Johnson Pond Learning Center

10A NCAC 09 .0304 · Violation

Name of Operation: JOHNSON POND LEARNING CENTER Facility ID: 92001678 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 9/30/2025 Number Present: 160 Completed Date: 9/30/2025 Age: From 0 To 10 Total Minutes: 135 Time In: 09:15 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 assess applicable child-care requirements during a routine unannounced visit. The director, Kimmie Champitto, assisted me with today’s visit. We conducted a walk-through of the indoor learning environments. It was raining so I was unable to assess the outdoor areas. I observed groups of children engaged in free play or small and large group activities in their classrooms. I also observed infant rest time and meals. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 6/16/25 through the Accreditation Pathway. During today’s visit I gave you a copy of the Classroom Staff to Child Ratio for Accreditation or Head Start form. This document should be completed and posted in each classroom to reflect the ratios required for that room. INSPECTIONS The last sanitation inspection was conducted 7/9/25. The last fire inspection was conducted 8/29/24. You called the fire inspector while I was at the center to schedule your appointment. Please email the fire inspection checklist to me once it is completed. The last documented fire drill was conducted 8/22/25. The last documented shelter-in-place or lockdown drill was conducted 4/3/25. You stated that you had conducted an emergency drill during your last teacher-workday, but credit could not be given because it was not documented. The last documented playground inspection was conducted 8/9/25. The status of the owners, Johnson Pond Learning Center, is listed as current and active on the NC Secretary of State website. Limited monitoring of childcare requirements was assessed during today’s visit. I reviewed emergency medications, 6 new staff files and confirmed that all staff have current CPR, First Aid, and ITS SIDS certificates, as required. The following violations were observed and recorded during today’s visit. 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. The last fire inspection was conducted 8/29/24. 10A NCAC 09 .0304(a) 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. One infant did not have documentation that they were visually checked while they slept. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Two staff members did not have orientation documented in their file. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member's first aid expired in April 2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR training expired in April 2025. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented emergency drill was conducted 4/3/25. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One child's medical action plan was dated 8/20/24 and another's child's plan did not include all the required information. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There was no medication authorization form on file for one child. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The above violations must be corrected immediately. By 10/14/25 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it to 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made and additional violations may be added. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 92%. According to NC General Statute 110-90 (4) (d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. TECHNICAL ASSISTANCE Safe sleep requirements are in place to ensure that infants closely monitored and a safe sleep environment is present while infants are sleeping. During today’s visit, I conducted an observation in classroom 5b which enrolls infants. When I entered the classroom, I checked sleep records for the one child who was asleep. It was recorded that he fell asleep at 10:50 am. No sleep checks were observed, and no sleep positions were documented until the child woke up around 11:40 am. Infant rooms are very busy, especially when multiple children are receiving personal care routines. I recommend setting a timer for 15 minutes, anytime an infant is asleep. The timer would give an auditory reminder when a sleep check should be completed. Once all infants who are sleeping are checked and their sleep positions are documented, the timer could be reset, until all infants are awake. The last documented emergency drill was conducted in April. Programs are required to complete either a shelter-in-place or lock down drill at least every quarter. Practicing these drills help children and staff know what to do in the event of these types of emergencies. It is advised that calendar reminders be used to help ensure that these drills are conducted as required. Fire inspections should be conducted annually. Your last fire inspection was conducted I August 2024. During today’s visit you contacted your fire inspector and asked them to schedule a visit. Please set a reminder on your calendar so that these annual inspections are requested prior to their annual due date. One staff member, who has been employed more than 90 days, did not have current CPR and First Aid. This teacher’s certification expired in April 2025. You stated that she was scheduled to participate in a recent training, but she was sick and unable to attend. All staff should maintain current CPR and First Aid certification at all times. If a staff member misses a scheduled class, then they should find another training to help them maintain compliance. Two children had allergy care plans that had either expired, or was missing vital information. One of the plans expired 8/20/25 and the other plan was not dated and only contained emergency contact information for the child. Allergy care plans should be reviewed periodically to ensure that all the information is provided and that they are less than one year old. One child’s emergency medication did not have a medication authorization form on file. This document gives the program permission to administer the medication to the child. No medication should be in a classroom without a current medication authorization form. Best practice is that all medications and accompanying forms be left at the front desk and be reviewed by a center administrator before it is sent to the classroom. Two newer staff members did not have orientation forms completed in their files. Orientation is required for all child care staff and should be documented as the orientation topics are reviewed with a new employee. Orientation is the best way to make certain that new employees are properly trained and have an understanding of center and licensing requirements and best practice. CONSULTATION ACCESS TO THE ABCMS SYSTEM: Center directors can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: See the real-time background check status of staff members. Run a printable report of the staff roster to assist with compliance visits. See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. If you have questions regarding the PROVIDER PORTAL contact the Criminal Background Check Unit at (919) 814-6401 or email: DCDEE_ABCMS_Provider@dhhs.nc.gov. For general questions regarding APPLICANTS, applications, or other CBC questions email: DHHS.CBC.Unit@dhhs.nc.gov or call (919) 814-6401. To access your staff criminal records, they must have your program listed as their place of employment in ABCMS. This requirement is indicated as Item #7 on the staff and training worksheet and replaces the Data Change form that was previously required to be submitted to the Criminal Records Unit. It is recommended that staff add your program as their place of employment during the first few days of orientation. This change should be documented and placed in their file. The documentation could be a screenshot after the change is made or documented on the Orientation Form in the Other section. The date the change was made should be indicated in Item #7 on the staff and training worksheet during the staff member’s first year of employment. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently to stay updated on rule requirements. If you have any questions or need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. 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: JOHNSON POND LEARNING CENTER Facility ID: 92001678 Consultant: WANDA FOWLER Operation Type: Center Case Number: 0325-034L Visit Date: 3/31/2025 Number Present: 161 Completed Date: 3/31/2025 Age: From 0 To 9 Total Minutes: 165 Time In: 09:30 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements and to follow up regarding a report we received about the center. Upon arrival, I was greeted by Kimmie Champitto, the center director. We discussed the nature of the visit, and she accompanied me on a general walk-through of the center. Allegation #1: There are concerns regarding inadequate supervision DISCUSSION Prior to today’s visit, I spoke with the reporter who is concerned that a child was injured which resulted from a lack of supervision. During a previous visit, I interviewed eight center staff members today and we discussed the concerns that were reported. On three previous visits I attempted to interview the teachers named in the report, but they were unavailable. They are no longer employed at the center, so I was unable to interview them. OBSERVATIONS After completing a walk-through, I then conducted an observation in the classroom for approximately 30 minutes. There was one teacher assigned to a group of 8 two-year-old children. I began the observation when the class was outside and continued the observation through their transition into the classroom. Throughout the observation, I observed the teacher responding quickly to the children’s needs, redirecting them and reminding them of safety rules. The teacher remained in proximity with the children throughout the observation. When they returned to the classroom the teacher had the children sit on the carpet with a few toys, while she assisted with handwashing. I observed her frequently looking up and glancing around the room as she assisted the other children with their handwashing. I observed no concerns with supervision during today’s visit. While I was in the classroom, I assessed the indoor environment for supervision. The shelves are low and are positioned mostly around the parameters of the room, enabling the teachers to see the children from various parts of the classroom. In addition, the changing table is positioned so that staff are facing the classroom when they are diapering. There were no barriers to supervision within the classroom. RESOLUTION Based on staff interviews and my observations, it was unable to determine that a lapse of supervision resulted in a child being injured. Therefore, this allegation is UNSUBSTANTIATED. Allegation #2: There are concerns that the emergency medical care plan was not followed when a child was injured. DISCUSSION Prior to today’s visit, I spoke with the reporter who was concerned that after a child experienced an injury to their head the center did not contact the parent in a timely manner or respond appropriately to the child’s injury. I discussed this allegation with the center staff that I interviewed during a previous visit, and they consistently stated the center’s policy for addressing injuries and contacting the child’s parents through the app or by phone, when the injury is to the child’s head or is more serious. The center staff applied ice, comforted the child and began to assess the child’s behavior. The teachers contacted the child’s parent through the center app and an administrator contacted the parent by phone at approximately the same time. The parent picked the child up and took the child to the doctor. OBSERVATIONS I received the incident report regarding the injury named in the report on 3/7/25. According to the incident report, the injury occurred on 3/3/25 at 10:56 am and the parent was contacted through the center app at 11:19 am. The reporter stated that the parent was called at 11:20 am. RESOLUTION Based on my observations and interviews, it was determined that the center followed their emergency medical care plan. Therefore, this allegation is UNSUBSTANTIATED. Allegation #3: There are concerns of inappropriate discipline DISCUSSION During a previous visit I discussed this concern with eight center staff. After making three other visits to the center, I was unable to observe or interview the staff members who were named in the report, and they are no longer employed at the center. OBSERVATIONS During the classroom observations, I observed the teacher gently guiding and redirecting the children’s behaviors. She reminded the children of safety rules and quickly assisted the children, when needed. I also observed that there was an ample supply of materials, so multiple children could play with the same toy. She remained attentive and aware of the actions of the entire group even when working with a small group. I observed no concerns with discipline during today’s visit. RESOLUTION Based on my observations and discussions it was determined that there were no issues related to discipline with the current classroom staff. Therefore, this allegation is UNSUBSTANTIATED. Allegation #4: There is a concern that posted staff/child ratios are not being followed. DISCUSSION During a previous visit, I discussed this concern with the eight-center staff who were interviewed. Today, I reviewed the center’s records, which I received during the visit conducted on 3/10/25, with the center director. We discussed discrepancies noted in the arrival and departure time with the students and staff payroll records. The director stated that the teachers frequently update the forms at the end of the day, but she will remind them to sign the children in, when they arrive, if the parent did not sign the child in. OBSERVATION All classrooms were compliant with staff/child ratios during today’s visit, as well as three previous visit conducted in correlation with this investigation. RESOLUTION Based on a review of center records and my observations, I was unable to determine if staff child ratios were not being followed. Therefore, this allegation is UNSUBSTANTIATED. Allegation #5: There is a concern that children were not attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needs. DISCUSSION During a previous visit I discussed these concerns with eight center staff. After making three previous visits to the center, I was unable to interview or observe the staff members named in the report, and they are no longer employed at the center. OBSERVATIONS I observed the classroom named in the report for approximately 30 minutes today and I so no concerns with nurturing care with the current classroom staff. The teacher was quick to respond to each child’s needs, offered comfort when a child fell and spoke gently and kindly to the children. RESOLUTION Based on my observations and discussions, it was determined that there were no concerns related to nurturing care with the current classroom staff. Therefore, this allegation is unsubstantiated. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. 10A NCAC 09 .0302(d)(4) The above violations must be corrected immediately. By 4/14/25, please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it to my attention at 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made. COMPLIANCE HISTORY Prior to today’s visit, the compliance history score for the center was 89%. TECHNICAL ASSISTANCE The center is responsible for maintaining accurate attendance and payroll records. During a review of center records, there were numerous children in multiple classrooms that records showed were arriving at the center late in the afternoon. Center staff should log a child in, upon arrival, if the parent did not sign the child in at the front desk. Center records should accurately reflect the time that children are present in the building. In addition, center staff should ensure that their payroll records reflect the hours they are working. CONSULTATION I recommend revisiting the emergency care plan with staff to determine the protocols for who is responsible for contacting parents when there is a more serious injury. This would prevent a text being sent through the app and a phone call being received at the same time. Parents should be given the option of coming to the center and assessing the child, especially when there is an injury to the head. This prevents confusion and ensures that the parent receives timely and accurate information. I recommend that administrators conduct routine observations of the classrooms to ensure that all staff are compliant with licensing and center policies. Conversations with staff after the observations can help all staff continue to improve their techniques and support their professional growth. Having regularly scheduled times to talk individually with center staff allows them to discuss their concerns and offer suggestions that may benefit the center. Also, staff should be reminded to call for assistance anytime they need to leave their classroom and to alert center administrators when they are near their capacity based on the staff child ratios required for the age of the children present in the group. The substantiation of any allegation may result in an Administrative Action, up to and including revocation of the license, being issued to the program. If you have any further questions or need any assistance, please contact me at 919 218-0988 or wanda.fowler@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: JOHNSON POND LEARNING CENTER Facility ID: 92001678 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 3/24/2025 Number Present: 169 Completed Date: 3/24/2025 Age: From 0 To 9 Total Minutes: 270 Time In: 08:45 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance visit. This documentation was reviewed with you and a copy of the visit summary documentation was given to you at the end of the visit. Upon arrival, I was greeted by the center director, Kimmie Champitto, and we conducted a general walk through of the indoor and outdoor learning environments. I observed groups engaged in free play or large group activities in their classrooms, free play on the playground, infant meal times and rest time. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 7/11/19. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teachers and group leaders over the last 12 month. The program’s “held harmless status” has been extended until the new QRIS is implemented. This means that rated license visits will not be processed until the new rated license process is completed unless the program requests to proceed with a new rated license. You should continue having staff register for WORKS, submit transcripts and have their education assessed. Best practice recommends completing this process during a new employee’s orientation. INSPECTIONS The last sanitation inspection was completed on 8/29/24. The last fire inspection was completed 8/29/24. Please email a copy of the Fire Inspection Checklist when it is received. The last documented fire drill was conducted 2/28/25. The last documented lock down or shelter-in-place drill was conducted 1/15/25. The last documented playground inspection was conducted 2/15/25. MONITORING During this visit a full assessment of Child Care Requirements was conducted. The facility was assessed using items noted on the Annual Compliance for Centers checklist. Items that were not confirmed or marked as not applicable are indicated below as a violation. The status of the owner, Johnson Pond Learning Center, is listed as current and active on the NC Secretary of State’s website. Staff on-going training was assessed from 4/1/24 – 3/31/25. I assessed the center vehicles and transportation documentation. The program has two vans used the transport the children; van 1, with NC license plate number PHH-6628 which expires November 2025. Van 2 with NC license plate number RAE-8205 which expires this month. The director stated that the registration was completed and they are waiting for the sticker to arrive in the mail. The following violations were observed and recorded during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Four staff member's purses were stored in unlocked cabinets and were less than 4 feet above the ground. 10A NCAC 09 .0601(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A current health questionnaire was missing from multiple staff files. .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. A signed copy of this policy is missing from multiple staff files. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. One staff member did not complete training in all the required topics within her first year of employment. .1102(a) The above violations must be corrected immediately. By 4/19/25 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it my attention at 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made. COMPLIANCE HISTORY Prior to today’s visit, the compliance history score for the center was 88%. TECHNICAL ASSISTANCE A current Health Questionnaire was missing from numerous staff files. Having current information ensures that your staff’s family members can be reached in the event of an emergency. You stated that you distributed this to all the employees, but some have not returned them to you. Moving forward, recommend completing this update during a staff meeting where everyone is expected to sign the form and return to you by the end of the meeting. Four staff purses were stored in unlocked cabinets. Please remind staff that their personal belongings should be in locked areas or stored at least 5 feet above ground. This prevents children from having access to any potentially hazardous items that may be stored in a staff member’s purse. A signed copy of the Shaken Baby and Abusive Head Trauma policy was missing from multiple staff files. You stated that they were included in first day orientation materials, but staff sometimes did not return it to you. This form should be in the employees’ files prior to them having contact with children. I recommend having them sign that form as soon as the policy information is shared with them. Using the staff file checklist could also ensure that all the required information is in every staff file. One employee did not complete training in all the required Health and Safety training topics within her first year of employment. She was missing training in two of the required topics. The Health and Safety trainings were developed to ensure that all staff members have a basic understanding of health and safety requirements so they can quickly respond in the event of an emergency. Completing the Health and Safety training log, as the training is completed should help you keep track of training topics that have not been completed. . CONSULTATION Child Care facilities are required to test their drinking and cooking water for lead every three years. Your water was last tested 11/15/23. For information you should contact Clean Water for Carolina Kids. Contact www.cleanwaterforcarolinakids.org for more information. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. It was determined that the center is exempt from testing for lead-based paint and asbestos. Training in all the required health and safety topics must be completed at least every 5 years. You have some staff members who are due to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. There is a link to this training on Moodle. AGENCY UPDATES Please check the DCDEE website frequently for updates and changes to child care requirements. The Child Care Commission is publishing new rules related to the modernization of the Quality Rated License Improvement System in the new year. We are currently in the 60-day public comment period. This is an opportunity to give input and ask questions regarding this process. If you have any further questions or need any assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: JOHNSON POND LEARNING CENTER Facility ID: 92001678 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 153 Completed Date: 9/12/2024 Age: From 0 To 9 Total Minutes: 165 Time In: 10:00 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to assess applicable child-care requirements during a routine unannounced visit. The director, Kimmie Champitto, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments. I observed infant meal and rest times and the older children engaged in free play in their indoor and outdoor learning environments. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 7/11/19. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. The program’s “held harmless status” has been extended until the new QRIS is implemented. This means that rated license visits will not be processed until the new rated license process is completed unless the program requests to proceed with a new rated license. You should also ensure that all staff have registered and have their education assessed in WORKS. It is recommended that you complete this process as part of your onboarding process with new hires and as existing staff members complete additional coursework. INSPECTIONS The last sanitation inspection was conducted 8/29/24. The last fire inspection was conducted 9/12/23. The fire inspection was initiated and is in process. Please email me a copy of the fire inspection checklist when it is completed. The last documented fire drill was conducted 8/24/24. The last documented shelter-in-place or lockdown drill was conducted 8/28/24. The last documented playground inspection was conducted 8/19/24. The status of the owners, Johnson Pond Learning Center, Inc., is listed as current and active on the NC Secretary of State website. Limited monitoring of child care requirements was assessed during today’s visit. I reviewed emergency medications, new staff files and reviewed staff have CPR, First Aid and ITS SIDS certificate as. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. Multiple items were missing from new staff files or the items were not available to review during today's visit. G.S. 110-91(9); .0304(g); .2318 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two infants' bottles were not dated in classroom # 5B. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. A staff member's purse was stored on a low shelf in an unlocked cabinet in the bathroom in classroom #2. 10A NCAC 09 .0601(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member's First Aid certification expired .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR certification expired in August 2024. .1102(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child's allergy care plan expired in August 2024. .0802(c) The above violations must be corrected immediately. By 9/26/24 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it to 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made and additional violations may be added. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 92%. TECHNICAL ASSISTANCE Properly storing potentially hazardous materials prevents the children from having access to items that may be harmful to them. In Room #2 a staff purse was stored in an unlocked cabinet in the children’s bathroom. Staff personal belongings should be inaccessible to children by either being stored at least five feet above the ground or in locked storage. Infant bottles should be labeled and dated to ensure that the child only receives milk that is prepared for them and that their food is free from potential contamination. In room 5 B, two infants’ bottles were not dated. If the parent does not label and date the child’s bottles the staff should do this before the bottles are placed in the refrigerator. Keeping accurate staff records ensures that you have all the information needed to ensure that center staff and children are safe in the event of an emergency. Staff who have recently been hired were missing multiple items from their files. You stated that you have been working on developing a new file management system and had fallen behind on completing the paperwork as required. There is a staff file checklist available on the DCDEE website, under the Provider’s Document tab that will help you gather and organize your staff files. Best practice is to document and update the file as information is received. Allergy and Emergency care plans are essential in being able to quickly respond when a child has a chronic medical condition or is exposed to an allergen. Medical care plans should be updated at least annually and more frequently, if needed. One of the children’s care plan expired in August 2023. You stated that the parent had been notified that the care plan was soon expiring and you contacted them again today to remind them that a new plan was needed. Having all staff with current CPR and First Aid certifications ensures that everyone has the knowledge needed to quickly respond in the event of an emergency. One staff member’s CPR and First Aid expired 8/14/24. This staff member should complete this training as soon as possible. CONSULTATION The center’s water was tested for lead on 11/13/23. It was determined that the center is exempt from testing for lead based paint and asbestos. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. There is a link to this training on Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently to stay updated on rule requirements. If you have any questions or need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. 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: JOHNSON POND LEARNING CENTER Facility ID: 92001678 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 153 Completed Date: 9/12/2024 Age: From 0 To 9 Total Minutes: 165 Time In: 10:00 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to assess applicable child-care requirements during a routine unannounced visit. The director, Kimmie Champitto, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments. I observed infant meal and rest times and the older children engaged in free play in their indoor and outdoor learning environments. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 7/11/19. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. The program’s “held harmless status” has been extended until the new QRIS is implemented. This means that rated license visits will not be processed until the new rated license process is completed unless the program requests to proceed with a new rated license. You should also ensure that all staff have registered and have their education assessed in WORKS. It is recommended that you complete this process as part of your onboarding process with new hires and as existing staff members complete additional coursework. INSPECTIONS The last sanitation inspection was conducted 8/29/24. The last fire inspection was conducted 9/12/23. The fire inspection was initiated and is in process. Please email me a copy of the fire inspection checklist when it is completed. The last documented fire drill was conducted 8/24/24. The last documented shelter-in-place or lockdown drill was conducted 8/28/24. The last documented playground inspection was conducted 8/19/24. The status of the owners, Johnson Pond Learning Center, Inc., is listed as current and active on the NC Secretary of State website. Limited monitoring of child care requirements was assessed during today’s visit. I reviewed emergency medications, new staff files and reviewed staff have CPR, First Aid and ITS SIDS certificate as. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. Multiple items were missing from new staff files or the items were not available to review during today's visit. G.S. 110-91(9); .0304(g); .2318 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two infants' bottles were not dated in classroom # 5B. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. A staff member's purse was stored on a low shelf in an unlocked cabinet in the bathroom in classroom #2. 10A NCAC 09 .0601(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member's First Aid certification expired .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR certification expired in August 2024. .1102(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child's allergy care plan expired in August 2024. .0802(c) The above violations must be corrected immediately. By 9/26/24 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it to 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made and additional violations may be added. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 92%. TECHNICAL ASSISTANCE Properly storing potentially hazardous materials prevents the children from having access to items that may be harmful to them. In Room #2 a staff purse was stored in an unlocked cabinet in the children’s bathroom. Staff personal belongings should be inaccessible to children by either being stored at least five feet above the ground or in locked storage. Infant bottles should be labeled and dated to ensure that the child only receives milk that is prepared for them and that their food is free from potential contamination. In room 5 B, two infants’ bottles were not dated. If the parent does not label and date the child’s bottles the staff should do this before the bottles are placed in the refrigerator. Keeping accurate staff records ensures that you have all the information needed to ensure that center staff and children are safe in the event of an emergency. Staff who have recently been hired were missing multiple items from their files. You stated that you have been working on developing a new file management system and had fallen behind on completing the paperwork as required. There is a staff file checklist available on the DCDEE website, under the Provider’s Document tab that will help you gather and organize your staff files. Best practice is to document and update the file as information is received. Allergy and Emergency care plans are essential in being able to quickly respond when a child has a chronic medical condition or is exposed to an allergen. Medical care plans should be updated at least annually and more frequently, if needed. One of the children’s care plan expired in August 2023. You stated that the parent had been notified that the care plan was soon expiring and you contacted them again today to remind them that a new plan was needed. Having all staff with current CPR and First Aid certifications ensures that everyone has the knowledge needed to quickly respond in the event of an emergency. One staff member’s CPR and First Aid expired 8/14/24. This staff member should complete this training as soon as possible. CONSULTATION The center’s water was tested for lead on 11/13/23. It was determined that the center is exempt from testing for lead based paint and asbestos. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. There is a link to this training on Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently to stay updated on rule requirements. If you have any questions or need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. 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: JOHNSON POND LEARNING CENTER Facility ID: 92001678 Consultant: SCOTT MOORE Operation Type: Center Case Number: Visit Date: 4/3/2024 Number Present: 175 Completed Date: 4/3/2024 Age: From 0 To 11 Total Minutes: 140 Time In: 09:20 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable childcare requirements during your Annual Compliance visit. Applicable childcare requirements and the inspection was discussed with Administrator, Kimberlee Champitto. Currently this facility operates with a 5 star license effective July 11, 2019. During the visit I monitored the indoor and outdoor spaces used for child care. I observed children during routine activities. I observed whole group activities and free play activities. Children were observed playing outside during outdoor play with adequate supervision. Age appropriate materials and equipment was accessible to all children. The facility was monitored for compliance using the annual compliance monitoring checklist. I also monitored, permit restrictions, posting requirements, training requirements, use of approved space, program records, and nutrition. 9 children's records were reviewed and staff records were reviewed along with the staff and training worksheet. The last fire inspection was completed 9/12/23. The last fire drill was completed on 3/6/24. The last lockdown drill was completed 2/19/24. The operation's EPR plan was last updated September 2023. Diaper creams and suntan lotions were observed. Sleep checks were observed to be completed for the past several months. 10 emergency medications were observed throughout the operation. 2 emergency medications and 2 diaper cremes were observed to have expired medication permissions. Transportation is provided via 2 vans. Van PHH6628 has a registration which expires 11/2024. Van RAE8205 has a registration which expires 3/2025. Insurance for the vans expires 11/17/24. Both vans were observed to have fire extinguishers, first aid kits, and functioning seatbelts. I observed 3 violations during this inspection. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. 2 emergency medications and 2 diaper cremes were observed to not have current medication authorization forms. 10A NCAC 09 .0803(4)(6-9) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 3 staff were observed to not have current CPR training certificates in their files. .1102(d) 1898 Staff did not complete the health and safety training within one year of employment. One staff did not have documentation of completed health and safety training within 1 year of employment. .1102(a) The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed by April 17, 2024 stating that all violations have been corrected. The letter can be emailed to scott.moore@dhhs.nc.gov or mailed to: Scott Moore 5 Seawell Ct Durham, NC 27703 If you state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by April 17, 2024 you must contact me with a proposed timeline of the corrections. In some cases the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during today's visit may negatively impact your compliance score. TECHNICAL ASSISTANCE Rated License permit renewals have resumed. Your operation falls under cohort 2 in which your planning years began July 1, 2024 and goes through June 30, 2025. Your implementation year will be July 1, 2025 through June 30, 2026. Please use the time during your planning year to upload education documents to WORKS and utilize NCRLAP resources to ensure you are prepared for assessment. If you've had a lead water test in the past it is likely due (every 3 years). Visit cleanwaterforcarolinakids.org and apply for a water test timely before you receive a sanitation inspection. If you have any questions or concerns I can be reached at scott.moore@dhhs.nc.gov or 984-389-7839. 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: JOHNSON POND LEARNING CENTER Facility ID: 92001678 Consultant: SCOTT MOORE Operation Type: Center Case Number: Visit Date: 4/3/2024 Number Present: 175 Completed Date: 4/3/2024 Age: From 0 To 11 Total Minutes: 140 Time In: 09:20 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable childcare requirements during your Annual Compliance visit. Applicable childcare requirements and the inspection was discussed with Administrator, Kimberlee Champitto. Currently this facility operates with a 5 star license effective July 11, 2019. During the visit I monitored the indoor and outdoor spaces used for child care. I observed children during routine activities. I observed whole group activities and free play activities. Children were observed playing outside during outdoor play with adequate supervision. Age appropriate materials and equipment was accessible to all children. The facility was monitored for compliance using the annual compliance monitoring checklist. I also monitored, permit restrictions, posting requirements, training requirements, use of approved space, program records, and nutrition. 9 children's records were reviewed and staff records were reviewed along with the staff and training worksheet. The last fire inspection was completed 9/12/23. The last fire drill was completed on 3/6/24. The last lockdown drill was completed 2/19/24. The operation's EPR plan was last updated September 2023. Diaper creams and suntan lotions were observed. Sleep checks were observed to be completed for the past several months. 10 emergency medications were observed throughout the operation. 2 emergency medications and 2 diaper cremes were observed to have expired medication permissions. Transportation is provided via 2 vans. Van PHH6628 has a registration which expires 11/2024. Van RAE8205 has a registration which expires 3/2025. Insurance for the vans expires 11/17/24. Both vans were observed to have fire extinguishers, first aid kits, and functioning seatbelts. I observed 3 violations during this inspection. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. 2 emergency medications and 2 diaper cremes were observed to not have current medication authorization forms. 10A NCAC 09 .0803(4)(6-9) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 3 staff were observed to not have current CPR training certificates in their files. .1102(d) 1898 Staff did not complete the health and safety training within one year of employment. One staff did not have documentation of completed health and safety training within 1 year of employment. .1102(a) The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed by April 17, 2024 stating that all violations have been corrected. The letter can be emailed to scott.moore@dhhs.nc.gov or mailed to: Scott Moore 5 Seawell Ct Durham, NC 27703 If you state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by April 17, 2024 you must contact me with a proposed timeline of the corrections. In some cases the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during today's visit may negatively impact your compliance score. TECHNICAL ASSISTANCE Rated License permit renewals have resumed. Your operation falls under cohort 2 in which your planning years began July 1, 2024 and goes through June 30, 2025. Your implementation year will be July 1, 2025 through June 30, 2026. Please use the time during your planning year to upload education documents to WORKS and utilize NCRLAP resources to ensure you are prepared for assessment. If you've had a lead water test in the past it is likely due (every 3 years). Visit cleanwaterforcarolinakids.org and apply for a water test timely before you receive a sanitation inspection. If you have any questions or concerns I can be reached at scott.moore@dhhs.nc.gov or 984-389-7839. 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: JOHNSON POND LEARNING CENTER Facility ID: 92001678 Consultant: SCOTT MOORE Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 167 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 110 Time In: 10:25 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements. Today's visit was conducted with Kimberlee Champitto, Administrator. Children were observed participating in routine activities in their rooms and playing outside. A partial assessment of applicable childcare requirements was conducted. The last annual compliance visit was conducted on 4/27/23. The last fire inspection was conducted 8/10/23. The last sanitation inspection was conducted 9/13/23. Staff and training worksheets and files for new staff hired since the last annual compliance inspection were reviewed. 3 staff were observed to not have completed CPR within 90 days of hire. 1 staff was observed to not complete maltreatment training within 90 days of hire. A fire drill was last conducted 10/25/23. The last shelter-in-place drill was conducted 8/29/23. Medications are stored in each room. 7 emergency medications were observed throughout the operation. One medication was observed expired and one was observed to have an expired medication permission form. All required postings were observed. Today I observed 4 violations regarding childcare requirements listed below and these violations were discussed with you in detail during the visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. One medication authorization was observed to have expired. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One emergency medication on hand was observed to have expired. .0803(12) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 3 employees were observed to not have completed CPR training within 90 days of hire. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff did not complete maltreatment training within 90 days of hire. .1102(g) The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed by November 6, 2023 stating that all violations have been corrected. The letter can be emailed to scott.moore@dhhs.nc.gov or mailed to: Scott Moore 5 Seawell Ct Durham, NC 27703 If you state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by November 6, 2023, you must contact me with a proposed timeline of the corrections. In some cases the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during today's visit may negatively impact your compliance score. TECHNICAL ASSISTANCE I advise developing procedures to review emergency medications periodically to ensure they meet all required rules. 2 emergency medication permissions were observed to expire today during inspection in addition to the other violations cited. Rated License permit renewals have resumed. Your operation falls under cohort 2 in which your planning years began July 1, 2024 and goes through June 30, 2025. Your implementation year will be July 1, 2025 through June 30, 2026. Please use the time during your planning year to upload education documents to WORKS and utilize NCRLAP resources to ensure you are prepared for assessment. If you have any questions or concerns I can be reached at scott.moore@dhhs.nc.gov or 984-389-7839. 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: JOHNSON POND LEARNING CENTER Facility ID: 92001678 Consultant: SCOTT MOORE Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 167 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 110 Time In: 10:25 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements. Today's visit was conducted with Kimberlee Champitto, Administrator. Children were observed participating in routine activities in their rooms and playing outside. A partial assessment of applicable childcare requirements was conducted. The last annual compliance visit was conducted on 4/27/23. The last fire inspection was conducted 8/10/23. The last sanitation inspection was conducted 9/13/23. Staff and training worksheets and files for new staff hired since the last annual compliance inspection were reviewed. 3 staff were observed to not have completed CPR within 90 days of hire. 1 staff was observed to not complete maltreatment training within 90 days of hire. A fire drill was last conducted 10/25/23. The last shelter-in-place drill was conducted 8/29/23. Medications are stored in each room. 7 emergency medications were observed throughout the operation. One medication was observed expired and one was observed to have an expired medication permission form. All required postings were observed. Today I observed 4 violations regarding childcare requirements listed below and these violations were discussed with you in detail during the visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. One medication authorization was observed to have expired. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One emergency medication on hand was observed to have expired. .0803(12) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 3 employees were observed to not have completed CPR training within 90 days of hire. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff did not complete maltreatment training within 90 days of hire. .1102(g) The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed by November 6, 2023 stating that all violations have been corrected. The letter can be emailed to scott.moore@dhhs.nc.gov or mailed to: Scott Moore 5 Seawell Ct Durham, NC 27703 If you state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by November 6, 2023, you must contact me with a proposed timeline of the corrections. In some cases the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during today's visit may negatively impact your compliance score. TECHNICAL ASSISTANCE I advise developing procedures to review emergency medications periodically to ensure they meet all required rules. 2 emergency medication permissions were observed to expire today during inspection in addition to the other violations cited. Rated License permit renewals have resumed. Your operation falls under cohort 2 in which your planning years began July 1, 2024 and goes through June 30, 2025. Your implementation year will be July 1, 2025 through June 30, 2026. Please use the time during your planning year to upload education documents to WORKS and utilize NCRLAP resources to ensure you are prepared for assessment. If you have any questions or concerns I can be reached at scott.moore@dhhs.nc.gov or 984-389-7839. 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