and held the child. 10A NCAC 09 .0606(a) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. There was one infant under the age of 12 months that was observed sleeping in an infant swing. This was corrected when the caregiver removed the infant from the infant swing and held the infant. .0606(a)(1)(A-B) required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact the compliance history score. The violation observed and documented today were corrected during today’s visit. A compliance letter was not required. Facility Specific TA/Consultation/Reminders : Staff/Child Ratios/Grouping: A violation was observed for Staff/Child Ratio and Grouping of Children today. Upon my arrival, there was a brief wait at the door. The teacher responsible for a group of children left the children in the classroom (Space #4) to open the door. During my walk-through, it was determined that children over the age of 2 years of age were grouped with infants under the age of 1 year of age. The staff member opened the door for me leaving one caregiver with a group of eleven children. I did inform Mr. Rogers that children over the age of 2 years old could not be grouped with children under the age of one year. It was also stated that one teacher left the classroom prior to my arrival to change their soiled clothing. I suggest purchasing adult smocks to cover the staff members’ clothing. This will help prevent the clothes from being soiled. I also suggested that the staff members should have taken all of the children with them to open the door. At the time, all of the children that were sleeping on their cots were awake. Refer to Child Care Rule 10A NCAC 09 .0713 (a). We discussed strategies for maintaining compliance. Safe Sleep Policy/Infant Sleep Device: A violation was cited today for safe sleep policy. The facility did not comply with the safe sleep policy. The infant children should not be given a blanket to sleep with. In addition, the infants would need to be removed from the infant swing and placed in their crib. Today, I observed five empty cribs with the mattress placed upright with no bedding on the mattress, this included the infant’s crib of the infant child that was placed in the infant swing for sleeping. It was evident that the infant did not have their crib ready for sleep. The infant was sleeping and to reduce the risk of SIDS, (sudden infant death syndrome), it is important to make sure that infants are moved to their cribs for sleeping. This was corrected during today’s visit. Refer to Child Care Rules 10A NCAC 09 .0606. Administrator Action The administrative action and cover letter dated September 04, 2024, was hand delivered on September 09, 2024. As a reminder, the administrator action will need to remain posted for three months and until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Administrative Action Timeline: Today, we reviewed the action and talked about the remaining deadlines. In Stipulation #2, the required items were reviewed. On September 18, 2024, Ms. Blackmon completed the training, and Mr. Rogers emailed the required items from the training on September 24, 2024. Mr. Rogers submitted copies of all documents required and received for that visit. In addition, during today’s visit, the documents were on file for review. In Stipulation #3, the written plan was received on September 25, 2024, and on October 2, 2024, the written plan was approved. In Stipulation #5, the training was completed with Ms. Jett for October 26, 2024. The attendance roster was submitted by email and the required documents (activity plans) were submitted. The required items in Stipulation #5 and #6 were completed. The staff meeting was conducted on November 5, 2024, and the inventory was submitted by email on November 12, 2024, for review. On October 16, 2024, we reviewed the Nutrition guidelines in the Child Care Rules and USDA website. The written policies and procedures for the meal planning requirements were submitted on October 17, 2024. On October 25, 2024, the written policies and procedures were approved. The requirements for Stipulation #8 were completed on November 5, 2024. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-22.44 if you have any questions, comments, or concerns. 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: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 11 Completed Date: 11/13/2024 Age: From 0 To 3 Total Minutes: 160 Time In: 02:00 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an administrative action follow-up visit. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 87%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed June 24, 2024. Fire Classification of Approved completed May 07, 2024. Upon arrival, I was greeted by one of the staff members. Mr. Rogers arrived at approximately 2:30 pm. In Space #4, one infant was observed sleeping in an infant swing, one infant was awake in their crib, one child was sleeping in their crib, two children were awake in their crib, and six children were observed awake on their mat. The six children that were lying awake on their mat were redirected outdoors to play. Violations were observed for the following: staff to child ratios, grouping of children, infant sleep, and infant safe sleep. In Space #2, the children were observed playing outdoors. The snack served was blueberry muffin and milk. During today’s visit for the Administrative Action (AA) Three Month Written Warning was reviewed. The facility was issued the administrative action dated September 04, 2024. The action was received on September 09, 2024. The action was placed near the entrance of the facility. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. There were eleven children with one caregiver. The ages of the children were infant through three years of age. This was corrected when another caregiver assisted in the classroom. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. The children under one year of age were not kept separate from children two years and older. This was corrected when another caregiver redirected the children two years and older outdoors. 10A NCAC 09 .0713(a)(5) 871 Center staff did not comply with the safe sleep policy. There was one infant sleeping with a blanket. The child was sleeping in an infant swing. This was corrected when the caregiver removed the blanket from the sleeping infant and held the child. 10A NCAC 09 .0606(a) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. There was one infant under the age of 12 months that was observed sleeping in an infant swing. This was corrected when the caregiver removed the infant from the infant swing and held the infant. .0606(a)(1)(A-B) required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact the compliance history score. The violation observed and documented today were corrected during today’s visit. A compliance letter was not required. Facility Specific TA/Consultation/Reminders : Staff/Child Ratios/Grouping: A violation was observed for Staff/Child Ratio and Grouping of Children today. Upon my arrival, there was a brief wait at the door. The teacher responsible for a group of children left the children in the classroom (Space #4) to open the door. During my walk-through, it was determined that children over the age of 2 years of age were grouped with infants under the age of 1 year of age. The staff member opened the door for me leaving one caregiver with a group of eleven children. I did inform Mr. Rogers that children over the age of 2 years old could not be grouped with children under the age of one year. It was also stated that one teacher left the classroom prior to my arrival to change their soiled clothing. I suggest purchasing adult smocks to cover the staff members’ clothing. This will help prevent the clothes from being soiled. I also suggested that the staff members should have taken all of the children with them to open the door. At the time, all of the children that were sleeping on their cots were awake. Refer to Child Care Rule 10A NCAC 09 .0713 (a). We discussed strategies for maintaining compliance. Safe Sleep Policy/Infant Sleep Device: A violation was cited today for safe sleep policy. The facility did not comply with the safe sleep policy. The infant children should not be given a blanket to sleep with. In addition, the infants would need to be removed from the infant swing and placed in their crib. Today, I observed five empty cribs with the mattress placed upright with no bedding on the mattress, this included the infant’s crib of the infant child that was placed in the infant swing for sleeping. It was evident that the infant did not have their crib ready for sleep. The infant was sleeping and to reduce the risk of SIDS, (sudden infant death syndrome), it is important to make sure that infants are moved to their cribs for sleeping. This was corrected during today’s visit. Refer to Child Care Rules 10A NCAC 09 .0606. Administrator Action The administrative action and cover letter dated September 04, 2024, was hand delivered on September 09, 2024. As a reminder, the administrator action will need to remain posted for three months and until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Administrative Action Timeline: Today, we reviewed the action and talked about the remaining deadlines. In Stipulation #2, the required items were reviewed. On September 18, 2024, Ms. Blackmon completed the training, and Mr. Rogers emailed the required items from the training on September 24, 2024. Mr. Rogers submitted copies of all documents required and received for that visit. In addition, during today’s visit, the documents were on file for review. In Stipulation #3, the written plan was received on September 25, 2024, and on October 2, 2024, the written plan was approved. In Stipulation #5, the training was completed with Ms. Jett for October 26, 2024. The attendance roster was submitted by email and the required documents (activity plans) were submitted. The required items in Stipulation #5 and #6 were completed. The staff meeting was conducted on November 5, 2024, and the inventory was submitted by email on November 12, 2024, for review. On October 16, 2024, we reviewed the Nutrition guidelines in the Child Care Rules and USDA website. The written policies and procedures for the meal planning requirements were submitted on October 17, 2024. On October 25, 2024, the written policies and procedures were approved. The requirements for Stipulation #8 were completed on November 5, 2024. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-22.44 if you have any questions, comments, or concerns. 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: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 10/21/2024 Number Present: 16 Completed Date: 10/21/2024 Age: From 0 To 7 Total Minutes: 145 Time In: 01:15 PM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an unannounced visit follow-up visit. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 85%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed June 24, 2024. Fire Classification of Approved completed May 07, 2024. Mr. Rogers was present and assisted me while observing the indoor areas. In Space #2, the children observed building with the Legos and pushing cars. In Space #4, there was one child awake in their crib, one child was sitting in an infant seat, and four children were observed walking around exploring their space. The children played with the blocks and the shakers. A violation was observed today for staff records. Lunch served was cinnamon muffin, apples, and milk. On October 16, 2024, a violation was observed for Staff to Child Ratios. Today’s visit was to verify compliance. Classroom observations were conducted to ensure that all classrooms are meeting the required staff to child ratio. All classrooms were following staff to child ratios. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violation was observed: Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The staff records were not available for review. The staff members date of hire was October 21, 2024. G.S. 110-91( 9) 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. The violation observed and documented today may impact the compliance history score. The violation observed and documented today must be corrected immediately. Additionally, by 5:00pm on November 4, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Staff Files: A violation was cited today, because the new staff file was not available for review. The staff member stated that the required forms were completed and given to the administrator. During today’s visit, it was stated that the area was locked and unable to be accessed due to misplacement of key. Today, the only forms that were available for review were the following: Qualification Letter, TB Test, and Health Questionnaire. The administrator stated the other forms were completed but not available for review. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also lists timeframes for other required documents. This helps to determine if all items are on file and available for review. It is important to make sure the files are always accessible. In addition, make sure that you have the most recent Staff File Checklist for Centers. The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. A blank copy of the Staff File Checklist can be located by visiting https://ncchildcare.ncdhhs.gov, The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and10A NCAC 09 .2408 for more information regarding this rule requirement. Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-22.44 if you have any questions, comments, or concerns. 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 .0704 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 10/21/2024 Number Present: 16 Completed Date: 10/21/2024 Age: From 0 To 7 Total Minutes: 145 Time In: 01:15 PM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an unannounced visit follow-up visit. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 85%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed June 24, 2024. Fire Classification of Approved completed May 07, 2024. Mr. Rogers was present and assisted me while observing the indoor areas. In Space #2, the children observed building with the Legos and pushing cars. In Space #4, there was one child awake in their crib, one child was sitting in an infant seat, and four children were observed walking around exploring their space. The children played with the blocks and the shakers. A violation was observed today for staff records. Lunch served was cinnamon muffin, apples, and milk. On October 16, 2024, a violation was observed for Staff to Child Ratios. Today’s visit was to verify compliance. Classroom observations were conducted to ensure that all classrooms are meeting the required staff to child ratio. All classrooms were following staff to child ratios. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violation was observed: Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The staff records were not available for review. The staff members date of hire was October 21, 2024. G.S. 110-91( 9) 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. The violation observed and documented today may impact the compliance history score. The violation observed and documented today must be corrected immediately. Additionally, by 5:00pm on November 4, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Staff Files: A violation was cited today, because the new staff file was not available for review. The staff member stated that the required forms were completed and given to the administrator. During today’s visit, it was stated that the area was locked and unable to be accessed due to misplacement of key. Today, the only forms that were available for review were the following: Qualification Letter, TB Test, and Health Questionnaire. The administrator stated the other forms were completed but not available for review. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also lists timeframes for other required documents. This helps to determine if all items are on file and available for review. It is important to make sure the files are always accessible. In addition, make sure that you have the most recent Staff File Checklist for Centers. The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. A blank copy of the Staff File Checklist can be located by visiting https://ncchildcare.ncdhhs.gov, The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and10A NCAC 09 .2408 for more information regarding this rule requirement. Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-22.44 if you have any questions, comments, or concerns. 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 .2408 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 10/21/2024 Number Present: 16 Completed Date: 10/21/2024 Age: From 0 To 7 Total Minutes: 145 Time In: 01:15 PM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an unannounced visit follow-up visit. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 85%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed June 24, 2024. Fire Classification of Approved completed May 07, 2024. Mr. Rogers was present and assisted me while observing the indoor areas. In Space #2, the children observed building with the Legos and pushing cars. In Space #4, there was one child awake in their crib, one child was sitting in an infant seat, and four children were observed walking around exploring their space. The children played with the blocks and the shakers. A violation was observed today for staff records. Lunch served was cinnamon muffin, apples, and milk. On October 16, 2024, a violation was observed for Staff to Child Ratios. Today’s visit was to verify compliance. Classroom observations were conducted to ensure that all classrooms are meeting the required staff to child ratio. All classrooms were following staff to child ratios. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violation was observed: Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The staff records were not available for review. The staff members date of hire was October 21, 2024. G.S. 110-91( 9) 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. The violation observed and documented today may impact the compliance history score. The violation observed and documented today must be corrected immediately. Additionally, by 5:00pm on November 4, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Staff Files: A violation was cited today, because the new staff file was not available for review. The staff member stated that the required forms were completed and given to the administrator. During today’s visit, it was stated that the area was locked and unable to be accessed due to misplacement of key. Today, the only forms that were available for review were the following: Qualification Letter, TB Test, and Health Questionnaire. The administrator stated the other forms were completed but not available for review. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also lists timeframes for other required documents. This helps to determine if all items are on file and available for review. It is important to make sure the files are always accessible. In addition, make sure that you have the most recent Staff File Checklist for Centers. The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. A blank copy of the Staff File Checklist can be located by visiting https://ncchildcare.ncdhhs.gov, The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and10A NCAC 09 .2408 for more information regarding this rule requirement. Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-22.44 if you have any questions, comments, or concerns. 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: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 10/21/2024 Number Present: 16 Completed Date: 10/21/2024 Age: From 0 To 7 Total Minutes: 145 Time In: 01:15 PM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an unannounced visit follow-up visit. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 85%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed June 24, 2024. Fire Classification of Approved completed May 07, 2024. Mr. Rogers was present and assisted me while observing the indoor areas. In Space #2, the children observed building with the Legos and pushing cars. In Space #4, there was one child awake in their crib, one child was sitting in an infant seat, and four children were observed walking around exploring their space. The children played with the blocks and the shakers. A violation was observed today for staff records. Lunch served was cinnamon muffin, apples, and milk. On October 16, 2024, a violation was observed for Staff to Child Ratios. Today’s visit was to verify compliance. Classroom observations were conducted to ensure that all classrooms are meeting the required staff to child ratio. All classrooms were following staff to child ratios. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violation was observed: Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The staff records were not available for review. The staff members date of hire was October 21, 2024. G.S. 110-91( 9) 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. The violation observed and documented today may impact the compliance history score. The violation observed and documented today must be corrected immediately. Additionally, by 5:00pm on November 4, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Staff Files: A violation was cited today, because the new staff file was not available for review. The staff member stated that the required forms were completed and given to the administrator. During today’s visit, it was stated that the area was locked and unable to be accessed due to misplacement of key. Today, the only forms that were available for review were the following: Qualification Letter, TB Test, and Health Questionnaire. The administrator stated the other forms were completed but not available for review. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also lists timeframes for other required documents. This helps to determine if all items are on file and available for review. It is important to make sure the files are always accessible. In addition, make sure that you have the most recent Staff File Checklist for Centers. The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. A blank copy of the Staff File Checklist can be located by visiting https://ncchildcare.ncdhhs.gov, The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and10A NCAC 09 .2408 for more information regarding this rule requirement. Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-22.44 if you have any questions, comments, or concerns. 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: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 10/21/2024 Number Present: 16 Completed Date: 10/21/2024 Age: From 0 To 7 Total Minutes: 145 Time In: 01:15 PM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an unannounced visit follow-up visit. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 85%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed June 24, 2024. Fire Classification of Approved completed May 07, 2024. Mr. Rogers was present and assisted me while observing the indoor areas. In Space #2, the children observed building with the Legos and pushing cars. In Space #4, there was one child awake in their crib, one child was sitting in an infant seat, and four children were observed walking around exploring their space. The children played with the blocks and the shakers. A violation was observed today for staff records. Lunch served was cinnamon muffin, apples, and milk. On October 16, 2024, a violation was observed for Staff to Child Ratios. Today’s visit was to verify compliance. Classroom observations were conducted to ensure that all classrooms are meeting the required staff to child ratio. All classrooms were following staff to child ratios. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violation was observed: Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The staff records were not available for review. The staff members date of hire was October 21, 2024. G.S. 110-91( 9) 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. The violation observed and documented today may impact the compliance history score. The violation observed and documented today must be corrected immediately. Additionally, by 5:00pm on November 4, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Staff Files: A violation was cited today, because the new staff file was not available for review. The staff member stated that the required forms were completed and given to the administrator. During today’s visit, it was stated that the area was locked and unable to be accessed due to misplacement of key. Today, the only forms that were available for review were the following: Qualification Letter, TB Test, and Health Questionnaire. The administrator stated the other forms were completed but not available for review. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also lists timeframes for other required documents. This helps to determine if all items are on file and available for review. It is important to make sure the files are always accessible. In addition, make sure that you have the most recent Staff File Checklist for Centers. The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. A blank copy of the Staff File Checklist can be located by visiting https://ncchildcare.ncdhhs.gov, The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and10A NCAC 09 .2408 for more information regarding this rule requirement. Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-22.44 if you have any questions, comments, or concerns. 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 .0901 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 10/16/2024 Number Present: 12 Completed Date: 10/16/2024 Age: From 0 To 3 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. In addition, requirements for the administrative action were monitored today. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 85%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed June 24, 2024. Fire Classification of Approved completed May 07, 2024. Mr. Rogers was present and assisted me while observing the indoor areas. In Space #2, the children observed building with the Legos and pushing cars. In Space #4, there were two children awake in their crib, one child was sleeping, and three children were observed reading books, shakers, and playing with musical toys. A violation was observed today for staff to child ratios and storage of hazardous items. Lunch served was ham, cheese, peas, oranges, bread, and milk. During today’s visit for the Administrative Action (AA) Three Month Written Warning was reviewed. The facility was issued the administrative action dated September 04, 2024. The action was received on September 09, 2024. The action was placed near the entrance of the facility. During today’s visit, the stipulations were reviewed with Mr. and Ms. Gloria Rogers, Administrator, and the requirements were reviewed. The most recent fire drill was completed on October 01, 2024, and the most recent shelter in place drill was completed August 1, 2024. The most current monthly outdoor inspection was completed on October 01, 2024. At the completion of the visit, the Visit Summary was reviewed with Ms. Delaine. The following violations were observed: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In Space #4, the staff/child ratios were not maintained. There were six children present in the classroom with one caregiver. The ages of the children were infant through one year of age. This was corrected when another staff member came into the classroom to attend to the children. GS 110-91(7);.0713(a-d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #4, there were three aerosol cans of Lysol stored in an unlocked cabinet, greater than 5 feet from the floor. This was corrected when the staff member removed the items and placed in a locked cabinet outside of the classroom. .2820(b) 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. The violation observed and documented today may impact the compliance history score. The violation observed and documented today were corrected during today’s visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders: Administrator Action The administrative action and cover letter dated September 04, 2024, was hand delivered on September 09, 2024. As a reminder, the administrator action will need to remain posted for three months and until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Administrative Action Timeline: Today, we reviewed the action and talked about the remaining deadlines. In Stipulation #2, the required items were reviewed. On September 18, 2024, Ms. Blackmon completed the training, and Mr. Rogers emailed the required items from the training on September 24, 2024. Mr. Rogers submitted copies of all documents required and received for that visit. In addition, during today’s visit, the documents were on file for review. In Stipulation #3, the written plan was received on September 25, 2024, and on October 2, 2024, the written plan was approved. In Stipulation #5, Mr. Rogers stated that a training is scheduled with Ms. Jett for October 26, 2024. This is a reminder once you complete the training with Ms. Jett, you will have two weeks (November 9, 2024), to complete the required items in Stipulation #5 and #6. Once those items are completed, you will need to send me a copy of the inventory worksheet and the activity plans for review. During today’s visit, October 16, 2024, we reviewed the Nutrition guidelines in the Child Care Rules and USDA website. The written policies and procedures for the meal planning requirements will be due on or before October 22, 2024. The website for reference will be https://www.fns.usda.gov/cacfp/nutrition-standards, Refer to the action for further details for contact information and requirements and review the nutrition guidelines in the Child Care Rules. Today, I printed the pages in reference to the nutrition guidelines. Refer to 10A NCAC 09 .0901 for Nutrition Standards. Once I receive the written policies and procedures for meal planning, Stipulation #8 will be required within two weeks after receipt of approved policies and procedures. Observation: During today’s visit in the preschool classroom, the caregiver talked to the children about the different Legos. The children build with Legos and the children pushed the cars on the floor. When expanding on activities, it is important to provide books and encourage the use of literature. There can be books about blocks or Legos in the block area. This could help encourage reading in all areas. It is important to make sure that reading is communicated to the children, as exciting and fun. In addition, add books that focus on children’s interest. Talk to the children about the books and provide an activity that correlates with the book. For the infant and toddler classroom, technical assistance was provided to add sensory experiences. The teachers can provide an activity to help the children to feel textures. The children can be provided with a variety of sensory activities. An example of a sensory activity could be finger-painting. Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ Challenging Behaviors: The Challenging Behaviors Hotline has opened. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline DCDEE Website/ My mailing address is: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-22.44 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2201 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 10/16/2024 Number Present: 12 Completed Date: 10/16/2024 Age: From 0 To 3 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. In addition, requirements for the administrative action were monitored today. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 85%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed June 24, 2024. Fire Classification of Approved completed May 07, 2024. Mr. Rogers was present and assisted me while observing the indoor areas. In Space #2, the children observed building with the Legos and pushing cars. In Space #4, there were two children awake in their crib, one child was sleeping, and three children were observed reading books, shakers, and playing with musical toys. A violation was observed today for staff to child ratios and storage of hazardous items. Lunch served was ham, cheese, peas, oranges, bread, and milk. During today’s visit for the Administrative Action (AA) Three Month Written Warning was reviewed. The facility was issued the administrative action dated September 04, 2024. The action was received on September 09, 2024. The action was placed near the entrance of the facility. During today’s visit, the stipulations were reviewed with Mr. and Ms. Gloria Rogers, Administrator, and the requirements were reviewed. The most recent fire drill was completed on October 01, 2024, and the most recent shelter in place drill was completed August 1, 2024. The most current monthly outdoor inspection was completed on October 01, 2024. At the completion of the visit, the Visit Summary was reviewed with Ms. Delaine. The following violations were observed: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In Space #4, the staff/child ratios were not maintained. There were six children present in the classroom with one caregiver. The ages of the children were infant through one year of age. This was corrected when another staff member came into the classroom to attend to the children. GS 110-91(7);.0713(a-d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #4, there were three aerosol cans of Lysol stored in an unlocked cabinet, greater than 5 feet from the floor. This was corrected when the staff member removed the items and placed in a locked cabinet outside of the classroom. .2820(b) 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. The violation observed and documented today may impact the compliance history score. The violation observed and documented today were corrected during today’s visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders: Administrator Action The administrative action and cover letter dated September 04, 2024, was hand delivered on September 09, 2024. As a reminder, the administrator action will need to remain posted for three months and until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Administrative Action Timeline: Today, we reviewed the action and talked about the remaining deadlines. In Stipulation #2, the required items were reviewed. On September 18, 2024, Ms. Blackmon completed the training, and Mr. Rogers emailed the required items from the training on September 24, 2024. Mr. Rogers submitted copies of all documents required and received for that visit. In addition, during today’s visit, the documents were on file for review. In Stipulation #3, the written plan was received on September 25, 2024, and on October 2, 2024, the written plan was approved. In Stipulation #5, Mr. Rogers stated that a training is scheduled with Ms. Jett for October 26, 2024. This is a reminder once you complete the training with Ms. Jett, you will have two weeks (November 9, 2024), to complete the required items in Stipulation #5 and #6. Once those items are completed, you will need to send me a copy of the inventory worksheet and the activity plans for review. During today’s visit, October 16, 2024, we reviewed the Nutrition guidelines in the Child Care Rules and USDA website. The written policies and procedures for the meal planning requirements will be due on or before October 22, 2024. The website for reference will be https://www.fns.usda.gov/cacfp/nutrition-standards, Refer to the action for further details for contact information and requirements and review the nutrition guidelines in the Child Care Rules. Today, I printed the pages in reference to the nutrition guidelines. Refer to 10A NCAC 09 .0901 for Nutrition Standards. Once I receive the written policies and procedures for meal planning, Stipulation #8 will be required within two weeks after receipt of approved policies and procedures. Observation: During today’s visit in the preschool classroom, the caregiver talked to the children about the different Legos. The children build with Legos and the children pushed the cars on the floor. When expanding on activities, it is important to provide books and encourage the use of literature. There can be books about blocks or Legos in the block area. This could help encourage reading in all areas. It is important to make sure that reading is communicated to the children, as exciting and fun. In addition, add books that focus on children’s interest. Talk to the children about the books and provide an activity that correlates with the book. For the infant and toddler classroom, technical assistance was provided to add sensory experiences. The teachers can provide an activity to help the children to feel textures. The children can be provided with a variety of sensory activities. An example of a sensory activity could be finger-painting. Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ Challenging Behaviors: The Challenging Behaviors Hotline has opened. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline DCDEE Website/ My mailing address is: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-22.44 if you have any questions, comments, or concerns. 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 110-91 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 10/16/2024 Number Present: 12 Completed Date: 10/16/2024 Age: From 0 To 3 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. In addition, requirements for the administrative action were monitored today. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 85%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed June 24, 2024. Fire Classification of Approved completed May 07, 2024. Mr. Rogers was present and assisted me while observing the indoor areas. In Space #2, the children observed building with the Legos and pushing cars. In Space #4, there were two children awake in their crib, one child was sleeping, and three children were observed reading books, shakers, and playing with musical toys. A violation was observed today for staff to child ratios and storage of hazardous items. Lunch served was ham, cheese, peas, oranges, bread, and milk. During today’s visit for the Administrative Action (AA) Three Month Written Warning was reviewed. The facility was issued the administrative action dated September 04, 2024. The action was received on September 09, 2024. The action was placed near the entrance of the facility. During today’s visit, the stipulations were reviewed with Mr. and Ms. Gloria Rogers, Administrator, and the requirements were reviewed. The most recent fire drill was completed on October 01, 2024, and the most recent shelter in place drill was completed August 1, 2024. The most current monthly outdoor inspection was completed on October 01, 2024. At the completion of the visit, the Visit Summary was reviewed with Ms. Delaine. The following violations were observed: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In Space #4, the staff/child ratios were not maintained. There were six children present in the classroom with one caregiver. The ages of the children were infant through one year of age. This was corrected when another staff member came into the classroom to attend to the children. GS 110-91(7);.0713(a-d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #4, there were three aerosol cans of Lysol stored in an unlocked cabinet, greater than 5 feet from the floor. This was corrected when the staff member removed the items and placed in a locked cabinet outside of the classroom. .2820(b) 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. The violation observed and documented today may impact the compliance history score. The violation observed and documented today were corrected during today’s visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders: Administrator Action The administrative action and cover letter dated September 04, 2024, was hand delivered on September 09, 2024. As a reminder, the administrator action will need to remain posted for three months and until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Administrative Action Timeline: Today, we reviewed the action and talked about the remaining deadlines. In Stipulation #2, the required items were reviewed. On September 18, 2024, Ms. Blackmon completed the training, and Mr. Rogers emailed the required items from the training on September 24, 2024. Mr. Rogers submitted copies of all documents required and received for that visit. In addition, during today’s visit, the documents were on file for review. In Stipulation #3, the written plan was received on September 25, 2024, and on October 2, 2024, the written plan was approved. In Stipulation #5, Mr. Rogers stated that a training is scheduled with Ms. Jett for October 26, 2024. This is a reminder once you complete the training with Ms. Jett, you will have two weeks (November 9, 2024), to complete the required items in Stipulation #5 and #6. Once those items are completed, you will need to send me a copy of the inventory worksheet and the activity plans for review. During today’s visit, October 16, 2024, we reviewed the Nutrition guidelines in the Child Care Rules and USDA website. The written policies and procedures for the meal planning requirements will be due on or before October 22, 2024. The website for reference will be https://www.fns.usda.gov/cacfp/nutrition-standards, Refer to the action for further details for contact information and requirements and review the nutrition guidelines in the Child Care Rules. Today, I printed the pages in reference to the nutrition guidelines. Refer to 10A NCAC 09 .0901 for Nutrition Standards. Once I receive the written policies and procedures for meal planning, Stipulation #8 will be required within two weeks after receipt of approved policies and procedures. Observation: During today’s visit in the preschool classroom, the caregiver talked to the children about the different Legos. The children build with Legos and the children pushed the cars on the floor. When expanding on activities, it is important to provide books and encourage the use of literature. There can be books about blocks or Legos in the block area. This could help encourage reading in all areas. It is important to make sure that reading is communicated to the children, as exciting and fun. In addition, add books that focus on children’s interest. Talk to the children about the books and provide an activity that correlates with the book. For the infant and toddler classroom, technical assistance was provided to add sensory experiences. The teachers can provide an activity to help the children to feel textures. The children can be provided with a variety of sensory activities. An example of a sensory activity could be finger-painting. Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ Challenging Behaviors: The Challenging Behaviors Hotline has opened. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline DCDEE Website/ My mailing address is: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-22.44 if you have any questions, comments, or concerns. 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: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 10/16/2024 Number Present: 12 Completed Date: 10/16/2024 Age: From 0 To 3 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. In addition, requirements for the administrative action were monitored today. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 85%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed June 24, 2024. Fire Classification of Approved completed May 07, 2024. Mr. Rogers was present and assisted me while observing the indoor areas. In Space #2, the children observed building with the Legos and pushing cars. In Space #4, there were two children awake in their crib, one child was sleeping, and three children were observed reading books, shakers, and playing with musical toys. A violation was observed today for staff to child ratios and storage of hazardous items. Lunch served was ham, cheese, peas, oranges, bread, and milk. During today’s visit for the Administrative Action (AA) Three Month Written Warning was reviewed. The facility was issued the administrative action dated September 04, 2024. The action was received on September 09, 2024. The action was placed near the entrance of the facility. During today’s visit, the stipulations were reviewed with Mr. and Ms. Gloria Rogers, Administrator, and the requirements were reviewed. The most recent fire drill was completed on October 01, 2024, and the most recent shelter in place drill was completed August 1, 2024. The most current monthly outdoor inspection was completed on October 01, 2024. At the completion of the visit, the Visit Summary was reviewed with Ms. Delaine. The following violations were observed: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In Space #4, the staff/child ratios were not maintained. There were six children present in the classroom with one caregiver. The ages of the children were infant through one year of age. This was corrected when another staff member came into the classroom to attend to the children. GS 110-91(7);.0713(a-d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #4, there were three aerosol cans of Lysol stored in an unlocked cabinet, greater than 5 feet from the floor. This was corrected when the staff member removed the items and placed in a locked cabinet outside of the classroom. .2820(b) 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. The violation observed and documented today may impact the compliance history score. The violation observed and documented today were corrected during today’s visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders: Administrator Action The administrative action and cover letter dated September 04, 2024, was hand delivered on September 09, 2024. As a reminder, the administrator action will need to remain posted for three months and until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Administrative Action Timeline: Today, we reviewed the action and talked about the remaining deadlines. In Stipulation #2, the required items were reviewed. On September 18, 2024, Ms. Blackmon completed the training, and Mr. Rogers emailed the required items from the training on September 24, 2024. Mr. Rogers submitted copies of all documents required and received for that visit. In addition, during today’s visit, the documents were on file for review. In Stipulation #3, the written plan was received on September 25, 2024, and on October 2, 2024, the written plan was approved. In Stipulation #5, Mr. Rogers stated that a training is scheduled with Ms. Jett for October 26, 2024. This is a reminder once you complete the training with Ms. Jett, you will have two weeks (November 9, 2024), to complete the required items in Stipulation #5 and #6. Once those items are completed, you will need to send me a copy of the inventory worksheet and the activity plans for review. During today’s visit, October 16, 2024, we reviewed the Nutrition guidelines in the Child Care Rules and USDA website. The written policies and procedures for the meal planning requirements will be due on or before October 22, 2024. The website for reference will be https://www.fns.usda.gov/cacfp/nutrition-standards, Refer to the action for further details for contact information and requirements and review the nutrition guidelines in the Child Care Rules. Today, I printed the pages in reference to the nutrition guidelines. Refer to 10A NCAC 09 .0901 for Nutrition Standards. Once I receive the written policies and procedures for meal planning, Stipulation #8 will be required within two weeks after receipt of approved policies and procedures. Observation: During today’s visit in the preschool classroom, the caregiver talked to the children about the different Legos. The children build with Legos and the children pushed the cars on the floor. When expanding on activities, it is important to provide books and encourage the use of literature. There can be books about blocks or Legos in the block area. This could help encourage reading in all areas. It is important to make sure that reading is communicated to the children, as exciting and fun. In addition, add books that focus on children’s interest. Talk to the children about the books and provide an activity that correlates with the book. For the infant and toddler classroom, technical assistance was provided to add sensory experiences. The teachers can provide an activity to help the children to feel textures. The children can be provided with a variety of sensory activities. An example of a sensory activity could be finger-painting. Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ Challenging Behaviors: The Challenging Behaviors Hotline has opened. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline DCDEE Website/ My mailing address is: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-22.44 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/31/2024 Number Present: 14 Completed Date: 5/31/2024 Age: From 1 To 7 Total Minutes: 120 Time In: 09:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance follow-up visit. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 84%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Provisional completed May 20, 2024. A violation was cited. Fire Classification of Approved completed May 07, 2024. Mr. Rogers was present and assisted me while observing the indoor areas. Preschool age children were observed outside on the fence in playground. Outside the children rode on tricycles and used chalk to draw. In Space #5, there was one child sitting in their infant seat, one child was walking around exploring their space, and one child was eating. The teacher was assisting with feeding the child. After eating, the children played on the carpet and toys and materials were available for the children. Lunch served was turkey, pork beans, pears, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violation was observed: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The center received a Provisional Sanitation Inspection on May 20, 2024 with thirty-seven (37) demerits. 10A NCAC 09 .0304(b) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 14, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Sanitation Inspection: A violation was cited for a Sanitation Inspection. The Sanitation Inspection was dated May 20, 2024, as a provisional rating. The administrator stated that the required items have been completed and are waiting for a reinspection. Once you receive a Sanitation Inspection, please update your compliance letter by indicating an approved sanitation inspection was completed. Once your facility has received a Sanitation Inspection, please provide me with a scanned copy of the report by email. Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/31/2024 Number Present: 14 Completed Date: 5/31/2024 Age: From 1 To 7 Total Minutes: 120 Time In: 09:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance follow-up visit. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 84%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Provisional completed May 20, 2024. A violation was cited. Fire Classification of Approved completed May 07, 2024. Mr. Rogers was present and assisted me while observing the indoor areas. Preschool age children were observed outside on the fence in playground. Outside the children rode on tricycles and used chalk to draw. In Space #5, there was one child sitting in their infant seat, one child was walking around exploring their space, and one child was eating. The teacher was assisting with feeding the child. After eating, the children played on the carpet and toys and materials were available for the children. Lunch served was turkey, pork beans, pears, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violation was observed: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The center received a Provisional Sanitation Inspection on May 20, 2024 with thirty-seven (37) demerits. 10A NCAC 09 .0304(b) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 14, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Sanitation Inspection: A violation was cited for a Sanitation Inspection. The Sanitation Inspection was dated May 20, 2024, as a provisional rating. The administrator stated that the required items have been completed and are waiting for a reinspection. Once you receive a Sanitation Inspection, please update your compliance letter by indicating an approved sanitation inspection was completed. Once your facility has received a Sanitation Inspection, please provide me with a scanned copy of the report by email. Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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 .1801 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 14 Completed Date: 5/14/2024 Age: From 0 To 5 Total Minutes: 80 Time In: 09:00 AM Time Out: 10:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance follow up visit. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 86%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. Mr. Rogers and Ms. Gloria Rogers, Administrator arrived later in the visit. Mr. Rogers was able to assist me while observing the indoor areas. Preschool age children were observed inside pushing cars and playing with blocks. In Space #4, the there were three children in infant swings, one infant was in a walker, and one child was walking around the classroom. Lunch served was chicken, green beans, bananas, bread, and milk. There was a violations cited for supervision, staff/child ratios, and staff member under 18 year of age. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violation was observed: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In Space #4, the staff/child ratios were not maintained. The caregiver walked out of the classroom and the door to the infant room was closed. The children were left unattended. This was corrected when the corrected when the caregiver went back into the classroom. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. There was one caregiver with a group of five children. In Space #4, there was one infant and three children that were one year of age. The caregiver walked out of the classroom and the door to the infant room was closed. This was corrected when I notified the caregiver that the children need to be supervised at all times. The caregiver went back into the classroom. .1801(a)(1-5) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. In Space #2, there was one caregiver, (A.T. age of staff member 17 years of age), was left alone with a group of children. The ages of the children were two years of age through five years of age. This was corrected when Ms. Roger, Administrator, arrived at the facility and assisted in Space #2. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 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. The violation observed and documented today may impact the compliance history score. The violation observed and documented today were corrected during today's visit. Facility Specific TA/Consultation/Reminders: Supervision and Staff/Child Ratios: A violation was cited today for supervision. The caregiver left out of the classroom in Space #4 and came into Space #2. The door was closed. There was one infant and three children that were one year of age. Children need to be supervised at all times. Teachers to make sure to use the face to name sheet to help use as a tool to ensure that all children are accounted for. Staff/Child Ratios are required to be maintained at all times. Refer to Child Care Rule: 10A NCAC 09 .1801 Qualified Staff Members: Staff members under the age of 18 years of age are unable to be responsible for a group of children. The staff members are not allowed to be counted in the staff to child ratio. Upon arrival, the staff member, under 18 years of age was responsible for a group of nine children. The ages of the children were two years of age through five years of age. Refer to Child Care Rule .0703 for additional information about staff requirements. Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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. 110-106 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 14 Completed Date: 5/14/2024 Age: From 0 To 5 Total Minutes: 80 Time In: 09:00 AM Time Out: 10:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance follow up visit. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 86%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. Mr. Rogers and Ms. Gloria Rogers, Administrator arrived later in the visit. Mr. Rogers was able to assist me while observing the indoor areas. Preschool age children were observed inside pushing cars and playing with blocks. In Space #4, the there were three children in infant swings, one infant was in a walker, and one child was walking around the classroom. Lunch served was chicken, green beans, bananas, bread, and milk. There was a violations cited for supervision, staff/child ratios, and staff member under 18 year of age. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violation was observed: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In Space #4, the staff/child ratios were not maintained. The caregiver walked out of the classroom and the door to the infant room was closed. The children were left unattended. This was corrected when the corrected when the caregiver went back into the classroom. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. There was one caregiver with a group of five children. In Space #4, there was one infant and three children that were one year of age. The caregiver walked out of the classroom and the door to the infant room was closed. This was corrected when I notified the caregiver that the children need to be supervised at all times. The caregiver went back into the classroom. .1801(a)(1-5) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. In Space #2, there was one caregiver, (A.T. age of staff member 17 years of age), was left alone with a group of children. The ages of the children were two years of age through five years of age. This was corrected when Ms. Roger, Administrator, arrived at the facility and assisted in Space #2. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 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. The violation observed and documented today may impact the compliance history score. The violation observed and documented today were corrected during today's visit. Facility Specific TA/Consultation/Reminders: Supervision and Staff/Child Ratios: A violation was cited today for supervision. The caregiver left out of the classroom in Space #4 and came into Space #2. The door was closed. There was one infant and three children that were one year of age. Children need to be supervised at all times. Teachers to make sure to use the face to name sheet to help use as a tool to ensure that all children are accounted for. Staff/Child Ratios are required to be maintained at all times. Refer to Child Care Rule: 10A NCAC 09 .1801 Qualified Staff Members: Staff members under the age of 18 years of age are unable to be responsible for a group of children. The staff members are not allowed to be counted in the staff to child ratio. Upon arrival, the staff member, under 18 years of age was responsible for a group of nine children. The ages of the children were two years of age through five years of age. Refer to Child Care Rule .0703 for additional information about staff requirements. Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 14 Completed Date: 5/14/2024 Age: From 0 To 5 Total Minutes: 80 Time In: 09:00 AM Time Out: 10:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance follow up visit. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 86%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. Mr. Rogers and Ms. Gloria Rogers, Administrator arrived later in the visit. Mr. Rogers was able to assist me while observing the indoor areas. Preschool age children were observed inside pushing cars and playing with blocks. In Space #4, the there were three children in infant swings, one infant was in a walker, and one child was walking around the classroom. Lunch served was chicken, green beans, bananas, bread, and milk. There was a violations cited for supervision, staff/child ratios, and staff member under 18 year of age. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violation was observed: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In Space #4, the staff/child ratios were not maintained. The caregiver walked out of the classroom and the door to the infant room was closed. The children were left unattended. This was corrected when the corrected when the caregiver went back into the classroom. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. There was one caregiver with a group of five children. In Space #4, there was one infant and three children that were one year of age. The caregiver walked out of the classroom and the door to the infant room was closed. This was corrected when I notified the caregiver that the children need to be supervised at all times. The caregiver went back into the classroom. .1801(a)(1-5) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. In Space #2, there was one caregiver, (A.T. age of staff member 17 years of age), was left alone with a group of children. The ages of the children were two years of age through five years of age. This was corrected when Ms. Roger, Administrator, arrived at the facility and assisted in Space #2. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 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. The violation observed and documented today may impact the compliance history score. The violation observed and documented today were corrected during today's visit. Facility Specific TA/Consultation/Reminders: Supervision and Staff/Child Ratios: A violation was cited today for supervision. The caregiver left out of the classroom in Space #4 and came into Space #2. The door was closed. There was one infant and three children that were one year of age. Children need to be supervised at all times. Teachers to make sure to use the face to name sheet to help use as a tool to ensure that all children are accounted for. Staff/Child Ratios are required to be maintained at all times. Refer to Child Care Rule: 10A NCAC 09 .1801 Qualified Staff Members: Staff members under the age of 18 years of age are unable to be responsible for a group of children. The staff members are not allowed to be counted in the staff to child ratio. Upon arrival, the staff member, under 18 years of age was responsible for a group of nine children. The ages of the children were two years of age through five years of age. Refer to Child Care Rule .0703 for additional information about staff requirements. Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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 110-91 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 14 Completed Date: 5/14/2024 Age: From 0 To 5 Total Minutes: 80 Time In: 09:00 AM Time Out: 10:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance follow up visit. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 86%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. Mr. Rogers and Ms. Gloria Rogers, Administrator arrived later in the visit. Mr. Rogers was able to assist me while observing the indoor areas. Preschool age children were observed inside pushing cars and playing with blocks. In Space #4, the there were three children in infant swings, one infant was in a walker, and one child was walking around the classroom. Lunch served was chicken, green beans, bananas, bread, and milk. There was a violations cited for supervision, staff/child ratios, and staff member under 18 year of age. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violation was observed: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In Space #4, the staff/child ratios were not maintained. The caregiver walked out of the classroom and the door to the infant room was closed. The children were left unattended. This was corrected when the corrected when the caregiver went back into the classroom. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. There was one caregiver with a group of five children. In Space #4, there was one infant and three children that were one year of age. The caregiver walked out of the classroom and the door to the infant room was closed. This was corrected when I notified the caregiver that the children need to be supervised at all times. The caregiver went back into the classroom. .1801(a)(1-5) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. In Space #2, there was one caregiver, (A.T. age of staff member 17 years of age), was left alone with a group of children. The ages of the children were two years of age through five years of age. This was corrected when Ms. Roger, Administrator, arrived at the facility and assisted in Space #2. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 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. The violation observed and documented today may impact the compliance history score. The violation observed and documented today were corrected during today's visit. Facility Specific TA/Consultation/Reminders: Supervision and Staff/Child Ratios: A violation was cited today for supervision. The caregiver left out of the classroom in Space #4 and came into Space #2. The door was closed. There was one infant and three children that were one year of age. Children need to be supervised at all times. Teachers to make sure to use the face to name sheet to help use as a tool to ensure that all children are accounted for. Staff/Child Ratios are required to be maintained at all times. Refer to Child Care Rule: 10A NCAC 09 .1801 Qualified Staff Members: Staff members under the age of 18 years of age are unable to be responsible for a group of children. The staff members are not allowed to be counted in the staff to child ratio. Upon arrival, the staff member, under 18 years of age was responsible for a group of nine children. The ages of the children were two years of age through five years of age. Refer to Child Care Rule .0703 for additional information about staff requirements. Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 14 Completed Date: 5/14/2024 Age: From 0 To 5 Total Minutes: 80 Time In: 09:00 AM Time Out: 10:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance follow up visit. The previous Annual Compliance Visit was completed May 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 86%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. Mr. Rogers and Ms. Gloria Rogers, Administrator arrived later in the visit. Mr. Rogers was able to assist me while observing the indoor areas. Preschool age children were observed inside pushing cars and playing with blocks. In Space #4, the there were three children in infant swings, one infant was in a walker, and one child was walking around the classroom. Lunch served was chicken, green beans, bananas, bread, and milk. There was a violations cited for supervision, staff/child ratios, and staff member under 18 year of age. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violation was observed: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In Space #4, the staff/child ratios were not maintained. The caregiver walked out of the classroom and the door to the infant room was closed. The children were left unattended. This was corrected when the corrected when the caregiver went back into the classroom. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. There was one caregiver with a group of five children. In Space #4, there was one infant and three children that were one year of age. The caregiver walked out of the classroom and the door to the infant room was closed. This was corrected when I notified the caregiver that the children need to be supervised at all times. The caregiver went back into the classroom. .1801(a)(1-5) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. In Space #2, there was one caregiver, (A.T. age of staff member 17 years of age), was left alone with a group of children. The ages of the children were two years of age through five years of age. This was corrected when Ms. Roger, Administrator, arrived at the facility and assisted in Space #2. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 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. The violation observed and documented today may impact the compliance history score. The violation observed and documented today were corrected during today's visit. Facility Specific TA/Consultation/Reminders: Supervision and Staff/Child Ratios: A violation was cited today for supervision. The caregiver left out of the classroom in Space #4 and came into Space #2. The door was closed. There was one infant and three children that were one year of age. Children need to be supervised at all times. Teachers to make sure to use the face to name sheet to help use as a tool to ensure that all children are accounted for. Staff/Child Ratios are required to be maintained at all times. Refer to Child Care Rule: 10A NCAC 09 .1801 Qualified Staff Members: Staff members under the age of 18 years of age are unable to be responsible for a group of children. The staff members are not allowed to be counted in the staff to child ratio. Upon arrival, the staff member, under 18 years of age was responsible for a group of nine children. The ages of the children were two years of age through five years of age. Refer to Child Care Rule .0703 for additional information about staff requirements. Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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 .0901 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 15 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 400 Time In: 08:50 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed May 15, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. A violation was cited today for the fire inspection. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. Preschool age children were observed outside on the fence in playground and in their classrooms. Outside the children rode on tricycles. In Space #5, there was one child awake in their crib, and three children were sitting in an infant seat. Lunch served was chicken nuggets, green beans, bananas, bread, and milk. Violations were cited in the following areas: general safety, program records, age-appropriate activities, nutrition/infant feeding, equipment, storage of hazardous substances, storage of medication, and administering of medication. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator has not scheduled and obtained a fire inspection within 12 months. The last fire inspection was dated for May 1, 2023. The was corrected when the fire inspection was completed on May 7, 2024.A report was provided during the visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not maintained as children arrived. This was corrected when the staff member completed the arrival times for the children present at the facility. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Eleven children, ages two through five, were present in the outdoor learning environment, with two staff. One of the staff was under eighteen years of age and therefore ineligible to be counted in staff/child ratio. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. GS 110-91(7);.0713(a-d) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In Space #4, there were no musical toys and the children were not provided outdoor play. .0510 (e ) (1)(A-G) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. There was one child aged 23 months, that was awake in their crib for greater than fifteen minutes. .0511 (a) 474 Science and nature activities were not available weekly to each group. Science and nature activities were not available weekly to each group. .0510(c)(2) 475 Sand and water play activities were not available weekly to each group. Sand and water play activities were not made available weekly to each group. .0510(c)(3) 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. It was reported the children under two years of age do not receive time outdoors in the outdoor learning environmnent. 10A NCAC 09 . 0508(c) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The menu did not comply and match what was reported by staff member. One staff member stated the children had cornflakes and milk and another staff member stated the children had cereal, apples, and milk. 10A NCAC 09 .0901(a) 505 Drinking water was not freely available to children of all ages. The children were outdoors for two hours and were not served water. Drinking water was not freely available for the children of all ages. .0901(e) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space #2, screen time was provided for children, aged one year and under. This was corrected when the staff member turned the power off for the television. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu was not dated. 10A NCAC 09 .0901(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle and one child was served a sippy cup while sitting in the swing. 10A NCAC 09 .0902(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan was not completed for two children enrolled (D.H. and N.R). 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. There was one child's (A.N.) written feeding plan was not modified as the child's needs changed. The caregiver stated the child no longer is served formula and is served whole milk. 10 NCAC 09 .0902(a) 721 All equipment and furnishings were not in good repair. In the outdoor learning environment, there was one child's size table that was not in good repair. In addition, there was one play structure that contained a quarter-size tear. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures was not posted where they can be seen by parents. .1003(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. There was one aerosol dispenser of sunscreen stored in the staff's bathroom in an unlocked cabinet less than 5 feet from the floor. The staff's bathroom was unlocked and accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, there was a tube of diaper cream stored in a cabinet beneath the changing table, less than 5 feet from the floor. In addition, there was a container of baby powder stored on a shelf in the cabinet in the staff's bathroom. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The left over diaper cream was not returned to the parent after the course of treatment was completed. .0803(12) 866 A caregiver administered medication to a child without parental permission or authorization from a bona fide medical care provider during the event of an emergency medical condition when the child's parent was not available. There was one child that received diaper cream without parental permission. 10A NCAC 09 .0803(10) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not recorded for one child, (N.R.) since March 5, 2024 and for another child since April 9, 2024, (D.H.). .0606(g) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. A second caregiver, under the age of eighteen, was present and counted in the staff/child ratio while outdoors with eleven children. The children were between two and five years of age. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1202 Operational policies did not contain the required information as listed in rule. The parent participation was not available for review in the operational policies. 10A NCAC 09 .0514(a)(1-11) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/blockbuilding, manipulatives, family living/dramatic play. All 5 of the following activity areas were not available daily to each group. GS 110-91(12); .10A NCAC 09 .2806(b) 1301 Center did not maintain a record of daily attendance. Daily attendance was not accurate for the ages of children and enrolled children. This was corrected when the staff member completed an accurate daily attendance to reflect the children present and enrolled at the facility. GS 110-91(9) 1887 Each infant was not served only bottles labeled with their individual name. There was one bottle served that did not contain the child's individual name. .0902(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for May 01, 2023. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. Written Feeding Schedule: A violation was cited today for the Written Feeding Schedule. A Written Feeding Schedule is required for all children under fifteen months (15) of age. An Infant Feeding Plan will need to be followed. The Written Feeding Schedule gives instructions to follow for each child. Refer to Child Care Rules 10A NCAC 09 .1706 (i). In addition, make sure infant feeding schedules are updated as changes are made. Storage of Hazardous Items and medication: A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. Aerosol cans must be stored in a locked storage. Medications will need to be stored in locked a cabinet or space. Hazardous Items Storage for Child Care handout can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Daily Attendance and Daily Sign-Ins: A violation was cited today for the daily attendance and daily sign-ins. This is required daily for all children present at the facility. Upon arrival, the attendance and the daily sign-in were not complete. The daily sign in log was completed for all the children present at the facility and the daily attendance was updated to reflect accurate information. Daily records of arrival and departure times for children enrolled at the center will need to be maintained and available for review. We discussed suggestions for record keeping. Refer to Child Care Rule .0302(d)(4) for more information about requirements for Daily records. Activity Plan: A violation was cited because on the activity plans there is not evidence of the required areas. Activity plans will need to be completed monthly and posted for easy reference. For more information on the requirement per each domain review in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 Child Care Rules: 10A NCAC 09 .0508. Technical Assistance for the following areas where violations were not cited. A violation was not cited today because the children were not playing in the area that had evidence of ants by the ant piles. During outdoor monthly checks, make sure to evaluate the area for insects, for example, ants. The area should not have any ant piles. In addition, make sure to give attention to the lock on the fence. If there is an emergency or fire, make sure the staff are all aware of how to exit the fence. For children toys that require batteries, make sure the toys have batteries. It is best to have replacement batteries. If musical toys require batteries, if batteries are not present, it will not count as a musical toy. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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 .0902 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 15 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 400 Time In: 08:50 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed May 15, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. A violation was cited today for the fire inspection. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. Preschool age children were observed outside on the fence in playground and in their classrooms. Outside the children rode on tricycles. In Space #5, there was one child awake in their crib, and three children were sitting in an infant seat. Lunch served was chicken nuggets, green beans, bananas, bread, and milk. Violations were cited in the following areas: general safety, program records, age-appropriate activities, nutrition/infant feeding, equipment, storage of hazardous substances, storage of medication, and administering of medication. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator has not scheduled and obtained a fire inspection within 12 months. The last fire inspection was dated for May 1, 2023. The was corrected when the fire inspection was completed on May 7, 2024.A report was provided during the visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not maintained as children arrived. This was corrected when the staff member completed the arrival times for the children present at the facility. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Eleven children, ages two through five, were present in the outdoor learning environment, with two staff. One of the staff was under eighteen years of age and therefore ineligible to be counted in staff/child ratio. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. GS 110-91(7);.0713(a-d) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In Space #4, there were no musical toys and the children were not provided outdoor play. .0510 (e ) (1)(A-G) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. There was one child aged 23 months, that was awake in their crib for greater than fifteen minutes. .0511 (a) 474 Science and nature activities were not available weekly to each group. Science and nature activities were not available weekly to each group. .0510(c)(2) 475 Sand and water play activities were not available weekly to each group. Sand and water play activities were not made available weekly to each group. .0510(c)(3) 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. It was reported the children under two years of age do not receive time outdoors in the outdoor learning environmnent. 10A NCAC 09 . 0508(c) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The menu did not comply and match what was reported by staff member. One staff member stated the children had cornflakes and milk and another staff member stated the children had cereal, apples, and milk. 10A NCAC 09 .0901(a) 505 Drinking water was not freely available to children of all ages. The children were outdoors for two hours and were not served water. Drinking water was not freely available for the children of all ages. .0901(e) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space #2, screen time was provided for children, aged one year and under. This was corrected when the staff member turned the power off for the television. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu was not dated. 10A NCAC 09 .0901(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle and one child was served a sippy cup while sitting in the swing. 10A NCAC 09 .0902(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan was not completed for two children enrolled (D.H. and N.R). 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. There was one child's (A.N.) written feeding plan was not modified as the child's needs changed. The caregiver stated the child no longer is served formula and is served whole milk. 10 NCAC 09 .0902(a) 721 All equipment and furnishings were not in good repair. In the outdoor learning environment, there was one child's size table that was not in good repair. In addition, there was one play structure that contained a quarter-size tear. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures was not posted where they can be seen by parents. .1003(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. There was one aerosol dispenser of sunscreen stored in the staff's bathroom in an unlocked cabinet less than 5 feet from the floor. The staff's bathroom was unlocked and accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, there was a tube of diaper cream stored in a cabinet beneath the changing table, less than 5 feet from the floor. In addition, there was a container of baby powder stored on a shelf in the cabinet in the staff's bathroom. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The left over diaper cream was not returned to the parent after the course of treatment was completed. .0803(12) 866 A caregiver administered medication to a child without parental permission or authorization from a bona fide medical care provider during the event of an emergency medical condition when the child's parent was not available. There was one child that received diaper cream without parental permission. 10A NCAC 09 .0803(10) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not recorded for one child, (N.R.) since March 5, 2024 and for another child since April 9, 2024, (D.H.). .0606(g) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. A second caregiver, under the age of eighteen, was present and counted in the staff/child ratio while outdoors with eleven children. The children were between two and five years of age. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1202 Operational policies did not contain the required information as listed in rule. The parent participation was not available for review in the operational policies. 10A NCAC 09 .0514(a)(1-11) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/blockbuilding, manipulatives, family living/dramatic play. All 5 of the following activity areas were not available daily to each group. GS 110-91(12); .10A NCAC 09 .2806(b) 1301 Center did not maintain a record of daily attendance. Daily attendance was not accurate for the ages of children and enrolled children. This was corrected when the staff member completed an accurate daily attendance to reflect the children present and enrolled at the facility. GS 110-91(9) 1887 Each infant was not served only bottles labeled with their individual name. There was one bottle served that did not contain the child's individual name. .0902(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for May 01, 2023. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. Written Feeding Schedule: A violation was cited today for the Written Feeding Schedule. A Written Feeding Schedule is required for all children under fifteen months (15) of age. An Infant Feeding Plan will need to be followed. The Written Feeding Schedule gives instructions to follow for each child. Refer to Child Care Rules 10A NCAC 09 .1706 (i). In addition, make sure infant feeding schedules are updated as changes are made. Storage of Hazardous Items and medication: A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. Aerosol cans must be stored in a locked storage. Medications will need to be stored in locked a cabinet or space. Hazardous Items Storage for Child Care handout can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Daily Attendance and Daily Sign-Ins: A violation was cited today for the daily attendance and daily sign-ins. This is required daily for all children present at the facility. Upon arrival, the attendance and the daily sign-in were not complete. The daily sign in log was completed for all the children present at the facility and the daily attendance was updated to reflect accurate information. Daily records of arrival and departure times for children enrolled at the center will need to be maintained and available for review. We discussed suggestions for record keeping. Refer to Child Care Rule .0302(d)(4) for more information about requirements for Daily records. Activity Plan: A violation was cited because on the activity plans there is not evidence of the required areas. Activity plans will need to be completed monthly and posted for easy reference. For more information on the requirement per each domain review in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 Child Care Rules: 10A NCAC 09 .0508. Technical Assistance for the following areas where violations were not cited. A violation was not cited today because the children were not playing in the area that had evidence of ants by the ant piles. During outdoor monthly checks, make sure to evaluate the area for insects, for example, ants. The area should not have any ant piles. In addition, make sure to give attention to the lock on the fence. If there is an emergency or fire, make sure the staff are all aware of how to exit the fence. For children toys that require batteries, make sure the toys have batteries. It is best to have replacement batteries. If musical toys require batteries, if batteries are not present, it will not count as a musical toy. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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 . 0508 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 15 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 400 Time In: 08:50 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed May 15, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. A violation was cited today for the fire inspection. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. Preschool age children were observed outside on the fence in playground and in their classrooms. Outside the children rode on tricycles. In Space #5, there was one child awake in their crib, and three children were sitting in an infant seat. Lunch served was chicken nuggets, green beans, bananas, bread, and milk. Violations were cited in the following areas: general safety, program records, age-appropriate activities, nutrition/infant feeding, equipment, storage of hazardous substances, storage of medication, and administering of medication. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator has not scheduled and obtained a fire inspection within 12 months. The last fire inspection was dated for May 1, 2023. The was corrected when the fire inspection was completed on May 7, 2024.A report was provided during the visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not maintained as children arrived. This was corrected when the staff member completed the arrival times for the children present at the facility. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Eleven children, ages two through five, were present in the outdoor learning environment, with two staff. One of the staff was under eighteen years of age and therefore ineligible to be counted in staff/child ratio. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. GS 110-91(7);.0713(a-d) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In Space #4, there were no musical toys and the children were not provided outdoor play. .0510 (e ) (1)(A-G) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. There was one child aged 23 months, that was awake in their crib for greater than fifteen minutes. .0511 (a) 474 Science and nature activities were not available weekly to each group. Science and nature activities were not available weekly to each group. .0510(c)(2) 475 Sand and water play activities were not available weekly to each group. Sand and water play activities were not made available weekly to each group. .0510(c)(3) 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. It was reported the children under two years of age do not receive time outdoors in the outdoor learning environmnent. 10A NCAC 09 . 0508(c) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The menu did not comply and match what was reported by staff member. One staff member stated the children had cornflakes and milk and another staff member stated the children had cereal, apples, and milk. 10A NCAC 09 .0901(a) 505 Drinking water was not freely available to children of all ages. The children were outdoors for two hours and were not served water. Drinking water was not freely available for the children of all ages. .0901(e) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space #2, screen time was provided for children, aged one year and under. This was corrected when the staff member turned the power off for the television. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu was not dated. 10A NCAC 09 .0901(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle and one child was served a sippy cup while sitting in the swing. 10A NCAC 09 .0902(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan was not completed for two children enrolled (D.H. and N.R). 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. There was one child's (A.N.) written feeding plan was not modified as the child's needs changed. The caregiver stated the child no longer is served formula and is served whole milk. 10 NCAC 09 .0902(a) 721 All equipment and furnishings were not in good repair. In the outdoor learning environment, there was one child's size table that was not in good repair. In addition, there was one play structure that contained a quarter-size tear. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures was not posted where they can be seen by parents. .1003(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. There was one aerosol dispenser of sunscreen stored in the staff's bathroom in an unlocked cabinet less than 5 feet from the floor. The staff's bathroom was unlocked and accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, there was a tube of diaper cream stored in a cabinet beneath the changing table, less than 5 feet from the floor. In addition, there was a container of baby powder stored on a shelf in the cabinet in the staff's bathroom. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The left over diaper cream was not returned to the parent after the course of treatment was completed. .0803(12) 866 A caregiver administered medication to a child without parental permission or authorization from a bona fide medical care provider during the event of an emergency medical condition when the child's parent was not available. There was one child that received diaper cream without parental permission. 10A NCAC 09 .0803(10) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not recorded for one child, (N.R.) since March 5, 2024 and for another child since April 9, 2024, (D.H.). .0606(g) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. A second caregiver, under the age of eighteen, was present and counted in the staff/child ratio while outdoors with eleven children. The children were between two and five years of age. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1202 Operational policies did not contain the required information as listed in rule. The parent participation was not available for review in the operational policies. 10A NCAC 09 .0514(a)(1-11) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/blockbuilding, manipulatives, family living/dramatic play. All 5 of the following activity areas were not available daily to each group. GS 110-91(12); .10A NCAC 09 .2806(b) 1301 Center did not maintain a record of daily attendance. Daily attendance was not accurate for the ages of children and enrolled children. This was corrected when the staff member completed an accurate daily attendance to reflect the children present and enrolled at the facility. GS 110-91(9) 1887 Each infant was not served only bottles labeled with their individual name. There was one bottle served that did not contain the child's individual name. .0902(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for May 01, 2023. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. Written Feeding Schedule: A violation was cited today for the Written Feeding Schedule. A Written Feeding Schedule is required for all children under fifteen months (15) of age. An Infant Feeding Plan will need to be followed. The Written Feeding Schedule gives instructions to follow for each child. Refer to Child Care Rules 10A NCAC 09 .1706 (i). In addition, make sure infant feeding schedules are updated as changes are made. Storage of Hazardous Items and medication: A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. Aerosol cans must be stored in a locked storage. Medications will need to be stored in locked a cabinet or space. Hazardous Items Storage for Child Care handout can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Daily Attendance and Daily Sign-Ins: A violation was cited today for the daily attendance and daily sign-ins. This is required daily for all children present at the facility. Upon arrival, the attendance and the daily sign-in were not complete. The daily sign in log was completed for all the children present at the facility and the daily attendance was updated to reflect accurate information. Daily records of arrival and departure times for children enrolled at the center will need to be maintained and available for review. We discussed suggestions for record keeping. Refer to Child Care Rule .0302(d)(4) for more information about requirements for Daily records. Activity Plan: A violation was cited because on the activity plans there is not evidence of the required areas. Activity plans will need to be completed monthly and posted for easy reference. For more information on the requirement per each domain review in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 Child Care Rules: 10A NCAC 09 .0508. Technical Assistance for the following areas where violations were not cited. A violation was not cited today because the children were not playing in the area that had evidence of ants by the ant piles. During outdoor monthly checks, make sure to evaluate the area for insects, for example, ants. The area should not have any ant piles. In addition, make sure to give attention to the lock on the fence. If there is an emergency or fire, make sure the staff are all aware of how to exit the fence. For children toys that require batteries, make sure the toys have batteries. It is best to have replacement batteries. If musical toys require batteries, if batteries are not present, it will not count as a musical toy. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 15 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 400 Time In: 08:50 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed May 15, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. A violation was cited today for the fire inspection. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. Preschool age children were observed outside on the fence in playground and in their classrooms. Outside the children rode on tricycles. In Space #5, there was one child awake in their crib, and three children were sitting in an infant seat. Lunch served was chicken nuggets, green beans, bananas, bread, and milk. Violations were cited in the following areas: general safety, program records, age-appropriate activities, nutrition/infant feeding, equipment, storage of hazardous substances, storage of medication, and administering of medication. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator has not scheduled and obtained a fire inspection within 12 months. The last fire inspection was dated for May 1, 2023. The was corrected when the fire inspection was completed on May 7, 2024.A report was provided during the visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not maintained as children arrived. This was corrected when the staff member completed the arrival times for the children present at the facility. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Eleven children, ages two through five, were present in the outdoor learning environment, with two staff. One of the staff was under eighteen years of age and therefore ineligible to be counted in staff/child ratio. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. GS 110-91(7);.0713(a-d) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In Space #4, there were no musical toys and the children were not provided outdoor play. .0510 (e ) (1)(A-G) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. There was one child aged 23 months, that was awake in their crib for greater than fifteen minutes. .0511 (a) 474 Science and nature activities were not available weekly to each group. Science and nature activities were not available weekly to each group. .0510(c)(2) 475 Sand and water play activities were not available weekly to each group. Sand and water play activities were not made available weekly to each group. .0510(c)(3) 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. It was reported the children under two years of age do not receive time outdoors in the outdoor learning environmnent. 10A NCAC 09 . 0508(c) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The menu did not comply and match what was reported by staff member. One staff member stated the children had cornflakes and milk and another staff member stated the children had cereal, apples, and milk. 10A NCAC 09 .0901(a) 505 Drinking water was not freely available to children of all ages. The children were outdoors for two hours and were not served water. Drinking water was not freely available for the children of all ages. .0901(e) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space #2, screen time was provided for children, aged one year and under. This was corrected when the staff member turned the power off for the television. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu was not dated. 10A NCAC 09 .0901(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle and one child was served a sippy cup while sitting in the swing. 10A NCAC 09 .0902(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan was not completed for two children enrolled (D.H. and N.R). 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. There was one child's (A.N.) written feeding plan was not modified as the child's needs changed. The caregiver stated the child no longer is served formula and is served whole milk. 10 NCAC 09 .0902(a) 721 All equipment and furnishings were not in good repair. In the outdoor learning environment, there was one child's size table that was not in good repair. In addition, there was one play structure that contained a quarter-size tear. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures was not posted where they can be seen by parents. .1003(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. There was one aerosol dispenser of sunscreen stored in the staff's bathroom in an unlocked cabinet less than 5 feet from the floor. The staff's bathroom was unlocked and accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, there was a tube of diaper cream stored in a cabinet beneath the changing table, less than 5 feet from the floor. In addition, there was a container of baby powder stored on a shelf in the cabinet in the staff's bathroom. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The left over diaper cream was not returned to the parent after the course of treatment was completed. .0803(12) 866 A caregiver administered medication to a child without parental permission or authorization from a bona fide medical care provider during the event of an emergency medical condition when the child's parent was not available. There was one child that received diaper cream without parental permission. 10A NCAC 09 .0803(10) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not recorded for one child, (N.R.) since March 5, 2024 and for another child since April 9, 2024, (D.H.). .0606(g) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. A second caregiver, under the age of eighteen, was present and counted in the staff/child ratio while outdoors with eleven children. The children were between two and five years of age. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1202 Operational policies did not contain the required information as listed in rule. The parent participation was not available for review in the operational policies. 10A NCAC 09 .0514(a)(1-11) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/blockbuilding, manipulatives, family living/dramatic play. All 5 of the following activity areas were not available daily to each group. GS 110-91(12); .10A NCAC 09 .2806(b) 1301 Center did not maintain a record of daily attendance. Daily attendance was not accurate for the ages of children and enrolled children. This was corrected when the staff member completed an accurate daily attendance to reflect the children present and enrolled at the facility. GS 110-91(9) 1887 Each infant was not served only bottles labeled with their individual name. There was one bottle served that did not contain the child's individual name. .0902(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for May 01, 2023. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. Written Feeding Schedule: A violation was cited today for the Written Feeding Schedule. A Written Feeding Schedule is required for all children under fifteen months (15) of age. An Infant Feeding Plan will need to be followed. The Written Feeding Schedule gives instructions to follow for each child. Refer to Child Care Rules 10A NCAC 09 .1706 (i). In addition, make sure infant feeding schedules are updated as changes are made. Storage of Hazardous Items and medication: A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. Aerosol cans must be stored in a locked storage. Medications will need to be stored in locked a cabinet or space. Hazardous Items Storage for Child Care handout can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Daily Attendance and Daily Sign-Ins: A violation was cited today for the daily attendance and daily sign-ins. This is required daily for all children present at the facility. Upon arrival, the attendance and the daily sign-in were not complete. The daily sign in log was completed for all the children present at the facility and the daily attendance was updated to reflect accurate information. Daily records of arrival and departure times for children enrolled at the center will need to be maintained and available for review. We discussed suggestions for record keeping. Refer to Child Care Rule .0302(d)(4) for more information about requirements for Daily records. Activity Plan: A violation was cited because on the activity plans there is not evidence of the required areas. Activity plans will need to be completed monthly and posted for easy reference. For more information on the requirement per each domain review in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 Child Care Rules: 10A NCAC 09 .0508. Technical Assistance for the following areas where violations were not cited. A violation was not cited today because the children were not playing in the area that had evidence of ants by the ant piles. During outdoor monthly checks, make sure to evaluate the area for insects, for example, ants. The area should not have any ant piles. In addition, make sure to give attention to the lock on the fence. If there is an emergency or fire, make sure the staff are all aware of how to exit the fence. For children toys that require batteries, make sure the toys have batteries. It is best to have replacement batteries. If musical toys require batteries, if batteries are not present, it will not count as a musical toy. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 15 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 400 Time In: 08:50 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed May 15, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. A violation was cited today for the fire inspection. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. Preschool age children were observed outside on the fence in playground and in their classrooms. Outside the children rode on tricycles. In Space #5, there was one child awake in their crib, and three children were sitting in an infant seat. Lunch served was chicken nuggets, green beans, bananas, bread, and milk. Violations were cited in the following areas: general safety, program records, age-appropriate activities, nutrition/infant feeding, equipment, storage of hazardous substances, storage of medication, and administering of medication. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator has not scheduled and obtained a fire inspection within 12 months. The last fire inspection was dated for May 1, 2023. The was corrected when the fire inspection was completed on May 7, 2024.A report was provided during the visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not maintained as children arrived. This was corrected when the staff member completed the arrival times for the children present at the facility. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Eleven children, ages two through five, were present in the outdoor learning environment, with two staff. One of the staff was under eighteen years of age and therefore ineligible to be counted in staff/child ratio. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. GS 110-91(7);.0713(a-d) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In Space #4, there were no musical toys and the children were not provided outdoor play. .0510 (e ) (1)(A-G) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. There was one child aged 23 months, that was awake in their crib for greater than fifteen minutes. .0511 (a) 474 Science and nature activities were not available weekly to each group. Science and nature activities were not available weekly to each group. .0510(c)(2) 475 Sand and water play activities were not available weekly to each group. Sand and water play activities were not made available weekly to each group. .0510(c)(3) 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. It was reported the children under two years of age do not receive time outdoors in the outdoor learning environmnent. 10A NCAC 09 . 0508(c) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The menu did not comply and match what was reported by staff member. One staff member stated the children had cornflakes and milk and another staff member stated the children had cereal, apples, and milk. 10A NCAC 09 .0901(a) 505 Drinking water was not freely available to children of all ages. The children were outdoors for two hours and were not served water. Drinking water was not freely available for the children of all ages. .0901(e) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space #2, screen time was provided for children, aged one year and under. This was corrected when the staff member turned the power off for the television. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu was not dated. 10A NCAC 09 .0901(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle and one child was served a sippy cup while sitting in the swing. 10A NCAC 09 .0902(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan was not completed for two children enrolled (D.H. and N.R). 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. There was one child's (A.N.) written feeding plan was not modified as the child's needs changed. The caregiver stated the child no longer is served formula and is served whole milk. 10 NCAC 09 .0902(a) 721 All equipment and furnishings were not in good repair. In the outdoor learning environment, there was one child's size table that was not in good repair. In addition, there was one play structure that contained a quarter-size tear. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures was not posted where they can be seen by parents. .1003(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. There was one aerosol dispenser of sunscreen stored in the staff's bathroom in an unlocked cabinet less than 5 feet from the floor. The staff's bathroom was unlocked and accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, there was a tube of diaper cream stored in a cabinet beneath the changing table, less than 5 feet from the floor. In addition, there was a container of baby powder stored on a shelf in the cabinet in the staff's bathroom. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The left over diaper cream was not returned to the parent after the course of treatment was completed. .0803(12) 866 A caregiver administered medication to a child without parental permission or authorization from a bona fide medical care provider during the event of an emergency medical condition when the child's parent was not available. There was one child that received diaper cream without parental permission. 10A NCAC 09 .0803(10) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not recorded for one child, (N.R.) since March 5, 2024 and for another child since April 9, 2024, (D.H.). .0606(g) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. A second caregiver, under the age of eighteen, was present and counted in the staff/child ratio while outdoors with eleven children. The children were between two and five years of age. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1202 Operational policies did not contain the required information as listed in rule. The parent participation was not available for review in the operational policies. 10A NCAC 09 .0514(a)(1-11) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/blockbuilding, manipulatives, family living/dramatic play. All 5 of the following activity areas were not available daily to each group. GS 110-91(12); .10A NCAC 09 .2806(b) 1301 Center did not maintain a record of daily attendance. Daily attendance was not accurate for the ages of children and enrolled children. This was corrected when the staff member completed an accurate daily attendance to reflect the children present and enrolled at the facility. GS 110-91(9) 1887 Each infant was not served only bottles labeled with their individual name. There was one bottle served that did not contain the child's individual name. .0902(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for May 01, 2023. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. Written Feeding Schedule: A violation was cited today for the Written Feeding Schedule. A Written Feeding Schedule is required for all children under fifteen months (15) of age. An Infant Feeding Plan will need to be followed. The Written Feeding Schedule gives instructions to follow for each child. Refer to Child Care Rules 10A NCAC 09 .1706 (i). In addition, make sure infant feeding schedules are updated as changes are made. Storage of Hazardous Items and medication: A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. Aerosol cans must be stored in a locked storage. Medications will need to be stored in locked a cabinet or space. Hazardous Items Storage for Child Care handout can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Daily Attendance and Daily Sign-Ins: A violation was cited today for the daily attendance and daily sign-ins. This is required daily for all children present at the facility. Upon arrival, the attendance and the daily sign-in were not complete. The daily sign in log was completed for all the children present at the facility and the daily attendance was updated to reflect accurate information. Daily records of arrival and departure times for children enrolled at the center will need to be maintained and available for review. We discussed suggestions for record keeping. Refer to Child Care Rule .0302(d)(4) for more information about requirements for Daily records. Activity Plan: A violation was cited because on the activity plans there is not evidence of the required areas. Activity plans will need to be completed monthly and posted for easy reference. For more information on the requirement per each domain review in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 Child Care Rules: 10A NCAC 09 .0508. Technical Assistance for the following areas where violations were not cited. A violation was not cited today because the children were not playing in the area that had evidence of ants by the ant piles. During outdoor monthly checks, make sure to evaluate the area for insects, for example, ants. The area should not have any ant piles. In addition, make sure to give attention to the lock on the fence. If there is an emergency or fire, make sure the staff are all aware of how to exit the fence. For children toys that require batteries, make sure the toys have batteries. It is best to have replacement batteries. If musical toys require batteries, if batteries are not present, it will not count as a musical toy. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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 .0508 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 15 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 400 Time In: 08:50 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed May 15, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. A violation was cited today for the fire inspection. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. Preschool age children were observed outside on the fence in playground and in their classrooms. Outside the children rode on tricycles. In Space #5, there was one child awake in their crib, and three children were sitting in an infant seat. Lunch served was chicken nuggets, green beans, bananas, bread, and milk. Violations were cited in the following areas: general safety, program records, age-appropriate activities, nutrition/infant feeding, equipment, storage of hazardous substances, storage of medication, and administering of medication. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator has not scheduled and obtained a fire inspection within 12 months. The last fire inspection was dated for May 1, 2023. The was corrected when the fire inspection was completed on May 7, 2024.A report was provided during the visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not maintained as children arrived. This was corrected when the staff member completed the arrival times for the children present at the facility. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Eleven children, ages two through five, were present in the outdoor learning environment, with two staff. One of the staff was under eighteen years of age and therefore ineligible to be counted in staff/child ratio. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. GS 110-91(7);.0713(a-d) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In Space #4, there were no musical toys and the children were not provided outdoor play. .0510 (e ) (1)(A-G) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. There was one child aged 23 months, that was awake in their crib for greater than fifteen minutes. .0511 (a) 474 Science and nature activities were not available weekly to each group. Science and nature activities were not available weekly to each group. .0510(c)(2) 475 Sand and water play activities were not available weekly to each group. Sand and water play activities were not made available weekly to each group. .0510(c)(3) 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. It was reported the children under two years of age do not receive time outdoors in the outdoor learning environmnent. 10A NCAC 09 . 0508(c) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The menu did not comply and match what was reported by staff member. One staff member stated the children had cornflakes and milk and another staff member stated the children had cereal, apples, and milk. 10A NCAC 09 .0901(a) 505 Drinking water was not freely available to children of all ages. The children were outdoors for two hours and were not served water. Drinking water was not freely available for the children of all ages. .0901(e) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space #2, screen time was provided for children, aged one year and under. This was corrected when the staff member turned the power off for the television. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu was not dated. 10A NCAC 09 .0901(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle and one child was served a sippy cup while sitting in the swing. 10A NCAC 09 .0902(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan was not completed for two children enrolled (D.H. and N.R). 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. There was one child's (A.N.) written feeding plan was not modified as the child's needs changed. The caregiver stated the child no longer is served formula and is served whole milk. 10 NCAC 09 .0902(a) 721 All equipment and furnishings were not in good repair. In the outdoor learning environment, there was one child's size table that was not in good repair. In addition, there was one play structure that contained a quarter-size tear. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures was not posted where they can be seen by parents. .1003(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. There was one aerosol dispenser of sunscreen stored in the staff's bathroom in an unlocked cabinet less than 5 feet from the floor. The staff's bathroom was unlocked and accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, there was a tube of diaper cream stored in a cabinet beneath the changing table, less than 5 feet from the floor. In addition, there was a container of baby powder stored on a shelf in the cabinet in the staff's bathroom. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The left over diaper cream was not returned to the parent after the course of treatment was completed. .0803(12) 866 A caregiver administered medication to a child without parental permission or authorization from a bona fide medical care provider during the event of an emergency medical condition when the child's parent was not available. There was one child that received diaper cream without parental permission. 10A NCAC 09 .0803(10) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not recorded for one child, (N.R.) since March 5, 2024 and for another child since April 9, 2024, (D.H.). .0606(g) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. A second caregiver, under the age of eighteen, was present and counted in the staff/child ratio while outdoors with eleven children. The children were between two and five years of age. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1202 Operational policies did not contain the required information as listed in rule. The parent participation was not available for review in the operational policies. 10A NCAC 09 .0514(a)(1-11) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/blockbuilding, manipulatives, family living/dramatic play. All 5 of the following activity areas were not available daily to each group. GS 110-91(12); .10A NCAC 09 .2806(b) 1301 Center did not maintain a record of daily attendance. Daily attendance was not accurate for the ages of children and enrolled children. This was corrected when the staff member completed an accurate daily attendance to reflect the children present and enrolled at the facility. GS 110-91(9) 1887 Each infant was not served only bottles labeled with their individual name. There was one bottle served that did not contain the child's individual name. .0902(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for May 01, 2023. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. Written Feeding Schedule: A violation was cited today for the Written Feeding Schedule. A Written Feeding Schedule is required for all children under fifteen months (15) of age. An Infant Feeding Plan will need to be followed. The Written Feeding Schedule gives instructions to follow for each child. Refer to Child Care Rules 10A NCAC 09 .1706 (i). In addition, make sure infant feeding schedules are updated as changes are made. Storage of Hazardous Items and medication: A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. Aerosol cans must be stored in a locked storage. Medications will need to be stored in locked a cabinet or space. Hazardous Items Storage for Child Care handout can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Daily Attendance and Daily Sign-Ins: A violation was cited today for the daily attendance and daily sign-ins. This is required daily for all children present at the facility. Upon arrival, the attendance and the daily sign-in were not complete. The daily sign in log was completed for all the children present at the facility and the daily attendance was updated to reflect accurate information. Daily records of arrival and departure times for children enrolled at the center will need to be maintained and available for review. We discussed suggestions for record keeping. Refer to Child Care Rule .0302(d)(4) for more information about requirements for Daily records. Activity Plan: A violation was cited because on the activity plans there is not evidence of the required areas. Activity plans will need to be completed monthly and posted for easy reference. For more information on the requirement per each domain review in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 Child Care Rules: 10A NCAC 09 .0508. Technical Assistance for the following areas where violations were not cited. A violation was not cited today because the children were not playing in the area that had evidence of ants by the ant piles. During outdoor monthly checks, make sure to evaluate the area for insects, for example, ants. The area should not have any ant piles. In addition, make sure to give attention to the lock on the fence. If there is an emergency or fire, make sure the staff are all aware of how to exit the fence. For children toys that require batteries, make sure the toys have batteries. It is best to have replacement batteries. If musical toys require batteries, if batteries are not present, it will not count as a musical toy. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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 .0514 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 15 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 400 Time In: 08:50 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed May 15, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. A violation was cited today for the fire inspection. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. Preschool age children were observed outside on the fence in playground and in their classrooms. Outside the children rode on tricycles. In Space #5, there was one child awake in their crib, and three children were sitting in an infant seat. Lunch served was chicken nuggets, green beans, bananas, bread, and milk. Violations were cited in the following areas: general safety, program records, age-appropriate activities, nutrition/infant feeding, equipment, storage of hazardous substances, storage of medication, and administering of medication. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator has not scheduled and obtained a fire inspection within 12 months. The last fire inspection was dated for May 1, 2023. The was corrected when the fire inspection was completed on May 7, 2024.A report was provided during the visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not maintained as children arrived. This was corrected when the staff member completed the arrival times for the children present at the facility. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Eleven children, ages two through five, were present in the outdoor learning environment, with two staff. One of the staff was under eighteen years of age and therefore ineligible to be counted in staff/child ratio. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. GS 110-91(7);.0713(a-d) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In Space #4, there were no musical toys and the children were not provided outdoor play. .0510 (e ) (1)(A-G) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. There was one child aged 23 months, that was awake in their crib for greater than fifteen minutes. .0511 (a) 474 Science and nature activities were not available weekly to each group. Science and nature activities were not available weekly to each group. .0510(c)(2) 475 Sand and water play activities were not available weekly to each group. Sand and water play activities were not made available weekly to each group. .0510(c)(3) 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. It was reported the children under two years of age do not receive time outdoors in the outdoor learning environmnent. 10A NCAC 09 . 0508(c) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The menu did not comply and match what was reported by staff member. One staff member stated the children had cornflakes and milk and another staff member stated the children had cereal, apples, and milk. 10A NCAC 09 .0901(a) 505 Drinking water was not freely available to children of all ages. The children were outdoors for two hours and were not served water. Drinking water was not freely available for the children of all ages. .0901(e) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space #2, screen time was provided for children, aged one year and under. This was corrected when the staff member turned the power off for the television. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu was not dated. 10A NCAC 09 .0901(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle and one child was served a sippy cup while sitting in the swing. 10A NCAC 09 .0902(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan was not completed for two children enrolled (D.H. and N.R). 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. There was one child's (A.N.) written feeding plan was not modified as the child's needs changed. The caregiver stated the child no longer is served formula and is served whole milk. 10 NCAC 09 .0902(a) 721 All equipment and furnishings were not in good repair. In the outdoor learning environment, there was one child's size table that was not in good repair. In addition, there was one play structure that contained a quarter-size tear. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures was not posted where they can be seen by parents. .1003(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. There was one aerosol dispenser of sunscreen stored in the staff's bathroom in an unlocked cabinet less than 5 feet from the floor. The staff's bathroom was unlocked and accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, there was a tube of diaper cream stored in a cabinet beneath the changing table, less than 5 feet from the floor. In addition, there was a container of baby powder stored on a shelf in the cabinet in the staff's bathroom. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The left over diaper cream was not returned to the parent after the course of treatment was completed. .0803(12) 866 A caregiver administered medication to a child without parental permission or authorization from a bona fide medical care provider during the event of an emergency medical condition when the child's parent was not available. There was one child that received diaper cream without parental permission. 10A NCAC 09 .0803(10) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not recorded for one child, (N.R.) since March 5, 2024 and for another child since April 9, 2024, (D.H.). .0606(g) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. A second caregiver, under the age of eighteen, was present and counted in the staff/child ratio while outdoors with eleven children. The children were between two and five years of age. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1202 Operational policies did not contain the required information as listed in rule. The parent participation was not available for review in the operational policies. 10A NCAC 09 .0514(a)(1-11) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/blockbuilding, manipulatives, family living/dramatic play. All 5 of the following activity areas were not available daily to each group. GS 110-91(12); .10A NCAC 09 .2806(b) 1301 Center did not maintain a record of daily attendance. Daily attendance was not accurate for the ages of children and enrolled children. This was corrected when the staff member completed an accurate daily attendance to reflect the children present and enrolled at the facility. GS 110-91(9) 1887 Each infant was not served only bottles labeled with their individual name. There was one bottle served that did not contain the child's individual name. .0902(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for May 01, 2023. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. Written Feeding Schedule: A violation was cited today for the Written Feeding Schedule. A Written Feeding Schedule is required for all children under fifteen months (15) of age. An Infant Feeding Plan will need to be followed. The Written Feeding Schedule gives instructions to follow for each child. Refer to Child Care Rules 10A NCAC 09 .1706 (i). In addition, make sure infant feeding schedules are updated as changes are made. Storage of Hazardous Items and medication: A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. Aerosol cans must be stored in a locked storage. Medications will need to be stored in locked a cabinet or space. Hazardous Items Storage for Child Care handout can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Daily Attendance and Daily Sign-Ins: A violation was cited today for the daily attendance and daily sign-ins. This is required daily for all children present at the facility. Upon arrival, the attendance and the daily sign-in were not complete. The daily sign in log was completed for all the children present at the facility and the daily attendance was updated to reflect accurate information. Daily records of arrival and departure times for children enrolled at the center will need to be maintained and available for review. We discussed suggestions for record keeping. Refer to Child Care Rule .0302(d)(4) for more information about requirements for Daily records. Activity Plan: A violation was cited because on the activity plans there is not evidence of the required areas. Activity plans will need to be completed monthly and posted for easy reference. For more information on the requirement per each domain review in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 Child Care Rules: 10A NCAC 09 .0508. Technical Assistance for the following areas where violations were not cited. A violation was not cited today because the children were not playing in the area that had evidence of ants by the ant piles. During outdoor monthly checks, make sure to evaluate the area for insects, for example, ants. The area should not have any ant piles. In addition, make sure to give attention to the lock on the fence. If there is an emergency or fire, make sure the staff are all aware of how to exit the fence. For children toys that require batteries, make sure the toys have batteries. It is best to have replacement batteries. If musical toys require batteries, if batteries are not present, it will not count as a musical toy. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 15 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 400 Time In: 08:50 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed May 15, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. A violation was cited today for the fire inspection. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. Preschool age children were observed outside on the fence in playground and in their classrooms. Outside the children rode on tricycles. In Space #5, there was one child awake in their crib, and three children were sitting in an infant seat. Lunch served was chicken nuggets, green beans, bananas, bread, and milk. Violations were cited in the following areas: general safety, program records, age-appropriate activities, nutrition/infant feeding, equipment, storage of hazardous substances, storage of medication, and administering of medication. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator has not scheduled and obtained a fire inspection within 12 months. The last fire inspection was dated for May 1, 2023. The was corrected when the fire inspection was completed on May 7, 2024.A report was provided during the visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not maintained as children arrived. This was corrected when the staff member completed the arrival times for the children present at the facility. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Eleven children, ages two through five, were present in the outdoor learning environment, with two staff. One of the staff was under eighteen years of age and therefore ineligible to be counted in staff/child ratio. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. GS 110-91(7);.0713(a-d) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In Space #4, there were no musical toys and the children were not provided outdoor play. .0510 (e ) (1)(A-G) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. There was one child aged 23 months, that was awake in their crib for greater than fifteen minutes. .0511 (a) 474 Science and nature activities were not available weekly to each group. Science and nature activities were not available weekly to each group. .0510(c)(2) 475 Sand and water play activities were not available weekly to each group. Sand and water play activities were not made available weekly to each group. .0510(c)(3) 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. It was reported the children under two years of age do not receive time outdoors in the outdoor learning environmnent. 10A NCAC 09 . 0508(c) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The menu did not comply and match what was reported by staff member. One staff member stated the children had cornflakes and milk and another staff member stated the children had cereal, apples, and milk. 10A NCAC 09 .0901(a) 505 Drinking water was not freely available to children of all ages. The children were outdoors for two hours and were not served water. Drinking water was not freely available for the children of all ages. .0901(e) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space #2, screen time was provided for children, aged one year and under. This was corrected when the staff member turned the power off for the television. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu was not dated. 10A NCAC 09 .0901(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle and one child was served a sippy cup while sitting in the swing. 10A NCAC 09 .0902(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan was not completed for two children enrolled (D.H. and N.R). 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. There was one child's (A.N.) written feeding plan was not modified as the child's needs changed. The caregiver stated the child no longer is served formula and is served whole milk. 10 NCAC 09 .0902(a) 721 All equipment and furnishings were not in good repair. In the outdoor learning environment, there was one child's size table that was not in good repair. In addition, there was one play structure that contained a quarter-size tear. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures was not posted where they can be seen by parents. .1003(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. There was one aerosol dispenser of sunscreen stored in the staff's bathroom in an unlocked cabinet less than 5 feet from the floor. The staff's bathroom was unlocked and accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, there was a tube of diaper cream stored in a cabinet beneath the changing table, less than 5 feet from the floor. In addition, there was a container of baby powder stored on a shelf in the cabinet in the staff's bathroom. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The left over diaper cream was not returned to the parent after the course of treatment was completed. .0803(12) 866 A caregiver administered medication to a child without parental permission or authorization from a bona fide medical care provider during the event of an emergency medical condition when the child's parent was not available. There was one child that received diaper cream without parental permission. 10A NCAC 09 .0803(10) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not recorded for one child, (N.R.) since March 5, 2024 and for another child since April 9, 2024, (D.H.). .0606(g) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. A second caregiver, under the age of eighteen, was present and counted in the staff/child ratio while outdoors with eleven children. The children were between two and five years of age. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1202 Operational policies did not contain the required information as listed in rule. The parent participation was not available for review in the operational policies. 10A NCAC 09 .0514(a)(1-11) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/blockbuilding, manipulatives, family living/dramatic play. All 5 of the following activity areas were not available daily to each group. GS 110-91(12); .10A NCAC 09 .2806(b) 1301 Center did not maintain a record of daily attendance. Daily attendance was not accurate for the ages of children and enrolled children. This was corrected when the staff member completed an accurate daily attendance to reflect the children present and enrolled at the facility. GS 110-91(9) 1887 Each infant was not served only bottles labeled with their individual name. There was one bottle served that did not contain the child's individual name. .0902(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for May 01, 2023. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. Written Feeding Schedule: A violation was cited today for the Written Feeding Schedule. A Written Feeding Schedule is required for all children under fifteen months (15) of age. An Infant Feeding Plan will need to be followed. The Written Feeding Schedule gives instructions to follow for each child. Refer to Child Care Rules 10A NCAC 09 .1706 (i). In addition, make sure infant feeding schedules are updated as changes are made. Storage of Hazardous Items and medication: A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. Aerosol cans must be stored in a locked storage. Medications will need to be stored in locked a cabinet or space. Hazardous Items Storage for Child Care handout can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Daily Attendance and Daily Sign-Ins: A violation was cited today for the daily attendance and daily sign-ins. This is required daily for all children present at the facility. Upon arrival, the attendance and the daily sign-in were not complete. The daily sign in log was completed for all the children present at the facility and the daily attendance was updated to reflect accurate information. Daily records of arrival and departure times for children enrolled at the center will need to be maintained and available for review. We discussed suggestions for record keeping. Refer to Child Care Rule .0302(d)(4) for more information about requirements for Daily records. Activity Plan: A violation was cited because on the activity plans there is not evidence of the required areas. Activity plans will need to be completed monthly and posted for easy reference. For more information on the requirement per each domain review in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 Child Care Rules: 10A NCAC 09 .0508. Technical Assistance for the following areas where violations were not cited. A violation was not cited today because the children were not playing in the area that had evidence of ants by the ant piles. During outdoor monthly checks, make sure to evaluate the area for insects, for example, ants. The area should not have any ant piles. In addition, make sure to give attention to the lock on the fence. If there is an emergency or fire, make sure the staff are all aware of how to exit the fence. For children toys that require batteries, make sure the toys have batteries. It is best to have replacement batteries. If musical toys require batteries, if batteries are not present, it will not count as a musical toy. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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 .1706 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 15 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 400 Time In: 08:50 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed May 15, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. A violation was cited today for the fire inspection. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. Preschool age children were observed outside on the fence in playground and in their classrooms. Outside the children rode on tricycles. In Space #5, there was one child awake in their crib, and three children were sitting in an infant seat. Lunch served was chicken nuggets, green beans, bananas, bread, and milk. Violations were cited in the following areas: general safety, program records, age-appropriate activities, nutrition/infant feeding, equipment, storage of hazardous substances, storage of medication, and administering of medication. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator has not scheduled and obtained a fire inspection within 12 months. The last fire inspection was dated for May 1, 2023. The was corrected when the fire inspection was completed on May 7, 2024.A report was provided during the visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not maintained as children arrived. This was corrected when the staff member completed the arrival times for the children present at the facility. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Eleven children, ages two through five, were present in the outdoor learning environment, with two staff. One of the staff was under eighteen years of age and therefore ineligible to be counted in staff/child ratio. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. GS 110-91(7);.0713(a-d) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In Space #4, there were no musical toys and the children were not provided outdoor play. .0510 (e ) (1)(A-G) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. There was one child aged 23 months, that was awake in their crib for greater than fifteen minutes. .0511 (a) 474 Science and nature activities were not available weekly to each group. Science and nature activities were not available weekly to each group. .0510(c)(2) 475 Sand and water play activities were not available weekly to each group. Sand and water play activities were not made available weekly to each group. .0510(c)(3) 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. It was reported the children under two years of age do not receive time outdoors in the outdoor learning environmnent. 10A NCAC 09 . 0508(c) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The menu did not comply and match what was reported by staff member. One staff member stated the children had cornflakes and milk and another staff member stated the children had cereal, apples, and milk. 10A NCAC 09 .0901(a) 505 Drinking water was not freely available to children of all ages. The children were outdoors for two hours and were not served water. Drinking water was not freely available for the children of all ages. .0901(e) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space #2, screen time was provided for children, aged one year and under. This was corrected when the staff member turned the power off for the television. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu was not dated. 10A NCAC 09 .0901(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle and one child was served a sippy cup while sitting in the swing. 10A NCAC 09 .0902(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan was not completed for two children enrolled (D.H. and N.R). 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. There was one child's (A.N.) written feeding plan was not modified as the child's needs changed. The caregiver stated the child no longer is served formula and is served whole milk. 10 NCAC 09 .0902(a) 721 All equipment and furnishings were not in good repair. In the outdoor learning environment, there was one child's size table that was not in good repair. In addition, there was one play structure that contained a quarter-size tear. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures was not posted where they can be seen by parents. .1003(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. There was one aerosol dispenser of sunscreen stored in the staff's bathroom in an unlocked cabinet less than 5 feet from the floor. The staff's bathroom was unlocked and accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, there was a tube of diaper cream stored in a cabinet beneath the changing table, less than 5 feet from the floor. In addition, there was a container of baby powder stored on a shelf in the cabinet in the staff's bathroom. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The left over diaper cream was not returned to the parent after the course of treatment was completed. .0803(12) 866 A caregiver administered medication to a child without parental permission or authorization from a bona fide medical care provider during the event of an emergency medical condition when the child's parent was not available. There was one child that received diaper cream without parental permission. 10A NCAC 09 .0803(10) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not recorded for one child, (N.R.) since March 5, 2024 and for another child since April 9, 2024, (D.H.). .0606(g) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. A second caregiver, under the age of eighteen, was present and counted in the staff/child ratio while outdoors with eleven children. The children were between two and five years of age. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1202 Operational policies did not contain the required information as listed in rule. The parent participation was not available for review in the operational policies. 10A NCAC 09 .0514(a)(1-11) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/blockbuilding, manipulatives, family living/dramatic play. All 5 of the following activity areas were not available daily to each group. GS 110-91(12); .10A NCAC 09 .2806(b) 1301 Center did not maintain a record of daily attendance. Daily attendance was not accurate for the ages of children and enrolled children. This was corrected when the staff member completed an accurate daily attendance to reflect the children present and enrolled at the facility. GS 110-91(9) 1887 Each infant was not served only bottles labeled with their individual name. There was one bottle served that did not contain the child's individual name. .0902(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for May 01, 2023. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. Written Feeding Schedule: A violation was cited today for the Written Feeding Schedule. A Written Feeding Schedule is required for all children under fifteen months (15) of age. An Infant Feeding Plan will need to be followed. The Written Feeding Schedule gives instructions to follow for each child. Refer to Child Care Rules 10A NCAC 09 .1706 (i). In addition, make sure infant feeding schedules are updated as changes are made. Storage of Hazardous Items and medication: A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. Aerosol cans must be stored in a locked storage. Medications will need to be stored in locked a cabinet or space. Hazardous Items Storage for Child Care handout can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Daily Attendance and Daily Sign-Ins: A violation was cited today for the daily attendance and daily sign-ins. This is required daily for all children present at the facility. Upon arrival, the attendance and the daily sign-in were not complete. The daily sign in log was completed for all the children present at the facility and the daily attendance was updated to reflect accurate information. Daily records of arrival and departure times for children enrolled at the center will need to be maintained and available for review. We discussed suggestions for record keeping. Refer to Child Care Rule .0302(d)(4) for more information about requirements for Daily records. Activity Plan: A violation was cited because on the activity plans there is not evidence of the required areas. Activity plans will need to be completed monthly and posted for easy reference. For more information on the requirement per each domain review in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 Child Care Rules: 10A NCAC 09 .0508. Technical Assistance for the following areas where violations were not cited. A violation was not cited today because the children were not playing in the area that had evidence of ants by the ant piles. During outdoor monthly checks, make sure to evaluate the area for insects, for example, ants. The area should not have any ant piles. In addition, make sure to give attention to the lock on the fence. If there is an emergency or fire, make sure the staff are all aware of how to exit the fence. For children toys that require batteries, make sure the toys have batteries. It is best to have replacement batteries. If musical toys require batteries, if batteries are not present, it will not count as a musical toy. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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 .2806 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 15 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 400 Time In: 08:50 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed May 15, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. A violation was cited today for the fire inspection. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. Preschool age children were observed outside on the fence in playground and in their classrooms. Outside the children rode on tricycles. In Space #5, there was one child awake in their crib, and three children were sitting in an infant seat. Lunch served was chicken nuggets, green beans, bananas, bread, and milk. Violations were cited in the following areas: general safety, program records, age-appropriate activities, nutrition/infant feeding, equipment, storage of hazardous substances, storage of medication, and administering of medication. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator has not scheduled and obtained a fire inspection within 12 months. The last fire inspection was dated for May 1, 2023. The was corrected when the fire inspection was completed on May 7, 2024.A report was provided during the visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not maintained as children arrived. This was corrected when the staff member completed the arrival times for the children present at the facility. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Eleven children, ages two through five, were present in the outdoor learning environment, with two staff. One of the staff was under eighteen years of age and therefore ineligible to be counted in staff/child ratio. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. GS 110-91(7);.0713(a-d) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In Space #4, there were no musical toys and the children were not provided outdoor play. .0510 (e ) (1)(A-G) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. There was one child aged 23 months, that was awake in their crib for greater than fifteen minutes. .0511 (a) 474 Science and nature activities were not available weekly to each group. Science and nature activities were not available weekly to each group. .0510(c)(2) 475 Sand and water play activities were not available weekly to each group. Sand and water play activities were not made available weekly to each group. .0510(c)(3) 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. It was reported the children under two years of age do not receive time outdoors in the outdoor learning environmnent. 10A NCAC 09 . 0508(c) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The menu did not comply and match what was reported by staff member. One staff member stated the children had cornflakes and milk and another staff member stated the children had cereal, apples, and milk. 10A NCAC 09 .0901(a) 505 Drinking water was not freely available to children of all ages. The children were outdoors for two hours and were not served water. Drinking water was not freely available for the children of all ages. .0901(e) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space #2, screen time was provided for children, aged one year and under. This was corrected when the staff member turned the power off for the television. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu was not dated. 10A NCAC 09 .0901(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle and one child was served a sippy cup while sitting in the swing. 10A NCAC 09 .0902(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan was not completed for two children enrolled (D.H. and N.R). 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. There was one child's (A.N.) written feeding plan was not modified as the child's needs changed. The caregiver stated the child no longer is served formula and is served whole milk. 10 NCAC 09 .0902(a) 721 All equipment and furnishings were not in good repair. In the outdoor learning environment, there was one child's size table that was not in good repair. In addition, there was one play structure that contained a quarter-size tear. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures was not posted where they can be seen by parents. .1003(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. There was one aerosol dispenser of sunscreen stored in the staff's bathroom in an unlocked cabinet less than 5 feet from the floor. The staff's bathroom was unlocked and accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, there was a tube of diaper cream stored in a cabinet beneath the changing table, less than 5 feet from the floor. In addition, there was a container of baby powder stored on a shelf in the cabinet in the staff's bathroom. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The left over diaper cream was not returned to the parent after the course of treatment was completed. .0803(12) 866 A caregiver administered medication to a child without parental permission or authorization from a bona fide medical care provider during the event of an emergency medical condition when the child's parent was not available. There was one child that received diaper cream without parental permission. 10A NCAC 09 .0803(10) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not recorded for one child, (N.R.) since March 5, 2024 and for another child since April 9, 2024, (D.H.). .0606(g) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. A second caregiver, under the age of eighteen, was present and counted in the staff/child ratio while outdoors with eleven children. The children were between two and five years of age. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1202 Operational policies did not contain the required information as listed in rule. The parent participation was not available for review in the operational policies. 10A NCAC 09 .0514(a)(1-11) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/blockbuilding, manipulatives, family living/dramatic play. All 5 of the following activity areas were not available daily to each group. GS 110-91(12); .10A NCAC 09 .2806(b) 1301 Center did not maintain a record of daily attendance. Daily attendance was not accurate for the ages of children and enrolled children. This was corrected when the staff member completed an accurate daily attendance to reflect the children present and enrolled at the facility. GS 110-91(9) 1887 Each infant was not served only bottles labeled with their individual name. There was one bottle served that did not contain the child's individual name. .0902(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for May 01, 2023. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. Written Feeding Schedule: A violation was cited today for the Written Feeding Schedule. A Written Feeding Schedule is required for all children under fifteen months (15) of age. An Infant Feeding Plan will need to be followed. The Written Feeding Schedule gives instructions to follow for each child. Refer to Child Care Rules 10A NCAC 09 .1706 (i). In addition, make sure infant feeding schedules are updated as changes are made. Storage of Hazardous Items and medication: A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. Aerosol cans must be stored in a locked storage. Medications will need to be stored in locked a cabinet or space. Hazardous Items Storage for Child Care handout can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Daily Attendance and Daily Sign-Ins: A violation was cited today for the daily attendance and daily sign-ins. This is required daily for all children present at the facility. Upon arrival, the attendance and the daily sign-in were not complete. The daily sign in log was completed for all the children present at the facility and the daily attendance was updated to reflect accurate information. Daily records of arrival and departure times for children enrolled at the center will need to be maintained and available for review. We discussed suggestions for record keeping. Refer to Child Care Rule .0302(d)(4) for more information about requirements for Daily records. Activity Plan: A violation was cited because on the activity plans there is not evidence of the required areas. Activity plans will need to be completed monthly and posted for easy reference. For more information on the requirement per each domain review in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 Child Care Rules: 10A NCAC 09 .0508. Technical Assistance for the following areas where violations were not cited. A violation was not cited today because the children were not playing in the area that had evidence of ants by the ant piles. During outdoor monthly checks, make sure to evaluate the area for insects, for example, ants. The area should not have any ant piles. In addition, make sure to give attention to the lock on the fence. If there is an emergency or fire, make sure the staff are all aware of how to exit the fence. For children toys that require batteries, make sure the toys have batteries. It is best to have replacement batteries. If musical toys require batteries, if batteries are not present, it will not count as a musical toy. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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. 110-106 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 15 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 400 Time In: 08:50 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed May 15, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. A violation was cited today for the fire inspection. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. Preschool age children were observed outside on the fence in playground and in their classrooms. Outside the children rode on tricycles. In Space #5, there was one child awake in their crib, and three children were sitting in an infant seat. Lunch served was chicken nuggets, green beans, bananas, bread, and milk. Violations were cited in the following areas: general safety, program records, age-appropriate activities, nutrition/infant feeding, equipment, storage of hazardous substances, storage of medication, and administering of medication. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator has not scheduled and obtained a fire inspection within 12 months. The last fire inspection was dated for May 1, 2023. The was corrected when the fire inspection was completed on May 7, 2024.A report was provided during the visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not maintained as children arrived. This was corrected when the staff member completed the arrival times for the children present at the facility. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Eleven children, ages two through five, were present in the outdoor learning environment, with two staff. One of the staff was under eighteen years of age and therefore ineligible to be counted in staff/child ratio. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. GS 110-91(7);.0713(a-d) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In Space #4, there were no musical toys and the children were not provided outdoor play. .0510 (e ) (1)(A-G) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. There was one child aged 23 months, that was awake in their crib for greater than fifteen minutes. .0511 (a) 474 Science and nature activities were not available weekly to each group. Science and nature activities were not available weekly to each group. .0510(c)(2) 475 Sand and water play activities were not available weekly to each group. Sand and water play activities were not made available weekly to each group. .0510(c)(3) 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. It was reported the children under two years of age do not receive time outdoors in the outdoor learning environmnent. 10A NCAC 09 . 0508(c) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The menu did not comply and match what was reported by staff member. One staff member stated the children had cornflakes and milk and another staff member stated the children had cereal, apples, and milk. 10A NCAC 09 .0901(a) 505 Drinking water was not freely available to children of all ages. The children were outdoors for two hours and were not served water. Drinking water was not freely available for the children of all ages. .0901(e) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space #2, screen time was provided for children, aged one year and under. This was corrected when the staff member turned the power off for the television. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu was not dated. 10A NCAC 09 .0901(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle and one child was served a sippy cup while sitting in the swing. 10A NCAC 09 .0902(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan was not completed for two children enrolled (D.H. and N.R). 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. There was one child's (A.N.) written feeding plan was not modified as the child's needs changed. The caregiver stated the child no longer is served formula and is served whole milk. 10 NCAC 09 .0902(a) 721 All equipment and furnishings were not in good repair. In the outdoor learning environment, there was one child's size table that was not in good repair. In addition, there was one play structure that contained a quarter-size tear. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures was not posted where they can be seen by parents. .1003(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. There was one aerosol dispenser of sunscreen stored in the staff's bathroom in an unlocked cabinet less than 5 feet from the floor. The staff's bathroom was unlocked and accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, there was a tube of diaper cream stored in a cabinet beneath the changing table, less than 5 feet from the floor. In addition, there was a container of baby powder stored on a shelf in the cabinet in the staff's bathroom. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The left over diaper cream was not returned to the parent after the course of treatment was completed. .0803(12) 866 A caregiver administered medication to a child without parental permission or authorization from a bona fide medical care provider during the event of an emergency medical condition when the child's parent was not available. There was one child that received diaper cream without parental permission. 10A NCAC 09 .0803(10) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not recorded for one child, (N.R.) since March 5, 2024 and for another child since April 9, 2024, (D.H.). .0606(g) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. A second caregiver, under the age of eighteen, was present and counted in the staff/child ratio while outdoors with eleven children. The children were between two and five years of age. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1202 Operational policies did not contain the required information as listed in rule. The parent participation was not available for review in the operational policies. 10A NCAC 09 .0514(a)(1-11) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/blockbuilding, manipulatives, family living/dramatic play. All 5 of the following activity areas were not available daily to each group. GS 110-91(12); .10A NCAC 09 .2806(b) 1301 Center did not maintain a record of daily attendance. Daily attendance was not accurate for the ages of children and enrolled children. This was corrected when the staff member completed an accurate daily attendance to reflect the children present and enrolled at the facility. GS 110-91(9) 1887 Each infant was not served only bottles labeled with their individual name. There was one bottle served that did not contain the child's individual name. .0902(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for May 01, 2023. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. Written Feeding Schedule: A violation was cited today for the Written Feeding Schedule. A Written Feeding Schedule is required for all children under fifteen months (15) of age. An Infant Feeding Plan will need to be followed. The Written Feeding Schedule gives instructions to follow for each child. Refer to Child Care Rules 10A NCAC 09 .1706 (i). In addition, make sure infant feeding schedules are updated as changes are made. Storage of Hazardous Items and medication: A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. Aerosol cans must be stored in a locked storage. Medications will need to be stored in locked a cabinet or space. Hazardous Items Storage for Child Care handout can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Daily Attendance and Daily Sign-Ins: A violation was cited today for the daily attendance and daily sign-ins. This is required daily for all children present at the facility. Upon arrival, the attendance and the daily sign-in were not complete. The daily sign in log was completed for all the children present at the facility and the daily attendance was updated to reflect accurate information. Daily records of arrival and departure times for children enrolled at the center will need to be maintained and available for review. We discussed suggestions for record keeping. Refer to Child Care Rule .0302(d)(4) for more information about requirements for Daily records. Activity Plan: A violation was cited because on the activity plans there is not evidence of the required areas. Activity plans will need to be completed monthly and posted for easy reference. For more information on the requirement per each domain review in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 Child Care Rules: 10A NCAC 09 .0508. Technical Assistance for the following areas where violations were not cited. A violation was not cited today because the children were not playing in the area that had evidence of ants by the ant piles. During outdoor monthly checks, make sure to evaluate the area for insects, for example, ants. The area should not have any ant piles. In addition, make sure to give attention to the lock on the fence. If there is an emergency or fire, make sure the staff are all aware of how to exit the fence. For children toys that require batteries, make sure the toys have batteries. It is best to have replacement batteries. If musical toys require batteries, if batteries are not present, it will not count as a musical toy. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 15 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 400 Time In: 08:50 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed May 15, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. A violation was cited today for the fire inspection. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. Preschool age children were observed outside on the fence in playground and in their classrooms. Outside the children rode on tricycles. In Space #5, there was one child awake in their crib, and three children were sitting in an infant seat. Lunch served was chicken nuggets, green beans, bananas, bread, and milk. Violations were cited in the following areas: general safety, program records, age-appropriate activities, nutrition/infant feeding, equipment, storage of hazardous substances, storage of medication, and administering of medication. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator has not scheduled and obtained a fire inspection within 12 months. The last fire inspection was dated for May 1, 2023. The was corrected when the fire inspection was completed on May 7, 2024.A report was provided during the visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not maintained as children arrived. This was corrected when the staff member completed the arrival times for the children present at the facility. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Eleven children, ages two through five, were present in the outdoor learning environment, with two staff. One of the staff was under eighteen years of age and therefore ineligible to be counted in staff/child ratio. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. GS 110-91(7);.0713(a-d) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In Space #4, there were no musical toys and the children were not provided outdoor play. .0510 (e ) (1)(A-G) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. There was one child aged 23 months, that was awake in their crib for greater than fifteen minutes. .0511 (a) 474 Science and nature activities were not available weekly to each group. Science and nature activities were not available weekly to each group. .0510(c)(2) 475 Sand and water play activities were not available weekly to each group. Sand and water play activities were not made available weekly to each group. .0510(c)(3) 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. It was reported the children under two years of age do not receive time outdoors in the outdoor learning environmnent. 10A NCAC 09 . 0508(c) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The menu did not comply and match what was reported by staff member. One staff member stated the children had cornflakes and milk and another staff member stated the children had cereal, apples, and milk. 10A NCAC 09 .0901(a) 505 Drinking water was not freely available to children of all ages. The children were outdoors for two hours and were not served water. Drinking water was not freely available for the children of all ages. .0901(e) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space #2, screen time was provided for children, aged one year and under. This was corrected when the staff member turned the power off for the television. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu was not dated. 10A NCAC 09 .0901(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle and one child was served a sippy cup while sitting in the swing. 10A NCAC 09 .0902(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan was not completed for two children enrolled (D.H. and N.R). 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. There was one child's (A.N.) written feeding plan was not modified as the child's needs changed. The caregiver stated the child no longer is served formula and is served whole milk. 10 NCAC 09 .0902(a) 721 All equipment and furnishings were not in good repair. In the outdoor learning environment, there was one child's size table that was not in good repair. In addition, there was one play structure that contained a quarter-size tear. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures was not posted where they can be seen by parents. .1003(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. There was one aerosol dispenser of sunscreen stored in the staff's bathroom in an unlocked cabinet less than 5 feet from the floor. The staff's bathroom was unlocked and accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, there was a tube of diaper cream stored in a cabinet beneath the changing table, less than 5 feet from the floor. In addition, there was a container of baby powder stored on a shelf in the cabinet in the staff's bathroom. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The left over diaper cream was not returned to the parent after the course of treatment was completed. .0803(12) 866 A caregiver administered medication to a child without parental permission or authorization from a bona fide medical care provider during the event of an emergency medical condition when the child's parent was not available. There was one child that received diaper cream without parental permission. 10A NCAC 09 .0803(10) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not recorded for one child, (N.R.) since March 5, 2024 and for another child since April 9, 2024, (D.H.). .0606(g) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. A second caregiver, under the age of eighteen, was present and counted in the staff/child ratio while outdoors with eleven children. The children were between two and five years of age. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1202 Operational policies did not contain the required information as listed in rule. The parent participation was not available for review in the operational policies. 10A NCAC 09 .0514(a)(1-11) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/blockbuilding, manipulatives, family living/dramatic play. All 5 of the following activity areas were not available daily to each group. GS 110-91(12); .10A NCAC 09 .2806(b) 1301 Center did not maintain a record of daily attendance. Daily attendance was not accurate for the ages of children and enrolled children. This was corrected when the staff member completed an accurate daily attendance to reflect the children present and enrolled at the facility. GS 110-91(9) 1887 Each infant was not served only bottles labeled with their individual name. There was one bottle served that did not contain the child's individual name. .0902(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for May 01, 2023. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. Written Feeding Schedule: A violation was cited today for the Written Feeding Schedule. A Written Feeding Schedule is required for all children under fifteen months (15) of age. An Infant Feeding Plan will need to be followed. The Written Feeding Schedule gives instructions to follow for each child. Refer to Child Care Rules 10A NCAC 09 .1706 (i). In addition, make sure infant feeding schedules are updated as changes are made. Storage of Hazardous Items and medication: A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. Aerosol cans must be stored in a locked storage. Medications will need to be stored in locked a cabinet or space. Hazardous Items Storage for Child Care handout can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Daily Attendance and Daily Sign-Ins: A violation was cited today for the daily attendance and daily sign-ins. This is required daily for all children present at the facility. Upon arrival, the attendance and the daily sign-in were not complete. The daily sign in log was completed for all the children present at the facility and the daily attendance was updated to reflect accurate information. Daily records of arrival and departure times for children enrolled at the center will need to be maintained and available for review. We discussed suggestions for record keeping. Refer to Child Care Rule .0302(d)(4) for more information about requirements for Daily records. Activity Plan: A violation was cited because on the activity plans there is not evidence of the required areas. Activity plans will need to be completed monthly and posted for easy reference. For more information on the requirement per each domain review in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 Child Care Rules: 10A NCAC 09 .0508. Technical Assistance for the following areas where violations were not cited. A violation was not cited today because the children were not playing in the area that had evidence of ants by the ant piles. During outdoor monthly checks, make sure to evaluate the area for insects, for example, ants. The area should not have any ant piles. In addition, make sure to give attention to the lock on the fence. If there is an emergency or fire, make sure the staff are all aware of how to exit the fence. For children toys that require batteries, make sure the toys have batteries. It is best to have replacement batteries. If musical toys require batteries, if batteries are not present, it will not count as a musical toy. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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 110-91 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 15 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 400 Time In: 08:50 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed May 15, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. A violation was cited today for the fire inspection. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. Preschool age children were observed outside on the fence in playground and in their classrooms. Outside the children rode on tricycles. In Space #5, there was one child awake in their crib, and three children were sitting in an infant seat. Lunch served was chicken nuggets, green beans, bananas, bread, and milk. Violations were cited in the following areas: general safety, program records, age-appropriate activities, nutrition/infant feeding, equipment, storage of hazardous substances, storage of medication, and administering of medication. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator has not scheduled and obtained a fire inspection within 12 months. The last fire inspection was dated for May 1, 2023. The was corrected when the fire inspection was completed on May 7, 2024.A report was provided during the visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not maintained as children arrived. This was corrected when the staff member completed the arrival times for the children present at the facility. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Eleven children, ages two through five, were present in the outdoor learning environment, with two staff. One of the staff was under eighteen years of age and therefore ineligible to be counted in staff/child ratio. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. GS 110-91(7);.0713(a-d) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In Space #4, there were no musical toys and the children were not provided outdoor play. .0510 (e ) (1)(A-G) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. There was one child aged 23 months, that was awake in their crib for greater than fifteen minutes. .0511 (a) 474 Science and nature activities were not available weekly to each group. Science and nature activities were not available weekly to each group. .0510(c)(2) 475 Sand and water play activities were not available weekly to each group. Sand and water play activities were not made available weekly to each group. .0510(c)(3) 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. It was reported the children under two years of age do not receive time outdoors in the outdoor learning environmnent. 10A NCAC 09 . 0508(c) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The menu did not comply and match what was reported by staff member. One staff member stated the children had cornflakes and milk and another staff member stated the children had cereal, apples, and milk. 10A NCAC 09 .0901(a) 505 Drinking water was not freely available to children of all ages. The children were outdoors for two hours and were not served water. Drinking water was not freely available for the children of all ages. .0901(e) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space #2, screen time was provided for children, aged one year and under. This was corrected when the staff member turned the power off for the television. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu was not dated. 10A NCAC 09 .0901(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle and one child was served a sippy cup while sitting in the swing. 10A NCAC 09 .0902(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan was not completed for two children enrolled (D.H. and N.R). 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. There was one child's (A.N.) written feeding plan was not modified as the child's needs changed. The caregiver stated the child no longer is served formula and is served whole milk. 10 NCAC 09 .0902(a) 721 All equipment and furnishings were not in good repair. In the outdoor learning environment, there was one child's size table that was not in good repair. In addition, there was one play structure that contained a quarter-size tear. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures was not posted where they can be seen by parents. .1003(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. There was one aerosol dispenser of sunscreen stored in the staff's bathroom in an unlocked cabinet less than 5 feet from the floor. The staff's bathroom was unlocked and accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, there was a tube of diaper cream stored in a cabinet beneath the changing table, less than 5 feet from the floor. In addition, there was a container of baby powder stored on a shelf in the cabinet in the staff's bathroom. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The left over diaper cream was not returned to the parent after the course of treatment was completed. .0803(12) 866 A caregiver administered medication to a child without parental permission or authorization from a bona fide medical care provider during the event of an emergency medical condition when the child's parent was not available. There was one child that received diaper cream without parental permission. 10A NCAC 09 .0803(10) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not recorded for one child, (N.R.) since March 5, 2024 and for another child since April 9, 2024, (D.H.). .0606(g) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. A second caregiver, under the age of eighteen, was present and counted in the staff/child ratio while outdoors with eleven children. The children were between two and five years of age. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1202 Operational policies did not contain the required information as listed in rule. The parent participation was not available for review in the operational policies. 10A NCAC 09 .0514(a)(1-11) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/blockbuilding, manipulatives, family living/dramatic play. All 5 of the following activity areas were not available daily to each group. GS 110-91(12); .10A NCAC 09 .2806(b) 1301 Center did not maintain a record of daily attendance. Daily attendance was not accurate for the ages of children and enrolled children. This was corrected when the staff member completed an accurate daily attendance to reflect the children present and enrolled at the facility. GS 110-91(9) 1887 Each infant was not served only bottles labeled with their individual name. There was one bottle served that did not contain the child's individual name. .0902(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for May 01, 2023. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. Written Feeding Schedule: A violation was cited today for the Written Feeding Schedule. A Written Feeding Schedule is required for all children under fifteen months (15) of age. An Infant Feeding Plan will need to be followed. The Written Feeding Schedule gives instructions to follow for each child. Refer to Child Care Rules 10A NCAC 09 .1706 (i). In addition, make sure infant feeding schedules are updated as changes are made. Storage of Hazardous Items and medication: A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. Aerosol cans must be stored in a locked storage. Medications will need to be stored in locked a cabinet or space. Hazardous Items Storage for Child Care handout can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Daily Attendance and Daily Sign-Ins: A violation was cited today for the daily attendance and daily sign-ins. This is required daily for all children present at the facility. Upon arrival, the attendance and the daily sign-in were not complete. The daily sign in log was completed for all the children present at the facility and the daily attendance was updated to reflect accurate information. Daily records of arrival and departure times for children enrolled at the center will need to be maintained and available for review. We discussed suggestions for record keeping. Refer to Child Care Rule .0302(d)(4) for more information about requirements for Daily records. Activity Plan: A violation was cited because on the activity plans there is not evidence of the required areas. Activity plans will need to be completed monthly and posted for easy reference. For more information on the requirement per each domain review in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 Child Care Rules: 10A NCAC 09 .0508. Technical Assistance for the following areas where violations were not cited. A violation was not cited today because the children were not playing in the area that had evidence of ants by the ant piles. During outdoor monthly checks, make sure to evaluate the area for insects, for example, ants. The area should not have any ant piles. In addition, make sure to give attention to the lock on the fence. If there is an emergency or fire, make sure the staff are all aware of how to exit the fence. For children toys that require batteries, make sure the toys have batteries. It is best to have replacement batteries. If musical toys require batteries, if batteries are not present, it will not count as a musical toy. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 15 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 400 Time In: 08:50 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed May 15, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 07, 2024. A violation was cited today for the fire inspection. Mr. Rogers was present and assisted me while observing the indoor and outdoor areas. Preschool age children were observed outside on the fence in playground and in their classrooms. Outside the children rode on tricycles. In Space #5, there was one child awake in their crib, and three children were sitting in an infant seat. Lunch served was chicken nuggets, green beans, bananas, bread, and milk. Violations were cited in the following areas: general safety, program records, age-appropriate activities, nutrition/infant feeding, equipment, storage of hazardous substances, storage of medication, and administering of medication. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator has not scheduled and obtained a fire inspection within 12 months. The last fire inspection was dated for May 1, 2023. The was corrected when the fire inspection was completed on May 7, 2024.A report was provided during the visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not maintained as children arrived. This was corrected when the staff member completed the arrival times for the children present at the facility. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Eleven children, ages two through five, were present in the outdoor learning environment, with two staff. One of the staff was under eighteen years of age and therefore ineligible to be counted in staff/child ratio. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. GS 110-91(7);.0713(a-d) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In Space #4, there were no musical toys and the children were not provided outdoor play. .0510 (e ) (1)(A-G) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. There was one child aged 23 months, that was awake in their crib for greater than fifteen minutes. .0511 (a) 474 Science and nature activities were not available weekly to each group. Science and nature activities were not available weekly to each group. .0510(c)(2) 475 Sand and water play activities were not available weekly to each group. Sand and water play activities were not made available weekly to each group. .0510(c)(3) 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. It was reported the children under two years of age do not receive time outdoors in the outdoor learning environmnent. 10A NCAC 09 . 0508(c) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The menu did not comply and match what was reported by staff member. One staff member stated the children had cornflakes and milk and another staff member stated the children had cereal, apples, and milk. 10A NCAC 09 .0901(a) 505 Drinking water was not freely available to children of all ages. The children were outdoors for two hours and were not served water. Drinking water was not freely available for the children of all ages. .0901(e) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space #2, screen time was provided for children, aged one year and under. This was corrected when the staff member turned the power off for the television. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu was not dated. 10A NCAC 09 .0901(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle and one child was served a sippy cup while sitting in the swing. 10A NCAC 09 .0902(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan was not completed for two children enrolled (D.H. and N.R). 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. There was one child's (A.N.) written feeding plan was not modified as the child's needs changed. The caregiver stated the child no longer is served formula and is served whole milk. 10 NCAC 09 .0902(a) 721 All equipment and furnishings were not in good repair. In the outdoor learning environment, there was one child's size table that was not in good repair. In addition, there was one play structure that contained a quarter-size tear. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures was not posted where they can be seen by parents. .1003(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. There was one aerosol dispenser of sunscreen stored in the staff's bathroom in an unlocked cabinet less than 5 feet from the floor. The staff's bathroom was unlocked and accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, there was a tube of diaper cream stored in a cabinet beneath the changing table, less than 5 feet from the floor. In addition, there was a container of baby powder stored on a shelf in the cabinet in the staff's bathroom. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The left over diaper cream was not returned to the parent after the course of treatment was completed. .0803(12) 866 A caregiver administered medication to a child without parental permission or authorization from a bona fide medical care provider during the event of an emergency medical condition when the child's parent was not available. There was one child that received diaper cream without parental permission. 10A NCAC 09 .0803(10) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not recorded for one child, (N.R.) since March 5, 2024 and for another child since April 9, 2024, (D.H.). .0606(g) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. A second caregiver, under the age of eighteen, was present and counted in the staff/child ratio while outdoors with eleven children. The children were between two and five years of age. This was corrected during the visit when an additional caregiver, at least eighteen years of age, arrived to provide care for this group of children. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1202 Operational policies did not contain the required information as listed in rule. The parent participation was not available for review in the operational policies. 10A NCAC 09 .0514(a)(1-11) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/blockbuilding, manipulatives, family living/dramatic play. All 5 of the following activity areas were not available daily to each group. GS 110-91(12); .10A NCAC 09 .2806(b) 1301 Center did not maintain a record of daily attendance. Daily attendance was not accurate for the ages of children and enrolled children. This was corrected when the staff member completed an accurate daily attendance to reflect the children present and enrolled at the facility. GS 110-91(9) 1887 Each infant was not served only bottles labeled with their individual name. There was one bottle served that did not contain the child's individual name. .0902(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for May 01, 2023. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. Written Feeding Schedule: A violation was cited today for the Written Feeding Schedule. A Written Feeding Schedule is required for all children under fifteen months (15) of age. An Infant Feeding Plan will need to be followed. The Written Feeding Schedule gives instructions to follow for each child. Refer to Child Care Rules 10A NCAC 09 .1706 (i). In addition, make sure infant feeding schedules are updated as changes are made. Storage of Hazardous Items and medication: A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. Aerosol cans must be stored in a locked storage. Medications will need to be stored in locked a cabinet or space. Hazardous Items Storage for Child Care handout can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Daily Attendance and Daily Sign-Ins: A violation was cited today for the daily attendance and daily sign-ins. This is required daily for all children present at the facility. Upon arrival, the attendance and the daily sign-in were not complete. The daily sign in log was completed for all the children present at the facility and the daily attendance was updated to reflect accurate information. Daily records of arrival and departure times for children enrolled at the center will need to be maintained and available for review. We discussed suggestions for record keeping. Refer to Child Care Rule .0302(d)(4) for more information about requirements for Daily records. Activity Plan: A violation was cited because on the activity plans there is not evidence of the required areas. Activity plans will need to be completed monthly and posted for easy reference. For more information on the requirement per each domain review in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 Child Care Rules: 10A NCAC 09 .0508. Technical Assistance for the following areas where violations were not cited. A violation was not cited today because the children were not playing in the area that had evidence of ants by the ant piles. During outdoor monthly checks, make sure to evaluate the area for insects, for example, ants. The area should not have any ant piles. In addition, make sure to give attention to the lock on the fence. If there is an emergency or fire, make sure the staff are all aware of how to exit the fence. For children toys that require batteries, make sure the toys have batteries. It is best to have replacement batteries. If musical toys require batteries, if batteries are not present, it will not count as a musical toy. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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 09.0509 · Violation

Name of Operation: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 11/14/2023 Number Present: 10 Completed Date: 11/14/2023 Age: From 0 To 4 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed May 15, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 94%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 01, 2023. Mr. Rogers was present and accompanied me while observing the indoor and outdoor areas. Preschool age children were observed outside on the fence in playground and in their classrooms. Outside the children explored their space. Inside children were observed pushing cars and building blocks. In Space #5, there was one infant awake in their crib, one child was in the swing, two children were walking around exploring their space, and two infants were on the floor playing with musical instruments. Lunch served was hotdog, green beans, apples, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violation was observed: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #5, there were two aerosol cans of Lysol stored in an unlocked cabinet, greater than, 5 feet from the floor. The aerosol cans were removed and stored in a locked closet in the bathroom. .2820(b) 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. The violation observed and documented today may impact the compliance history score. The violation observed and documented today was corrected during today’s visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders: Developmental Delays: If staff members are noticing that children may need support with areas in their development, it is best to reach out to the families to have their child evaluated by a professional to determine if services are needed. If children receive early intervention before the age of three, it may help improve and prevent further Early Childhood Delays. If families are not interested in evaluating their child, caregivers can provide strategies and resources in the classroom to help children with each developmental need. Individualizing for each child is beneficial in the Healthy Development of Young Children. Activities: Today, I observed a variety of activities. The children were engaged in the activities that were selected. The children also talked to their peers. When expanding on activities, it is important to provide books and encourage the use of literature. It is important to make sure that reading is communicated to the children, as exciting and fun. In addition, add books that focus on children’s interest. Talk to the children about the books and provide an activity that correlates with the book. The teacher can also provide paper bags with materials and allow children to create puppets to reassemble a character in the book. In your classrooms, add sensory experiences. The teacher can provide opportunities for the children to feel a variety of textures. Textures help strengthen a child’s fine motor skills. The teacher can use words to describe the textures such as smooth, rough, hard, soft, bumpy, scratchy, and squishy. For additional information regarding activities and materials, refer to Child Care Rules 10A NCAC 09.0509-0510. The Child Care Rules defines requirements outlined for activity areas and materials. I have also printed out equipment and material suggestions. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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: ACADEME CHILD DEVELOPMENT CENTER Facility ID: 26000232 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 11/14/2023 Number Present: 10 Completed Date: 11/14/2023 Age: From 0 To 4 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed May 15, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 94%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three Star License issued August 23, 2022. The License was based on the program earning four points in education standards, two points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Mr. Emaine Rogers, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Approved completed May 01, 2023. Mr. Rogers was present and accompanied me while observing the indoor and outdoor areas. Preschool age children were observed outside on the fence in playground and in their classrooms. Outside the children explored their space. Inside children were observed pushing cars and building blocks. In Space #5, there was one infant awake in their crib, one child was in the swing, two children were walking around exploring their space, and two infants were on the floor playing with musical instruments. Lunch served was hotdog, green beans, apples, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Mr. Rogers. The following violation was observed: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #5, there were two aerosol cans of Lysol stored in an unlocked cabinet, greater than, 5 feet from the floor. The aerosol cans were removed and stored in a locked closet in the bathroom. .2820(b) 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. The violation observed and documented today may impact the compliance history score. The violation observed and documented today was corrected during today’s visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders: Developmental Delays: If staff members are noticing that children may need support with areas in their development, it is best to reach out to the families to have their child evaluated by a professional to determine if services are needed. If children receive early intervention before the age of three, it may help improve and prevent further Early Childhood Delays. If families are not interested in evaluating their child, caregivers can provide strategies and resources in the classroom to help children with each developmental need. Individualizing for each child is beneficial in the Healthy Development of Young Children. Activities: Today, I observed a variety of activities. The children were engaged in the activities that were selected. The children also talked to their peers. When expanding on activities, it is important to provide books and encourage the use of literature. It is important to make sure that reading is communicated to the children, as exciting and fun. In addition, add books that focus on children’s interest. Talk to the children about the books and provide an activity that correlates with the book. The teacher can also provide paper bags with materials and allow children to create puppets to reassemble a character in the book. In your classrooms, add sensory experiences. The teacher can provide opportunities for the children to feel a variety of textures. Textures help strengthen a child’s fine motor skills. The teacher can use words to describe the textures such as smooth, rough, hard, soft, bumpy, scratchy, and squishy. For additional information regarding activities and materials, refer to Child Care Rules 10A NCAC 09.0509-0510. The Child Care Rules defines requirements outlined for activity areas and materials. I have also printed out equipment and material suggestions. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. 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