Northlakes Academy, INC

10A NCAC 09 .0604 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 7/8/2026 Number Present: 67 Completed Date: 7/8/2026 Age: From 0 To 10 Total Minutes: 390 Time In: 10:15 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance with a rated license visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Christina Morales, Director, assisted with today’s visit. Your program currently operates with a five star license effective November 28, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The Secretary of State website was checked on July 8, 2026, and your business, Northlakes Academy, Inc. was current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in routines, lunch, rest time, free play, and departure during the visit. Required Inspections: The last fire inspection was conducted on July 6, 2026. The last sanitation inspection was conducted on March 6, 2026. A “superior” classification was issued with four (4) demerits noted on the grade card. The last playground inspection was conducted on June 19, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on November 9, 2023. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Emergency Drills: The last fire drill documented was conducted on July 7, 2026. The last emergency drill documented was conducted on April 24, 2026. You stated that you are in the process of determining your approved curriculum. I reviewed the ABCMS Provider portal during the visit. Twenty (20) staff members are listed as employees of your facility. I confirmed all current staff members are included in your facility portal. Files Reviewed: Nine (9) children’s files were reviewed during the visit. Six (6) new staff files and two (2) existing staff files were reviewed during the visit. A checklist was used to note the requirements I monitored today. Rated License: I received the Application for Assessment for a Rated License for Centers and the Rated License Assessment Request Review on July 8, 2026. You have chosen to meet the requirements for the Program Assessment Pathway. You stated that you will contact me when you are ready to have the rated license assessment conducted. You stated that you will send me documentation of the Family and Community Engagement Standards, Continuous Quality Improvement Standards for your facility and individual staff members, Self-Study forms, and the Staff Information and Education Worksheet by September 22, 2026. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1, the classroom for school age children, I observed one electrical outlet that was not covered on the left side of the wooden book cabinet located on the back wall of the classroom that was accessible to children. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. On playground #4, the playground for infants, I observed one little tikes sit and play activity toy that had a broken piece with a sharp edge and was accessible to children. 10A NCAC 09 .0604(p) You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 98%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: Electrical Outlets: I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. Playground Toys: I suggested that each staff member or a designated staff member monitor classrooms and playgrounds each morning to discard trash and any broken items before children arrive or access the playground. I suggested that you create a daily safety checklist for staff to utilize each day to ensure a safe environment. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environmental rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Paula Arrowood or Wendy Smith, your technical assistant with the Partnership for Children Caldwell County, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. DCDEE Website Link to the QRIS Modernization page: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_EC_Formative_Assessments.pdf?ver=TzSdkUdkhMNoa8W505qTEw%3d%3d DCDEE Provider Documents and Forms: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Caring for Children: https://childcareta.acf.hhs.gov/cfoc#:~:text=CFOC%20Home,Supervision%20of%20ChildrenI Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Dinah Brown, Child Care Consultant, (828)-231-2311, dinah.brown@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, (828)872-0718, tammy.mcgalliard@dhhs.nc.gov if you have questions. Thank you for your time and assistance today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 7/8/2026 Number Present: 67 Completed Date: 7/8/2026 Age: From 0 To 10 Total Minutes: 390 Time In: 10:15 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance with a rated license visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Christina Morales, Director, assisted with today’s visit. Your program currently operates with a five star license effective November 28, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The Secretary of State website was checked on July 8, 2026, and your business, Northlakes Academy, Inc. was current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in routines, lunch, rest time, free play, and departure during the visit. Required Inspections: The last fire inspection was conducted on July 6, 2026. The last sanitation inspection was conducted on March 6, 2026. A “superior” classification was issued with four (4) demerits noted on the grade card. The last playground inspection was conducted on June 19, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on November 9, 2023. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Emergency Drills: The last fire drill documented was conducted on July 7, 2026. The last emergency drill documented was conducted on April 24, 2026. You stated that you are in the process of determining your approved curriculum. I reviewed the ABCMS Provider portal during the visit. Twenty (20) staff members are listed as employees of your facility. I confirmed all current staff members are included in your facility portal. Files Reviewed: Nine (9) children’s files were reviewed during the visit. Six (6) new staff files and two (2) existing staff files were reviewed during the visit. A checklist was used to note the requirements I monitored today. Rated License: I received the Application for Assessment for a Rated License for Centers and the Rated License Assessment Request Review on July 8, 2026. You have chosen to meet the requirements for the Program Assessment Pathway. You stated that you will contact me when you are ready to have the rated license assessment conducted. You stated that you will send me documentation of the Family and Community Engagement Standards, Continuous Quality Improvement Standards for your facility and individual staff members, Self-Study forms, and the Staff Information and Education Worksheet by September 22, 2026. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1, the classroom for school age children, I observed one electrical outlet that was not covered on the left side of the wooden book cabinet located on the back wall of the classroom that was accessible to children. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. On playground #4, the playground for infants, I observed one little tikes sit and play activity toy that had a broken piece with a sharp edge and was accessible to children. 10A NCAC 09 .0604(p) You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 98%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: Electrical Outlets: I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. Playground Toys: I suggested that each staff member or a designated staff member monitor classrooms and playgrounds each morning to discard trash and any broken items before children arrive or access the playground. I suggested that you create a daily safety checklist for staff to utilize each day to ensure a safe environment. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environmental rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Paula Arrowood or Wendy Smith, your technical assistant with the Partnership for Children Caldwell County, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. DCDEE Website Link to the QRIS Modernization page: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_EC_Formative_Assessments.pdf?ver=TzSdkUdkhMNoa8W505qTEw%3d%3d DCDEE Provider Documents and Forms: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Caring for Children: https://childcareta.acf.hhs.gov/cfoc#:~:text=CFOC%20Home,Supervision%20of%20ChildrenI Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Dinah Brown, Child Care Consultant, (828)-231-2311, dinah.brown@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, (828)872-0718, tammy.mcgalliard@dhhs.nc.gov if you have questions. Thank you for your time and assistance today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 79 Completed Date: 4/29/2026 Age: From 0 To 8 Total Minutes: 345 Time In: 11:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Cristina Morales, Director, assisted with today’s visit. Your program currently operates with a five star license effective November 28, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The Secretary of State website was checked on April 30, 2026, and your business, Northlakes Academy Inc., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in routines, lunch, group time, free play, rest time, and departure during the visit. Required Inspections: The last fire inspection was conducted on July 7, 2026. The last sanitation inspection was conducted on March 6, 2026. A “superior” classification was issued with four (4) demerits noted on the grade card. The most recent playground inspection was conducted on April 24, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on November 7, 2023. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Emergency Drills: The most recent fire drill was conducted on April 10, 2026. The most recent emergency drill was conducted on April 24, 2026. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Two new staff members have been hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed on April 17, 2024, completed First Aid training on February 5, 2024, and again on March 14, 2026. .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 employed on April 17, 2024, completed CPR training on February 5, 2026, and again on March 14, 2026. .1102(d) You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 93%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: First Aid/CPR: Staff must complete First Aid and CPR training within ninety (90) days of employment and must renew certification on or before the expiration date. I suggested that you register staff for CPR and First Aid training as soon as they are hired and at least six months prior to the certifications expiration date. CPR and First Aid training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Consultation As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Education standards, Continuous Quality Improvement Standards (CQI), and Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environment rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Paula Arrowood or Wendy Smith, your technical assistant with the Partnership for Children Caldwell County, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. DCDEE Website Link to the QRIS Modernization page: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_EC_Formative_Assessments.pdf?ver=TzSdkUdkhMNoa8W505qTEw%3d%3d DCDEE Provider Documents and Forms: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Caring for Children: https://childcareta.acf.hhs.gov/cfoc#:~:text=CFOC%20Home,Supervision%20of%20ChildrenI For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Dinah Brown, Child Care Consultant, (828)-231-2311, dinah.brown@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, (828)-782-0718, tammy.mcgalliard@dhhs.nc.gov if you have questions. Thank you for your time and assistance today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 7/29/2025 Number Present: 82 Completed Date: 7/29/2025 Age: From 0 To 11 Total Minutes: 360 Time In: 10:45 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today's announced visit was to review children's and staff files that were not monitored during the annual compliance visit conducted July 24, 2025. You, Robin Prichard, Administrator, assisted with the visit. Nine (9) children's files were reviewed today. Ten (10) staff files were reviewed today. A checklist was used to monitor compliance during today's visit. There was one violation citied during today's visit. Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A staff member employed on May 27, 2025 had an Emergency Information sheet dated July 1, 2025 on file for review. .0701(a) The violation(s) documented must be corrected immediately. On or before August 7, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to dinah.brown@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 92%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: Emergency Information: I suggested that you make a new employee packet to ensure all required information and documentation is completed and on file prior to the staff member’s first day of employment. Consultation: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-231-2311. Dinah Brown PO Box 6373 Hickory, NC 28601 Dinah.brown@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 78 Completed Date: 7/24/2025 Age: From 0 To 12 Total Minutes: 370 Time In: 10:30 AM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. You, Christina Morales, Director, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective November 28, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The Secretary of State website was checked on July 24, 2025, and your business, Northlakes Academy Inc., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, lunch, free play, rest time, outdoor gross motor play and departure during the visit. The last sanitation inspection was conducted on March 19, 2025. A “superior” classification was issued with eight (8) demerits noted on the grade card. The last fire inspection was conducted on July 8, 2025. The last fire drill documented was conducted on July 22, 2025. The last emergency drill documented was conducted on July 16, 2025. The last playground inspection was conducted on July 17, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on November 7, 2023. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. I reviewed the ABCMS Provider portal during the visit. Twenty (20) staff members are listed as employees of your facility. I confirmed all current staff members are included in your facility portal. I will return to your facility within five (5) business days to review staff and children’s files. The following violation was observed/documented during today’s visit: 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. I observed a bottle of Gain Ultra Clean 1.5x Grease Cleaning Power Original Scent detergent in an unlocked cabinet above the handwashing sink, accessible to children. .2820(b) You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 91%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: Hazardous Products: I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items that have “keep out of reach of children” with no other warnings may be stored five (5) feet off of the ground. Consultation: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-234-1772. Dinah Brown PO Box 6373 Hickory, NC 28601 Dinah.brown@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 .0302 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 78 Completed Date: 1/7/2025 Age: From 0 To 10 Total Minutes: 360 Time In: 10:45 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your program for compliance with applicable child care requirements including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Christina Morales, Director. Your last annual compliance visit was conducted on August 7, 2024. Your program currently operates with a five (5) star license effective November 28, 2018. You have earned seven (7) points in education, seven (7) points in program standards and one (1) quality point for a total of fifteen (15) points. A walk-through of the facility was completed today, all indoor and outdoor areas used by children enrolled were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during independent center play, feeding diapering, rest time, snack, toileting, handwashing, arrival of school age children, and departure. Fire Inspection: The most recent fire inspection was completed on July 19, 2024. Sanitation Inspection: The last sanitation inspection was completed on April 8, 2024. A “superior” classification was issued with eight (8) demerits noted on the grade card. Playground Inspection: The last playground inspection was completed on December 9, 2024 and recorded. Emergency Drills: The last fire drill was completed on December 30, 2024, at 3:58pm and recorded. The last lockdown drill was completed on October 31, 2024, and recorded. No new staff have been hired since the last annual compliance visit on August 7, 2024. There were three (3) violations observed during today’s visit Violation Number Comment Rule 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. On December 10, 2024, one child was not signed out. On January 2, 2025, one child was not signed out. On January 3, 2025, one child was not signed out. 10A NCAC 09 .0302(d)(4) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #6, the one year old room, I observed markers, pens, highlighters, paperclips and glue sticks in an unlocked drawer accessible to children. In space #5, the two and three year old room, I observed markers, pens, and highlighters in an unlocked drawer accessible to children. .0604(q) 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. On December 3, 2024, one child did not have a sleep position marked for the 8:55am and 9:10am sleep checks. On December 6, 2024, one child did not have a sleep position marked for the 9:45am sleep check. On December 12, 2024, one child did not have a sleep position marked for the 11:20am and 11:35am sleep checks. On December 18, 2024, one child did not have a sleep position marked for the 10:05am sleep check. .0606(g) Consultation: Technical Assistance: Arrival and Departure Records: I suggested a staff member review arrival and departure sheets daily to ensure every child has been signed in and out each day as required by child care rules. Safe Indoor Environment: I recommended that staff conduct a daily walk through of infant and toddler classrooms to ensure all items such as plastic bags, markers, glue sticks, and other choking hazards are in locked storage or placed above 5 feet. Sleep Checks: I recommended that staff review sleep checks daily to monitor all documentation has been completed and is correct to ensure the safety of infants and maintain compliance with all child care rules and requirements. Contact Information: You confirmed that Robin Prichard was your current Administrator, that 5638 Grace Chapel Road Hickory, NC 28601 was your current physical address, that nlacdc5star@gmail.com was your current email address, and that (828)-324-1460 was your current phone contact. Compliance History: Prior to today’s visit, your compliance history was eighty-eight (88) percent as of January 7, 2025. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Compliance Letter: You must correct the violation found during today's visit immediately. Please send me a letter verifying compliance by January 21, 2025. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at dinah.brown@dhhs.nc.gov. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Dinah Brown Child Care Consultant P.O. Box 6373 Hickory, NC 28601 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Lead Testing: Child Care Rule .0601(f)- Safe Environments Child Care Rule Effective January 1, 2024 Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. Moodle Information On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If you have any concerns with today’s visit, please contact me or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at 828-231-2311 or e-mail dinah.brown@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 78 Completed Date: 1/7/2025 Age: From 0 To 10 Total Minutes: 360 Time In: 10:45 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your program for compliance with applicable child care requirements including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Christina Morales, Director. Your last annual compliance visit was conducted on August 7, 2024. Your program currently operates with a five (5) star license effective November 28, 2018. You have earned seven (7) points in education, seven (7) points in program standards and one (1) quality point for a total of fifteen (15) points. A walk-through of the facility was completed today, all indoor and outdoor areas used by children enrolled were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during independent center play, feeding diapering, rest time, snack, toileting, handwashing, arrival of school age children, and departure. Fire Inspection: The most recent fire inspection was completed on July 19, 2024. Sanitation Inspection: The last sanitation inspection was completed on April 8, 2024. A “superior” classification was issued with eight (8) demerits noted on the grade card. Playground Inspection: The last playground inspection was completed on December 9, 2024 and recorded. Emergency Drills: The last fire drill was completed on December 30, 2024, at 3:58pm and recorded. The last lockdown drill was completed on October 31, 2024, and recorded. No new staff have been hired since the last annual compliance visit on August 7, 2024. There were three (3) violations observed during today’s visit Violation Number Comment Rule 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. On December 10, 2024, one child was not signed out. On January 2, 2025, one child was not signed out. On January 3, 2025, one child was not signed out. 10A NCAC 09 .0302(d)(4) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #6, the one year old room, I observed markers, pens, highlighters, paperclips and glue sticks in an unlocked drawer accessible to children. In space #5, the two and three year old room, I observed markers, pens, and highlighters in an unlocked drawer accessible to children. .0604(q) 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. On December 3, 2024, one child did not have a sleep position marked for the 8:55am and 9:10am sleep checks. On December 6, 2024, one child did not have a sleep position marked for the 9:45am sleep check. On December 12, 2024, one child did not have a sleep position marked for the 11:20am and 11:35am sleep checks. On December 18, 2024, one child did not have a sleep position marked for the 10:05am sleep check. .0606(g) Consultation: Technical Assistance: Arrival and Departure Records: I suggested a staff member review arrival and departure sheets daily to ensure every child has been signed in and out each day as required by child care rules. Safe Indoor Environment: I recommended that staff conduct a daily walk through of infant and toddler classrooms to ensure all items such as plastic bags, markers, glue sticks, and other choking hazards are in locked storage or placed above 5 feet. Sleep Checks: I recommended that staff review sleep checks daily to monitor all documentation has been completed and is correct to ensure the safety of infants and maintain compliance with all child care rules and requirements. Contact Information: You confirmed that Robin Prichard was your current Administrator, that 5638 Grace Chapel Road Hickory, NC 28601 was your current physical address, that nlacdc5star@gmail.com was your current email address, and that (828)-324-1460 was your current phone contact. Compliance History: Prior to today’s visit, your compliance history was eighty-eight (88) percent as of January 7, 2025. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Compliance Letter: You must correct the violation found during today's visit immediately. Please send me a letter verifying compliance by January 21, 2025. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at dinah.brown@dhhs.nc.gov. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Dinah Brown Child Care Consultant P.O. Box 6373 Hickory, NC 28601 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Lead Testing: Child Care Rule .0601(f)- Safe Environments Child Care Rule Effective January 1, 2024 Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. Moodle Information On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If you have any concerns with today’s visit, please contact me or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at 828-231-2311 or e-mail dinah.brown@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

NC GS 110-90 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 78 Completed Date: 1/7/2025 Age: From 0 To 10 Total Minutes: 360 Time In: 10:45 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your program for compliance with applicable child care requirements including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Christina Morales, Director. Your last annual compliance visit was conducted on August 7, 2024. Your program currently operates with a five (5) star license effective November 28, 2018. You have earned seven (7) points in education, seven (7) points in program standards and one (1) quality point for a total of fifteen (15) points. A walk-through of the facility was completed today, all indoor and outdoor areas used by children enrolled were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during independent center play, feeding diapering, rest time, snack, toileting, handwashing, arrival of school age children, and departure. Fire Inspection: The most recent fire inspection was completed on July 19, 2024. Sanitation Inspection: The last sanitation inspection was completed on April 8, 2024. A “superior” classification was issued with eight (8) demerits noted on the grade card. Playground Inspection: The last playground inspection was completed on December 9, 2024 and recorded. Emergency Drills: The last fire drill was completed on December 30, 2024, at 3:58pm and recorded. The last lockdown drill was completed on October 31, 2024, and recorded. No new staff have been hired since the last annual compliance visit on August 7, 2024. There were three (3) violations observed during today’s visit Violation Number Comment Rule 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. On December 10, 2024, one child was not signed out. On January 2, 2025, one child was not signed out. On January 3, 2025, one child was not signed out. 10A NCAC 09 .0302(d)(4) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #6, the one year old room, I observed markers, pens, highlighters, paperclips and glue sticks in an unlocked drawer accessible to children. In space #5, the two and three year old room, I observed markers, pens, and highlighters in an unlocked drawer accessible to children. .0604(q) 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. On December 3, 2024, one child did not have a sleep position marked for the 8:55am and 9:10am sleep checks. On December 6, 2024, one child did not have a sleep position marked for the 9:45am sleep check. On December 12, 2024, one child did not have a sleep position marked for the 11:20am and 11:35am sleep checks. On December 18, 2024, one child did not have a sleep position marked for the 10:05am sleep check. .0606(g) Consultation: Technical Assistance: Arrival and Departure Records: I suggested a staff member review arrival and departure sheets daily to ensure every child has been signed in and out each day as required by child care rules. Safe Indoor Environment: I recommended that staff conduct a daily walk through of infant and toddler classrooms to ensure all items such as plastic bags, markers, glue sticks, and other choking hazards are in locked storage or placed above 5 feet. Sleep Checks: I recommended that staff review sleep checks daily to monitor all documentation has been completed and is correct to ensure the safety of infants and maintain compliance with all child care rules and requirements. Contact Information: You confirmed that Robin Prichard was your current Administrator, that 5638 Grace Chapel Road Hickory, NC 28601 was your current physical address, that nlacdc5star@gmail.com was your current email address, and that (828)-324-1460 was your current phone contact. Compliance History: Prior to today’s visit, your compliance history was eighty-eight (88) percent as of January 7, 2025. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Compliance Letter: You must correct the violation found during today's visit immediately. Please send me a letter verifying compliance by January 21, 2025. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at dinah.brown@dhhs.nc.gov. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Dinah Brown Child Care Consultant P.O. Box 6373 Hickory, NC 28601 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Lead Testing: Child Care Rule .0601(f)- Safe Environments Child Care Rule Effective January 1, 2024 Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. Moodle Information On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If you have any concerns with today’s visit, please contact me or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at 828-231-2311 or e-mail dinah.brown@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 .0302 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 90 Completed Date: 8/7/2024 Age: From 0 To 12 Total Minutes: 455 Time In: 09:40 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor your program for compliance with applicable child care requirements including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Christina Morales, Director. Your last annual compliance visit was conducted on August 24, 2023. Your program currently operates with a five star license effective November 28, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. A walk-through of all licensed indoor and outdoor spaces was conducted. You, Christina Morales, accompanied me on the walkthrough. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during outdoor gross motor play, feeding, diapering, handwashing, transitions, lunch, rest/nap time, indoor free play activities, teacher directed group activities, and departure. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on July 19, 2024. Sanitation Inspection: The last sanitation inspection was completed on April 8, 2024. A “superior” classification was issued with eight (8) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last shelter-in-place drill was completed on July 31, 2024, and recorded. The last playground inspection was completed on July 19, 2024, and recorded. The last fire drill was completed on July 30, 2024, at 3:08pm and recorded. A checklist was used to note the requirements I monitored today. Files Reviewed: No staff files were reviewed today. As we discussed I will return tomorrow August 8, 2024 to review all staff files. Any violations cited in staff files that are monitored during tomorrow’s visit will be added to the annual compliance visit summary that was conducted today August 7, 2024. 10 (ten) children’s files were reviewed today. The following violations were observed during the walk through today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 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. One child was not signed on July 8, 2024. One child was not signed out on July 9, 2024. Three children were not signed out on July 11, 2024. One child was not signed out on July 17, 2024. One child was not signed out on July 19, 2024. One child was not signed out on July 25, 2024. One child was not signed out on July 31, 2024. 10A NCAC 09 .0302(d)(4) 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. I observed a 6.5oz aerosol spray can of Angel of Mine fresh and clean baby scent baby room air freshener in an unlocked cabinet in Space 2a/2b. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. I observed a box of 5 plastic packages of Premium Fragrance Free Baby Wipes on the floor in a closet in space 2a/2b that was locked with a turn and slide bolt style lock at the top of the door. .0604(q) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A prescription medication ointment located in Space #5 was written for July 15, 2024 to July 15, 2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance: Arrival /Departure: I recommend staff review all arrival and departure sheets daily to ensure each child has been signed in and out at the correct time. This process will ensure the safety of all children enrolled in the program and compliance with all child care rules and requirements. Safe Indoor Environment: I recommend that staff conduct a daily walk through and preform a safety check to ensure all items such as plastics are above 5' or locked and that all aerosol cans are under lock and key before children enter classrooms. Medications: I recommend that all medication authorization forms are checked for accuracy and contain all required information that is required by child care rules. Consultation: Prior to today’s visit, your compliance history was eighty-six (86) percent as of August 7, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Lead Testing: Child Care Rule .0601(f)- Safe Environments Child Care Rule Effective January 1, 2024 Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. Moodle Information On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by August 21, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at dinah.brown@dhhs.nc.gov. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Dinah Brown Child Care Consultant P.O. Box 6373 Hickory, NC 28601 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you have any concerns with today’s visit, please contact me or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at 828-231-2311 or e-mail dinah.brown@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

NC GS 110-90 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 90 Completed Date: 8/7/2024 Age: From 0 To 12 Total Minutes: 455 Time In: 09:40 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor your program for compliance with applicable child care requirements including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Christina Morales, Director. Your last annual compliance visit was conducted on August 24, 2023. Your program currently operates with a five star license effective November 28, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. A walk-through of all licensed indoor and outdoor spaces was conducted. You, Christina Morales, accompanied me on the walkthrough. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during outdoor gross motor play, feeding, diapering, handwashing, transitions, lunch, rest/nap time, indoor free play activities, teacher directed group activities, and departure. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on July 19, 2024. Sanitation Inspection: The last sanitation inspection was completed on April 8, 2024. A “superior” classification was issued with eight (8) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last shelter-in-place drill was completed on July 31, 2024, and recorded. The last playground inspection was completed on July 19, 2024, and recorded. The last fire drill was completed on July 30, 2024, at 3:08pm and recorded. A checklist was used to note the requirements I monitored today. Files Reviewed: No staff files were reviewed today. As we discussed I will return tomorrow August 8, 2024 to review all staff files. Any violations cited in staff files that are monitored during tomorrow’s visit will be added to the annual compliance visit summary that was conducted today August 7, 2024. 10 (ten) children’s files were reviewed today. The following violations were observed during the walk through today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 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. One child was not signed on July 8, 2024. One child was not signed out on July 9, 2024. Three children were not signed out on July 11, 2024. One child was not signed out on July 17, 2024. One child was not signed out on July 19, 2024. One child was not signed out on July 25, 2024. One child was not signed out on July 31, 2024. 10A NCAC 09 .0302(d)(4) 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. I observed a 6.5oz aerosol spray can of Angel of Mine fresh and clean baby scent baby room air freshener in an unlocked cabinet in Space 2a/2b. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. I observed a box of 5 plastic packages of Premium Fragrance Free Baby Wipes on the floor in a closet in space 2a/2b that was locked with a turn and slide bolt style lock at the top of the door. .0604(q) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A prescription medication ointment located in Space #5 was written for July 15, 2024 to July 15, 2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance: Arrival /Departure: I recommend staff review all arrival and departure sheets daily to ensure each child has been signed in and out at the correct time. This process will ensure the safety of all children enrolled in the program and compliance with all child care rules and requirements. Safe Indoor Environment: I recommend that staff conduct a daily walk through and preform a safety check to ensure all items such as plastics are above 5' or locked and that all aerosol cans are under lock and key before children enter classrooms. Medications: I recommend that all medication authorization forms are checked for accuracy and contain all required information that is required by child care rules. Consultation: Prior to today’s visit, your compliance history was eighty-six (86) percent as of August 7, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Lead Testing: Child Care Rule .0601(f)- Safe Environments Child Care Rule Effective January 1, 2024 Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. Moodle Information On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by August 21, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at dinah.brown@dhhs.nc.gov. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Dinah Brown Child Care Consultant P.O. Box 6373 Hickory, NC 28601 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you have any concerns with today’s visit, please contact me or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at 828-231-2311 or e-mail dinah.brown@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 .0803 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 2/12/2024 Number Present: 70 Completed Date: 2/12/2024 Age: From 0 To 5 Total Minutes: 230 Time In: 09:40 AM Time Out: 01:30 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 your program for compliance with applicable child care requirements for an administrative action follow-up visit. Upon arrival, the purpose of today’s visit was reviewed with you, Christina Morales, Assistant Administrator. Dinah Brown, Child Care Consultant accompanied me on the visit. Your program currently operates with a five star license effective November 28, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The NC Secretary of State website was reviewed on February 12, 2024 and Northlakes Academy, Inc. was listed as current/active. You reported no changes to the ownership of the facility. We observed a copy of the administrative action, cover letter, and CAP posted as required. We also reminded you the information must remain posted for three months and upon receipt of a closure letter from the Division stating the corrective action plan has been completed for a final notice of administrative action containing a written warning. The following requirements were monitored: Supervision, Staff Child Ratio, CPR, First Aid, Special Training, Storage of Hazardous Substances, Storage of Medication, Adequate Approved/Space, Staff Records, Program Records, License Posted, Permit Restrictions, Age Appropriate Activities, Nutrition/Infant Feeding and Medications were monitored today. A walk-through of the facility was completed today. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group story time, free play in activity centers, tummy time and napping. You must follow and complete the Corrective Action Plan within the designated timeframe listed for each Corrective Action Plan item. Corrective Action Plan Status: Corrective Action Plan(CAP) Status: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements. Five violations were observed today related to the requirements included in this stipulation. This item is not in compliance. 2. The mandatory training with Beth Archer, Child Care Consultant, was completed January 19, 2024 and all staff were in attendance. 3. Within two (2) weeks after completing the required rules review in Item #2, Ms. Prichard, shall develop written procedures for achieving and maintaining compliance with general safety, administering medication, storage of hazardous items, special training, emergency medical care plan, ITS-SIDS training, nutrition/infant feeding, program records, staff records, children’s records and emergency information. The written procedures shall include, but not be limited to, the following: • Implementation of a daily safety checklist that includes a plan for monitoring compliance with electrical outlets, choking hazards, documentation of safe sleep checks, fire exits, storage of hazardous items and monitoring the vehicle prior to transporting children • Procedures for receiving and reviewing permission to administer medication forms and steps for administering the medication • Implementation of a staffing plan to include designation of staff member(s) responsible and qualified for working in the classroom with infants on a regular basis, during breaks and absences • Procedures for receiving, reviewing and posting infant feeding plans and labeling bottles • Implementation of the program, staff and children’s records file checklist • Procedures for receiving, reviewing and adding each child’s picture to the emergency information form prior to transporting children. The written procedures shall be submitted to Ms. Archer for approval. Ms. Archer shall notify Ms. Prichard, orally and in writing, as to whether the written procedures are approved or if modifications are needed. Once approved, the procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written procedures shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Written procedures have not yet been received. We discussed requirement for procedures. You reported that you are working on written procedures and will return them as soon as completed. 4. Within two (2) weeks after the written procedures in Item #3 have been approved, Ms.Pritchard shall conduct a mandatory staff meeting with all staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff. All staff shall participate in the mandatory meeting to discuss violations in Item #1, each staff person’s responsibility for assuring compliance with all applicable child care requirements, as well as implementation of the written procedures outlined in Item #3. Within three (3) days after the staff meeting, Ms. Pritchard shall email documentation of the staff meeting to Ms. Archer. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. No child care activities should occur during this mandatory meeting. This meeting will be scheduled after the procedures have been approved. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 85% as of February 12, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violation(s) were observed today: Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. In space#4, there was one tube of Aquaphor cream that expired 1/2024. 10A NCAC 09 .0803(1)(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #6 and space #7, there was one topical ointment authorization that did not include the name of the authorized cream. In space #7, there was no date the authorization was signed by the parent on a topical ointment authorization for Aquaphor. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before February 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item #843 Expired Medication: No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child after its expiration date 10A NCAC 09.0803(1)(d) We discussed that the ointment that has expired must not be used when expired and must be sent home or discarded within 72 hours of expiration. Item #1882 Medication Authorization: A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The written authorization must contain all required information including the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders and the date the authorization was signed by the parent 10A NCAC 09.0803(7)(b)(f) Consultation or other topics discussed today: We discussed medication authorization requirements for prescription and over-the-counter medications per 10A NCAC 09.0803(6). You have a medical action plan that is current, has all the required information and is on file for all prescription medications for chronic conditions. The medical action plan may be completed annually or when there are changes to the plan; however, prescription and over-the-counter medications are required to be authorized for not greater than six months. We discussed individual activity plans/goals for children under two years of age. I encouraged you to indicate on your activity plan which activities/goals are used for each individual child under 2. There is a sample form for individualized activity plans for children under 24 months on the Division’s website under provider documents/forms. We discussed that free choice is not a planned activity and should not be on activity plans. School age children are to be involved in planning and implementation of their activities. The activities that are planned by the children, should be specifically listed and included on the plan. 10A NCAC .2508(b). For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 09.0803 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 2/12/2024 Number Present: 70 Completed Date: 2/12/2024 Age: From 0 To 5 Total Minutes: 230 Time In: 09:40 AM Time Out: 01:30 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 your program for compliance with applicable child care requirements for an administrative action follow-up visit. Upon arrival, the purpose of today’s visit was reviewed with you, Christina Morales, Assistant Administrator. Dinah Brown, Child Care Consultant accompanied me on the visit. Your program currently operates with a five star license effective November 28, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The NC Secretary of State website was reviewed on February 12, 2024 and Northlakes Academy, Inc. was listed as current/active. You reported no changes to the ownership of the facility. We observed a copy of the administrative action, cover letter, and CAP posted as required. We also reminded you the information must remain posted for three months and upon receipt of a closure letter from the Division stating the corrective action plan has been completed for a final notice of administrative action containing a written warning. The following requirements were monitored: Supervision, Staff Child Ratio, CPR, First Aid, Special Training, Storage of Hazardous Substances, Storage of Medication, Adequate Approved/Space, Staff Records, Program Records, License Posted, Permit Restrictions, Age Appropriate Activities, Nutrition/Infant Feeding and Medications were monitored today. A walk-through of the facility was completed today. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group story time, free play in activity centers, tummy time and napping. You must follow and complete the Corrective Action Plan within the designated timeframe listed for each Corrective Action Plan item. Corrective Action Plan Status: Corrective Action Plan(CAP) Status: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements. Five violations were observed today related to the requirements included in this stipulation. This item is not in compliance. 2. The mandatory training with Beth Archer, Child Care Consultant, was completed January 19, 2024 and all staff were in attendance. 3. Within two (2) weeks after completing the required rules review in Item #2, Ms. Prichard, shall develop written procedures for achieving and maintaining compliance with general safety, administering medication, storage of hazardous items, special training, emergency medical care plan, ITS-SIDS training, nutrition/infant feeding, program records, staff records, children’s records and emergency information. The written procedures shall include, but not be limited to, the following: • Implementation of a daily safety checklist that includes a plan for monitoring compliance with electrical outlets, choking hazards, documentation of safe sleep checks, fire exits, storage of hazardous items and monitoring the vehicle prior to transporting children • Procedures for receiving and reviewing permission to administer medication forms and steps for administering the medication • Implementation of a staffing plan to include designation of staff member(s) responsible and qualified for working in the classroom with infants on a regular basis, during breaks and absences • Procedures for receiving, reviewing and posting infant feeding plans and labeling bottles • Implementation of the program, staff and children’s records file checklist • Procedures for receiving, reviewing and adding each child’s picture to the emergency information form prior to transporting children. The written procedures shall be submitted to Ms. Archer for approval. Ms. Archer shall notify Ms. Prichard, orally and in writing, as to whether the written procedures are approved or if modifications are needed. Once approved, the procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written procedures shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Written procedures have not yet been received. We discussed requirement for procedures. You reported that you are working on written procedures and will return them as soon as completed. 4. Within two (2) weeks after the written procedures in Item #3 have been approved, Ms.Pritchard shall conduct a mandatory staff meeting with all staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff. All staff shall participate in the mandatory meeting to discuss violations in Item #1, each staff person’s responsibility for assuring compliance with all applicable child care requirements, as well as implementation of the written procedures outlined in Item #3. Within three (3) days after the staff meeting, Ms. Pritchard shall email documentation of the staff meeting to Ms. Archer. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. No child care activities should occur during this mandatory meeting. This meeting will be scheduled after the procedures have been approved. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 85% as of February 12, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violation(s) were observed today: Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. In space#4, there was one tube of Aquaphor cream that expired 1/2024. 10A NCAC 09 .0803(1)(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #6 and space #7, there was one topical ointment authorization that did not include the name of the authorized cream. In space #7, there was no date the authorization was signed by the parent on a topical ointment authorization for Aquaphor. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before February 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item #843 Expired Medication: No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child after its expiration date 10A NCAC 09.0803(1)(d) We discussed that the ointment that has expired must not be used when expired and must be sent home or discarded within 72 hours of expiration. Item #1882 Medication Authorization: A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The written authorization must contain all required information including the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders and the date the authorization was signed by the parent 10A NCAC 09.0803(7)(b)(f) Consultation or other topics discussed today: We discussed medication authorization requirements for prescription and over-the-counter medications per 10A NCAC 09.0803(6). You have a medical action plan that is current, has all the required information and is on file for all prescription medications for chronic conditions. The medical action plan may be completed annually or when there are changes to the plan; however, prescription and over-the-counter medications are required to be authorized for not greater than six months. We discussed individual activity plans/goals for children under two years of age. I encouraged you to indicate on your activity plan which activities/goals are used for each individual child under 2. There is a sample form for individualized activity plans for children under 24 months on the Division’s website under provider documents/forms. We discussed that free choice is not a planned activity and should not be on activity plans. School age children are to be involved in planning and implementation of their activities. The activities that are planned by the children, should be specifically listed and included on the plan. 10A NCAC .2508(b). For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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

NC GS 110-90 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 2/12/2024 Number Present: 70 Completed Date: 2/12/2024 Age: From 0 To 5 Total Minutes: 230 Time In: 09:40 AM Time Out: 01:30 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 your program for compliance with applicable child care requirements for an administrative action follow-up visit. Upon arrival, the purpose of today’s visit was reviewed with you, Christina Morales, Assistant Administrator. Dinah Brown, Child Care Consultant accompanied me on the visit. Your program currently operates with a five star license effective November 28, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The NC Secretary of State website was reviewed on February 12, 2024 and Northlakes Academy, Inc. was listed as current/active. You reported no changes to the ownership of the facility. We observed a copy of the administrative action, cover letter, and CAP posted as required. We also reminded you the information must remain posted for three months and upon receipt of a closure letter from the Division stating the corrective action plan has been completed for a final notice of administrative action containing a written warning. The following requirements were monitored: Supervision, Staff Child Ratio, CPR, First Aid, Special Training, Storage of Hazardous Substances, Storage of Medication, Adequate Approved/Space, Staff Records, Program Records, License Posted, Permit Restrictions, Age Appropriate Activities, Nutrition/Infant Feeding and Medications were monitored today. A walk-through of the facility was completed today. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group story time, free play in activity centers, tummy time and napping. You must follow and complete the Corrective Action Plan within the designated timeframe listed for each Corrective Action Plan item. Corrective Action Plan Status: Corrective Action Plan(CAP) Status: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements. Five violations were observed today related to the requirements included in this stipulation. This item is not in compliance. 2. The mandatory training with Beth Archer, Child Care Consultant, was completed January 19, 2024 and all staff were in attendance. 3. Within two (2) weeks after completing the required rules review in Item #2, Ms. Prichard, shall develop written procedures for achieving and maintaining compliance with general safety, administering medication, storage of hazardous items, special training, emergency medical care plan, ITS-SIDS training, nutrition/infant feeding, program records, staff records, children’s records and emergency information. The written procedures shall include, but not be limited to, the following: • Implementation of a daily safety checklist that includes a plan for monitoring compliance with electrical outlets, choking hazards, documentation of safe sleep checks, fire exits, storage of hazardous items and monitoring the vehicle prior to transporting children • Procedures for receiving and reviewing permission to administer medication forms and steps for administering the medication • Implementation of a staffing plan to include designation of staff member(s) responsible and qualified for working in the classroom with infants on a regular basis, during breaks and absences • Procedures for receiving, reviewing and posting infant feeding plans and labeling bottles • Implementation of the program, staff and children’s records file checklist • Procedures for receiving, reviewing and adding each child’s picture to the emergency information form prior to transporting children. The written procedures shall be submitted to Ms. Archer for approval. Ms. Archer shall notify Ms. Prichard, orally and in writing, as to whether the written procedures are approved or if modifications are needed. Once approved, the procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written procedures shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Written procedures have not yet been received. We discussed requirement for procedures. You reported that you are working on written procedures and will return them as soon as completed. 4. Within two (2) weeks after the written procedures in Item #3 have been approved, Ms.Pritchard shall conduct a mandatory staff meeting with all staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff. All staff shall participate in the mandatory meeting to discuss violations in Item #1, each staff person’s responsibility for assuring compliance with all applicable child care requirements, as well as implementation of the written procedures outlined in Item #3. Within three (3) days after the staff meeting, Ms. Pritchard shall email documentation of the staff meeting to Ms. Archer. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. No child care activities should occur during this mandatory meeting. This meeting will be scheduled after the procedures have been approved. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 85% as of February 12, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violation(s) were observed today: Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. In space#4, there was one tube of Aquaphor cream that expired 1/2024. 10A NCAC 09 .0803(1)(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #6 and space #7, there was one topical ointment authorization that did not include the name of the authorized cream. In space #7, there was no date the authorization was signed by the parent on a topical ointment authorization for Aquaphor. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before February 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item #843 Expired Medication: No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child after its expiration date 10A NCAC 09.0803(1)(d) We discussed that the ointment that has expired must not be used when expired and must be sent home or discarded within 72 hours of expiration. Item #1882 Medication Authorization: A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The written authorization must contain all required information including the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders and the date the authorization was signed by the parent 10A NCAC 09.0803(7)(b)(f) Consultation or other topics discussed today: We discussed medication authorization requirements for prescription and over-the-counter medications per 10A NCAC 09.0803(6). You have a medical action plan that is current, has all the required information and is on file for all prescription medications for chronic conditions. The medical action plan may be completed annually or when there are changes to the plan; however, prescription and over-the-counter medications are required to be authorized for not greater than six months. We discussed individual activity plans/goals for children under two years of age. I encouraged you to indicate on your activity plan which activities/goals are used for each individual child under 2. There is a sample form for individualized activity plans for children under 24 months on the Division’s website under provider documents/forms. We discussed that free choice is not a planned activity and should not be on activity plans. School age children are to be involved in planning and implementation of their activities. The activities that are planned by the children, should be specifically listed and included on the plan. 10A NCAC .2508(b). For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .1102 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 12/18/2023 Number Present: 62 Completed Date: 12/18/2023 Age: From 0 To 5 Total Minutes: 190 Time In: 09:35 AM Time Out: 12:45 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 your program for compliance with applicable child care requirements for an annual compliance visit. Upon arrival, the purpose of today’s visit was reviewed with you, Cristina Morales, Assistant Administrator. Dinah Brown, Child Care Consultant accompanied me on the visit. Your program currently operates with a five star license effective November 28, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The NC Secretary of State website was reviewed on December 15, 2023 and Northlakes Academy, Inc. was listed as current/active. You reported no changes to the ownership of the facility. The following requirements were monitored: staff/child ratios, supervision, approved space, permit restrictions, nutrition/infant feeding, general safety, storage of hazardous substances, and storage of medication. A walk-through of the facility was completed today. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in free play in activity centers, outdoor play time and napping. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 90 percent as of December 15, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Requirements regarding Supervision, Staff/Child Ratio, Approved Space, Permit Restriction, Lead Teacher Qualification, Inservice Training Hours, Emergency Medical Care Plan, Administering Medication, Storage of Hazardous Substances, General Safety, Equipment, Age Appropriate Activities, Nutrition/Infant Feeding, Staff Records, Childrens Records and Program Records were monitored today. The following violation(s) were observed today: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One new staff member hired 8/28/23, had not completed First Aid training. .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 new staff member hired 8/28/23, had not completed CPR training. .1102(d) The violation(s) documented must be corrected immediately. On or before January 1, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care within 90 days of hire. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). You reported that the staff member had a personal emergency and was unable to complete the scheduled training. The staff member is scheduled for training in early January 2024, but will not have completed before the compliance letter is due. I requested that you send an email asking for an extension for this violation due to availability of training opportunities before the compliance letter due date. Consultation or other topics discussed today: We discussed with you that an administrative action has been recommended because of the number of violations observed during the annual compliance visit on August 24, 2023. You reported that you have not yet received the Administrative Action paperwork. Please call me when the administrative action paperwork is received, and a review will be completed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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

NC GS 110-90 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 12/18/2023 Number Present: 62 Completed Date: 12/18/2023 Age: From 0 To 5 Total Minutes: 190 Time In: 09:35 AM Time Out: 12:45 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 your program for compliance with applicable child care requirements for an annual compliance visit. Upon arrival, the purpose of today’s visit was reviewed with you, Cristina Morales, Assistant Administrator. Dinah Brown, Child Care Consultant accompanied me on the visit. Your program currently operates with a five star license effective November 28, 2018. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The NC Secretary of State website was reviewed on December 15, 2023 and Northlakes Academy, Inc. was listed as current/active. You reported no changes to the ownership of the facility. The following requirements were monitored: staff/child ratios, supervision, approved space, permit restrictions, nutrition/infant feeding, general safety, storage of hazardous substances, and storage of medication. A walk-through of the facility was completed today. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in free play in activity centers, outdoor play time and napping. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 90 percent as of December 15, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Requirements regarding Supervision, Staff/Child Ratio, Approved Space, Permit Restriction, Lead Teacher Qualification, Inservice Training Hours, Emergency Medical Care Plan, Administering Medication, Storage of Hazardous Substances, General Safety, Equipment, Age Appropriate Activities, Nutrition/Infant Feeding, Staff Records, Childrens Records and Program Records were monitored today. The following violation(s) were observed today: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One new staff member hired 8/28/23, had not completed First Aid training. .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 new staff member hired 8/28/23, had not completed CPR training. .1102(d) The violation(s) documented must be corrected immediately. On or before January 1, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care within 90 days of hire. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). You reported that the staff member had a personal emergency and was unable to complete the scheduled training. The staff member is scheduled for training in early January 2024, but will not have completed before the compliance letter is due. I requested that you send an email asking for an extension for this violation due to availability of training opportunities before the compliance letter due date. Consultation or other topics discussed today: We discussed with you that an administrative action has been recommended because of the number of violations observed during the annual compliance visit on August 24, 2023. You reported that you have not yet received the Administrative Action paperwork. Please call me when the administrative action paperwork is received, and a review will be completed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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

NC GS 110-90 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 11/15/2023 Number Present: 69 Completed Date: 11/15/2023 Age: From 0 To 5 Total Minutes: 107 Time In: 11:25 AM Time Out: 01:12 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements. Cristina Morales, administrative assistant, assisted with the visit. When I arrived, I discussed the purpose of the visit. The following requirements were monitored: staff/child ratios, supervision, approved space, permit restrictions, nutrition/infant feeding, general safety, storage of hazardous substances, and storage of medication. The North Carolina Secretary of State’s website was viewed before the visit, and Northlakes Academy, Inc. was listed as current/active. Per child care rule .0204(a) When the ownership of a child care center changes, the prospective new owner shall apply for a new license in accordance with Rule .0403 of this Chapter at least 30 days before acquiring ownership of the center. A child care center license shall not be bought, sold, or transferred by one person or entity to another. If you choose to sell your business, then you must contact me, your consultant, at least thirty (30) days prior to selling your business. You reported no changes today. Children were observed during lunch, and nap/rest. The following violation was observed during the visit. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The posted written feeding plan for one (1) toddler, thirteen months of age enrolled in space #7, did not have the parent signature or the date the written feeding plan was received by the center. .0902(a) Technical assistance was provided on the following: Item #541 We discussed that Written Feeding Plans must be completed and signed by the parent and dated when the facility receives the feeding plan. The feeding plan for one (1) toddler, thirteen (13) months of age was posted in space #7, but the parent did not sign the plan and the facility did not date when the plan was received. I suggested that you review the Written Feeding Plans to ensure all information is completed on the form prior to staff posting the plan. Compliance History: The center’s compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of November 14, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Consultation: • From now until June 30, 2024, is your preparation period for the rated license assessment. As I discussed, please continue to prepare your environment, remove excess materials, and store them in an alternate location. You can review NCRLAP.org for webinars regarding the SACERS, ITERS-R, and ECERS-R assessments. • A new helpline was launched regarding Children and Challenging Behaviors. Speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your classroom. 1-888-600-1685 Option 1. • Reminder-Water tests must be completed every three (3) years. Please check the date of your most recent water test for lead to ensure that you are following this sanitation requirement. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by November 29, 2023. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at **828-782-0945** or e-mail jennifer.roberts@dhhs.nc.gov. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 89 Completed Date: 8/24/2023 Age: From 0 To 12 Total Minutes: 402 Time In: 10:38 AM Time Out: 05:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance visit. Robin Prichard, Financial Administrator, conducted the walk through with us. You, Geri Ward, Administrator, assisted with the visit. Dinah Brown, Child Care Consultant, accompanied me on the visit. The last annual compliance visit was conducted on September 14, 2022. The North Carolina Secretary of State’s website was viewed before the visit, and Northlakes Academy, Inc. was listed as current/active. Per child care rule .0204(a) (a) When the ownership of a child care center changes, the prospective new owner shall apply for a new license in accordance with Rule .0403 of this Chapter at least 30 days before acquiring ownership of the center. A child care center license shall not be bought, sold, or transferred by one person or entity to another. You reported no changes today. Your program currently operates with a five-star rated license issued on November 28, 2018. The restrictions on your license include daytime care only, meets enhanced ratios minus one, meets enhanced ratios, and meets enhanced space. Fire Inspection: The last fire inspection was made on September 9, 2022. The center was approved for daytime care only. You are due to have a fire inspection completed by September 9, 2023. Please send me a copy once the inspection is completed. Sanitation Inspection: The last sanitation inspection was made on June 14, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during outdoor free play, handwashing, lunch, floor play, routines, and nap/rest. School aged children were observed playing outside the fenced in area behind the playground used by children three to five years of age. A checklist was used to note the requirements I monitored today. The following violations were observed during the visit: Violation Number Comment Rule 323 Prior to supervising children on an aquatic activity, and annually, staff did not sign and date a statement that they had reviewed the center's policies on aquatic activities. One (1) staff caring for school-aged children did not have a signed and dated statement on file that they had reviewed the center’s aquatic policy. The staff and training worksheet listed this employee as the teacher in the space for school-aged children. 10A NCAC 09 .1403(h)(1-3) 533 Breast 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. In space #2a, one (1) prepared bottle of formula stored in the refrigerator was dated August 23, 2023. Two (2) additional prepared bottles of formula could not be identified with the name or date that was on the label. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #2a, the written feeding plan for three (3) infants was not signed or dated by the parent. In space #2b, the written feeding plan for one (1) infant and two (2) fourteen-month-old toddlers were not signed by the parent and dated when the center received the plan. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, one (1) electrical outlet was not covered with a safety plug in the music center, accessible to children three and four years of age. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. At the entrance to the facility, a Glade Plug-in air freshener warmer was accessible to children. A First Aid kit was on each van used to transport children. The First Aid kit on each van, contained six (6) individual packages of alcohol prep pads, four (4) individual BZK Antiseptic towelettes, and two (2) individual Burn Care, Burn Gel packs. The First Aid kits were not locked and accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #5, “Honest” diapers were stored in the original plastic packaging under the unlocked cabinet door to the left of the sink. The packaging listed multiple warnings in addition to keep out of reach of children and accessible to children two (2) years of age. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility did not maintain a document that the Emergency Medical Care plan was reviewed with staff annually. Seven staff did not have a review date listed to verify. Four staff had a date listed as September 9, 2021. One staff had a date listed as October 25, 2021, and one staff had a date listed as April 25, 2022. 10A NCAC 09 .0802(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. In space #2a, one (1) infant, four months of age, had a visual sleep check chart for August 3, 2023, that listed a time of 8:30 am and the next time listed on the visual sleep chart was awake at 9 am. .0606(g) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In space #4, one (1) child sized cot was leaning upright against the exit door to the playground, causing the fire exit door to be blocked. GS 110-91 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. Both vans used to transport school-aged children on field trips during summer camp did not have a fire extinguisher. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The Emergency Information Forms and identifying information did not include a photograph of the child for the twenty-three school-aged children enrolled in summer camp and transported on field trips. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff with a hire date of April 5, 2021, did not have an annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 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 (1) child with an enrollment date of August 4, 2014, had their Emergency medical care information last updated June 2, 2022. .0802(c) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. In space #2a, one (1) staff member was providing care to three (3) infants, but a current ITS/SIDS training verification was not on file. .01102 (f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan on file for one child in space #5 was dated August 15, 2022. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, one bottle of Coppertone Water Babies sunscreen was not dated when the parent signed the authorization. In space #5, the permission to administer Hello Bellow Sunscreen did not list the amount to apply to the child. One permission form for Desitin Diaper Rash Cream dated April 20, 2023, did not have the parents’ signature. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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 (1) staff with a hire date of October 14, 2022, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on January 30, 2023 .1102(g) The violations documented must be corrected immediately. On or before September 7, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Roberts, Child Care Consultant PO Box 426 Sherrills Ford, NC 28673 Jennifer.roberts@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was ninety-four percent (94%) as of August 23, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: • Item #812: When electrical outlets are not in use, they must be covered with a safety plug. I suggested that staff conduct safety visual checks daily to ensure electrical outlets are covered. This violation was corrected by placing a safety cover in the outlet. • Item #899: In space #4, one child sized cot was leaning upright against the exit door to the playground, causing the fire exit to be blocked. The cot was removed from the exit and placed in an alternate location to correct this violation. • Item #541: In space #2a, the written feeding plan for three (3) infants was not signed or dated by the parent. In space #2b, the written feeding plan for one (1) infant and two (2) fourteen-month-old toddlers were not signed but the parent and dated when the center received the plan. I reminded you that all documents must be completed in their entirety. Parents must sign and date forms when a signature and date are required. • Item #858: In space #5, “Honest” diapers were stored in the original plastic packaging under the unlocked cabinet door to the left of the sink. The packaging listed multiple warnings in addition to keep out of reach of children and accessible to children two (2) years of age. I suggested that all plastic packaging be removed from diapers and baby wipes when they are brought in and placed in a container for storage. This violation was corrected by removing the diapers and placing them on a shelf greater than five feet from ground level. • Item #1831: In space #2a, one (1) staff member was providing care to three (3) infants, but a current ITS/SIDS training verification was not on file. I reminded you that space #2a and #2b are two separate spaces and 2 separate groups of infants/toddlers. Only those with current SIDS training can care for infants if left alone. • Item #887: In space #2a, one (1) infant, four months of age, had a visual sleep check chart for August 3, 2023, that listed a time of 8:30 am and the next time listed on the visual sleep chart was awake at 9 am. Visual sleep checks must be completed every 15 minutes when the infant is sleeping. Staff could use a timer to alert them to conduct visual checks. • Item # 1835: The medical action plan on file for one child in space #5 was dated August 15, 2022. Medical Action plans must be updated annually. I suggested that you update all forms in January of each year that require annual updates. • Item #533: In space #2a, one (1) prepared bottle of formula stored in the refrigerator was dated August 23, 2023. Two (2) additional prepared bottles of formula could not be identified with the name or date that was on the label. I suggested that staff have a label and sharpie available for labeling bottles that are brought in to the facility prepared for cold storage. • Item # 1882: In space #1, one bottle of Coppertone Water Babies sunscreen was not dated when the parent signed the authorization. In space #5, the permission to administer Hello Bellow Sunscreen did not list the amount to apply to the child. One permission form for Desitin Diaper Rash Cream dated April 20, 2023, did not have the parents’ signature. I suggested that staff review permission forms for accuracy. The amount to be administered needs to be specific, the parent needs to sign the form and date it. • Item # 1115: Both vans used to transport school-aged children on field trips during summer camp did not have a fire extinguisher. I reminded you that vans used to transport children must have a fire extinguisher and it must be mounted. I suggested that you purchase one for each van prior to using the van next. • Item # 1124: The Emergency Information Forms and identifying information did not include a photograph of the child for the twenty-three school-aged children enrolled in summer camp and transported on field trips. We discussed the importance of placing a photograph on the child’s emergency information form in case of an emergency. • Item #1311: One (1) child with an enrollment date of August 4, 2014, had their Emergency Medical information last updated June 2, 2022. I suggested that you update children’s emergency medical care information in January of each year. You could conduct annual conferences with the child’s parent and update forms at that time. • Item # 1897: One (1) staff with a hire date of October 14, 2022, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on January 30, 2023. I suggested that you use the Staff File Checklist for timeframes when required trainings are due. • Item #840: At the entrance to the facility, a Glade Plug-in air freshener warmer was accessible to children. A First Aid kit was on each van used to transport children. The First Aid kit on each van, contained six (6) individual packages of alcohol prep pads, four (4) individual BZK Antiseptic towelettes, and two (2) individual Burn Care, Burn Gel packs. The First Aid kits were not locked and accessible to children. You corrected this violation by removing the Glade Plug-In at the entrance and removing the hazardous items in the first aid kits located on the vans used to transport children in care for summer camp. • Item #1232: One (1) staff with a hire date of April 5, 2021, did not have an annual staff evaluation on file for review. I suggested that you use the File Checklist for Staff or the Staff and Training Worksheet to remind you that staff must have an annual evaluation completed. • Item #323: One (1) staff caring for school-aged children did not have a signed and dated statement on file that they had reviewed the center’s aquatic policy. The staff and training worksheet listed this employee as the teacher in the space for school-aged children. The posted field trip calendar listed multiple days at the pool as a field trip. I suggested at the beginning of summer camp, you review the aquatic policy with all staff during a staff meeting. • Item #862: The facility did not maintain a document that the Emergency Medical Care plan was reviewed with staff annually. Seven staff did not have a review date listed to verify. Four staff had a date listed as September 9, 2021. One staff had a date listed as October 25, 2021, and one staff had a date listed as April 25, 2022. I suggested that you have a staff meeting and review the EMC plan. I suggested that you take minutes of the meeting and have a sign in sheet for staff to print and sign their name that the information was reviewed with them. Consultation: • As a reminder, all the blanks on a child’s application need to be addressed including the child’s health care professional. The parent can add “not applicable” in blanks if the question does not apply to their child. • The written feeding plan for children under fifteen months of age must be posted. • From now until June 30, 2024, is your preparation period for the rated license assessment. As I discussed, please continue to prepare your environment, remove excess materials and store in an alternate location. You can review NCRLAP.org for webinars regarding the ITERS-R and ECERS-R assessments. • A new helpline has launched regarding Children and Challenging Behaviors. Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at **828-782-0945** or e-mail jennifer.roberts@dhhs.nc.gov. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. 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: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 89 Completed Date: 8/24/2023 Age: From 0 To 12 Total Minutes: 402 Time In: 10:38 AM Time Out: 05:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance visit. Robin Prichard, Financial Administrator, conducted the walk through with us. You, Geri Ward, Administrator, assisted with the visit. Dinah Brown, Child Care Consultant, accompanied me on the visit. The last annual compliance visit was conducted on September 14, 2022. The North Carolina Secretary of State’s website was viewed before the visit, and Northlakes Academy, Inc. was listed as current/active. Per child care rule .0204(a) (a) When the ownership of a child care center changes, the prospective new owner shall apply for a new license in accordance with Rule .0403 of this Chapter at least 30 days before acquiring ownership of the center. A child care center license shall not be bought, sold, or transferred by one person or entity to another. You reported no changes today. Your program currently operates with a five-star rated license issued on November 28, 2018. The restrictions on your license include daytime care only, meets enhanced ratios minus one, meets enhanced ratios, and meets enhanced space. Fire Inspection: The last fire inspection was made on September 9, 2022. The center was approved for daytime care only. You are due to have a fire inspection completed by September 9, 2023. Please send me a copy once the inspection is completed. Sanitation Inspection: The last sanitation inspection was made on June 14, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during outdoor free play, handwashing, lunch, floor play, routines, and nap/rest. School aged children were observed playing outside the fenced in area behind the playground used by children three to five years of age. A checklist was used to note the requirements I monitored today. The following violations were observed during the visit: Violation Number Comment Rule 323 Prior to supervising children on an aquatic activity, and annually, staff did not sign and date a statement that they had reviewed the center's policies on aquatic activities. One (1) staff caring for school-aged children did not have a signed and dated statement on file that they had reviewed the center’s aquatic policy. The staff and training worksheet listed this employee as the teacher in the space for school-aged children. 10A NCAC 09 .1403(h)(1-3) 533 Breast 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. In space #2a, one (1) prepared bottle of formula stored in the refrigerator was dated August 23, 2023. Two (2) additional prepared bottles of formula could not be identified with the name or date that was on the label. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #2a, the written feeding plan for three (3) infants was not signed or dated by the parent. In space #2b, the written feeding plan for one (1) infant and two (2) fourteen-month-old toddlers were not signed by the parent and dated when the center received the plan. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, one (1) electrical outlet was not covered with a safety plug in the music center, accessible to children three and four years of age. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. At the entrance to the facility, a Glade Plug-in air freshener warmer was accessible to children. A First Aid kit was on each van used to transport children. The First Aid kit on each van, contained six (6) individual packages of alcohol prep pads, four (4) individual BZK Antiseptic towelettes, and two (2) individual Burn Care, Burn Gel packs. The First Aid kits were not locked and accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #5, “Honest” diapers were stored in the original plastic packaging under the unlocked cabinet door to the left of the sink. The packaging listed multiple warnings in addition to keep out of reach of children and accessible to children two (2) years of age. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility did not maintain a document that the Emergency Medical Care plan was reviewed with staff annually. Seven staff did not have a review date listed to verify. Four staff had a date listed as September 9, 2021. One staff had a date listed as October 25, 2021, and one staff had a date listed as April 25, 2022. 10A NCAC 09 .0802(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. In space #2a, one (1) infant, four months of age, had a visual sleep check chart for August 3, 2023, that listed a time of 8:30 am and the next time listed on the visual sleep chart was awake at 9 am. .0606(g) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In space #4, one (1) child sized cot was leaning upright against the exit door to the playground, causing the fire exit door to be blocked. GS 110-91 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. Both vans used to transport school-aged children on field trips during summer camp did not have a fire extinguisher. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The Emergency Information Forms and identifying information did not include a photograph of the child for the twenty-three school-aged children enrolled in summer camp and transported on field trips. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff with a hire date of April 5, 2021, did not have an annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 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 (1) child with an enrollment date of August 4, 2014, had their Emergency medical care information last updated June 2, 2022. .0802(c) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. In space #2a, one (1) staff member was providing care to three (3) infants, but a current ITS/SIDS training verification was not on file. .01102 (f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan on file for one child in space #5 was dated August 15, 2022. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, one bottle of Coppertone Water Babies sunscreen was not dated when the parent signed the authorization. In space #5, the permission to administer Hello Bellow Sunscreen did not list the amount to apply to the child. One permission form for Desitin Diaper Rash Cream dated April 20, 2023, did not have the parents’ signature. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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 (1) staff with a hire date of October 14, 2022, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on January 30, 2023 .1102(g) The violations documented must be corrected immediately. On or before September 7, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Roberts, Child Care Consultant PO Box 426 Sherrills Ford, NC 28673 Jennifer.roberts@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was ninety-four percent (94%) as of August 23, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: • Item #812: When electrical outlets are not in use, they must be covered with a safety plug. I suggested that staff conduct safety visual checks daily to ensure electrical outlets are covered. This violation was corrected by placing a safety cover in the outlet. • Item #899: In space #4, one child sized cot was leaning upright against the exit door to the playground, causing the fire exit to be blocked. The cot was removed from the exit and placed in an alternate location to correct this violation. • Item #541: In space #2a, the written feeding plan for three (3) infants was not signed or dated by the parent. In space #2b, the written feeding plan for one (1) infant and two (2) fourteen-month-old toddlers were not signed but the parent and dated when the center received the plan. I reminded you that all documents must be completed in their entirety. Parents must sign and date forms when a signature and date are required. • Item #858: In space #5, “Honest” diapers were stored in the original plastic packaging under the unlocked cabinet door to the left of the sink. The packaging listed multiple warnings in addition to keep out of reach of children and accessible to children two (2) years of age. I suggested that all plastic packaging be removed from diapers and baby wipes when they are brought in and placed in a container for storage. This violation was corrected by removing the diapers and placing them on a shelf greater than five feet from ground level. • Item #1831: In space #2a, one (1) staff member was providing care to three (3) infants, but a current ITS/SIDS training verification was not on file. I reminded you that space #2a and #2b are two separate spaces and 2 separate groups of infants/toddlers. Only those with current SIDS training can care for infants if left alone. • Item #887: In space #2a, one (1) infant, four months of age, had a visual sleep check chart for August 3, 2023, that listed a time of 8:30 am and the next time listed on the visual sleep chart was awake at 9 am. Visual sleep checks must be completed every 15 minutes when the infant is sleeping. Staff could use a timer to alert them to conduct visual checks. • Item # 1835: The medical action plan on file for one child in space #5 was dated August 15, 2022. Medical Action plans must be updated annually. I suggested that you update all forms in January of each year that require annual updates. • Item #533: In space #2a, one (1) prepared bottle of formula stored in the refrigerator was dated August 23, 2023. Two (2) additional prepared bottles of formula could not be identified with the name or date that was on the label. I suggested that staff have a label and sharpie available for labeling bottles that are brought in to the facility prepared for cold storage. • Item # 1882: In space #1, one bottle of Coppertone Water Babies sunscreen was not dated when the parent signed the authorization. In space #5, the permission to administer Hello Bellow Sunscreen did not list the amount to apply to the child. One permission form for Desitin Diaper Rash Cream dated April 20, 2023, did not have the parents’ signature. I suggested that staff review permission forms for accuracy. The amount to be administered needs to be specific, the parent needs to sign the form and date it. • Item # 1115: Both vans used to transport school-aged children on field trips during summer camp did not have a fire extinguisher. I reminded you that vans used to transport children must have a fire extinguisher and it must be mounted. I suggested that you purchase one for each van prior to using the van next. • Item # 1124: The Emergency Information Forms and identifying information did not include a photograph of the child for the twenty-three school-aged children enrolled in summer camp and transported on field trips. We discussed the importance of placing a photograph on the child’s emergency information form in case of an emergency. • Item #1311: One (1) child with an enrollment date of August 4, 2014, had their Emergency Medical information last updated June 2, 2022. I suggested that you update children’s emergency medical care information in January of each year. You could conduct annual conferences with the child’s parent and update forms at that time. • Item # 1897: One (1) staff with a hire date of October 14, 2022, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on January 30, 2023. I suggested that you use the Staff File Checklist for timeframes when required trainings are due. • Item #840: At the entrance to the facility, a Glade Plug-in air freshener warmer was accessible to children. A First Aid kit was on each van used to transport children. The First Aid kit on each van, contained six (6) individual packages of alcohol prep pads, four (4) individual BZK Antiseptic towelettes, and two (2) individual Burn Care, Burn Gel packs. The First Aid kits were not locked and accessible to children. You corrected this violation by removing the Glade Plug-In at the entrance and removing the hazardous items in the first aid kits located on the vans used to transport children in care for summer camp. • Item #1232: One (1) staff with a hire date of April 5, 2021, did not have an annual staff evaluation on file for review. I suggested that you use the File Checklist for Staff or the Staff and Training Worksheet to remind you that staff must have an annual evaluation completed. • Item #323: One (1) staff caring for school-aged children did not have a signed and dated statement on file that they had reviewed the center’s aquatic policy. The staff and training worksheet listed this employee as the teacher in the space for school-aged children. The posted field trip calendar listed multiple days at the pool as a field trip. I suggested at the beginning of summer camp, you review the aquatic policy with all staff during a staff meeting. • Item #862: The facility did not maintain a document that the Emergency Medical Care plan was reviewed with staff annually. Seven staff did not have a review date listed to verify. Four staff had a date listed as September 9, 2021. One staff had a date listed as October 25, 2021, and one staff had a date listed as April 25, 2022. I suggested that you have a staff meeting and review the EMC plan. I suggested that you take minutes of the meeting and have a sign in sheet for staff to print and sign their name that the information was reviewed with them. Consultation: • As a reminder, all the blanks on a child’s application need to be addressed including the child’s health care professional. The parent can add “not applicable” in blanks if the question does not apply to their child. • The written feeding plan for children under fifteen months of age must be posted. • From now until June 30, 2024, is your preparation period for the rated license assessment. As I discussed, please continue to prepare your environment, remove excess materials and store in an alternate location. You can review NCRLAP.org for webinars regarding the ITERS-R and ECERS-R assessments. • A new helpline has launched regarding Children and Challenging Behaviors. Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at **828-782-0945** or e-mail jennifer.roberts@dhhs.nc.gov. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 89 Completed Date: 8/24/2023 Age: From 0 To 12 Total Minutes: 402 Time In: 10:38 AM Time Out: 05:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance visit. Robin Prichard, Financial Administrator, conducted the walk through with us. You, Geri Ward, Administrator, assisted with the visit. Dinah Brown, Child Care Consultant, accompanied me on the visit. The last annual compliance visit was conducted on September 14, 2022. The North Carolina Secretary of State’s website was viewed before the visit, and Northlakes Academy, Inc. was listed as current/active. Per child care rule .0204(a) (a) When the ownership of a child care center changes, the prospective new owner shall apply for a new license in accordance with Rule .0403 of this Chapter at least 30 days before acquiring ownership of the center. A child care center license shall not be bought, sold, or transferred by one person or entity to another. You reported no changes today. Your program currently operates with a five-star rated license issued on November 28, 2018. The restrictions on your license include daytime care only, meets enhanced ratios minus one, meets enhanced ratios, and meets enhanced space. Fire Inspection: The last fire inspection was made on September 9, 2022. The center was approved for daytime care only. You are due to have a fire inspection completed by September 9, 2023. Please send me a copy once the inspection is completed. Sanitation Inspection: The last sanitation inspection was made on June 14, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during outdoor free play, handwashing, lunch, floor play, routines, and nap/rest. School aged children were observed playing outside the fenced in area behind the playground used by children three to five years of age. A checklist was used to note the requirements I monitored today. The following violations were observed during the visit: Violation Number Comment Rule 323 Prior to supervising children on an aquatic activity, and annually, staff did not sign and date a statement that they had reviewed the center's policies on aquatic activities. One (1) staff caring for school-aged children did not have a signed and dated statement on file that they had reviewed the center’s aquatic policy. The staff and training worksheet listed this employee as the teacher in the space for school-aged children. 10A NCAC 09 .1403(h)(1-3) 533 Breast 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. In space #2a, one (1) prepared bottle of formula stored in the refrigerator was dated August 23, 2023. Two (2) additional prepared bottles of formula could not be identified with the name or date that was on the label. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #2a, the written feeding plan for three (3) infants was not signed or dated by the parent. In space #2b, the written feeding plan for one (1) infant and two (2) fourteen-month-old toddlers were not signed by the parent and dated when the center received the plan. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, one (1) electrical outlet was not covered with a safety plug in the music center, accessible to children three and four years of age. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. At the entrance to the facility, a Glade Plug-in air freshener warmer was accessible to children. A First Aid kit was on each van used to transport children. The First Aid kit on each van, contained six (6) individual packages of alcohol prep pads, four (4) individual BZK Antiseptic towelettes, and two (2) individual Burn Care, Burn Gel packs. The First Aid kits were not locked and accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #5, “Honest” diapers were stored in the original plastic packaging under the unlocked cabinet door to the left of the sink. The packaging listed multiple warnings in addition to keep out of reach of children and accessible to children two (2) years of age. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility did not maintain a document that the Emergency Medical Care plan was reviewed with staff annually. Seven staff did not have a review date listed to verify. Four staff had a date listed as September 9, 2021. One staff had a date listed as October 25, 2021, and one staff had a date listed as April 25, 2022. 10A NCAC 09 .0802(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. In space #2a, one (1) infant, four months of age, had a visual sleep check chart for August 3, 2023, that listed a time of 8:30 am and the next time listed on the visual sleep chart was awake at 9 am. .0606(g) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In space #4, one (1) child sized cot was leaning upright against the exit door to the playground, causing the fire exit door to be blocked. GS 110-91 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. Both vans used to transport school-aged children on field trips during summer camp did not have a fire extinguisher. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The Emergency Information Forms and identifying information did not include a photograph of the child for the twenty-three school-aged children enrolled in summer camp and transported on field trips. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff with a hire date of April 5, 2021, did not have an annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 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 (1) child with an enrollment date of August 4, 2014, had their Emergency medical care information last updated June 2, 2022. .0802(c) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. In space #2a, one (1) staff member was providing care to three (3) infants, but a current ITS/SIDS training verification was not on file. .01102 (f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan on file for one child in space #5 was dated August 15, 2022. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, one bottle of Coppertone Water Babies sunscreen was not dated when the parent signed the authorization. In space #5, the permission to administer Hello Bellow Sunscreen did not list the amount to apply to the child. One permission form for Desitin Diaper Rash Cream dated April 20, 2023, did not have the parents’ signature. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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 (1) staff with a hire date of October 14, 2022, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on January 30, 2023 .1102(g) The violations documented must be corrected immediately. On or before September 7, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Roberts, Child Care Consultant PO Box 426 Sherrills Ford, NC 28673 Jennifer.roberts@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was ninety-four percent (94%) as of August 23, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: • Item #812: When electrical outlets are not in use, they must be covered with a safety plug. I suggested that staff conduct safety visual checks daily to ensure electrical outlets are covered. This violation was corrected by placing a safety cover in the outlet. • Item #899: In space #4, one child sized cot was leaning upright against the exit door to the playground, causing the fire exit to be blocked. The cot was removed from the exit and placed in an alternate location to correct this violation. • Item #541: In space #2a, the written feeding plan for three (3) infants was not signed or dated by the parent. In space #2b, the written feeding plan for one (1) infant and two (2) fourteen-month-old toddlers were not signed but the parent and dated when the center received the plan. I reminded you that all documents must be completed in their entirety. Parents must sign and date forms when a signature and date are required. • Item #858: In space #5, “Honest” diapers were stored in the original plastic packaging under the unlocked cabinet door to the left of the sink. The packaging listed multiple warnings in addition to keep out of reach of children and accessible to children two (2) years of age. I suggested that all plastic packaging be removed from diapers and baby wipes when they are brought in and placed in a container for storage. This violation was corrected by removing the diapers and placing them on a shelf greater than five feet from ground level. • Item #1831: In space #2a, one (1) staff member was providing care to three (3) infants, but a current ITS/SIDS training verification was not on file. I reminded you that space #2a and #2b are two separate spaces and 2 separate groups of infants/toddlers. Only those with current SIDS training can care for infants if left alone. • Item #887: In space #2a, one (1) infant, four months of age, had a visual sleep check chart for August 3, 2023, that listed a time of 8:30 am and the next time listed on the visual sleep chart was awake at 9 am. Visual sleep checks must be completed every 15 minutes when the infant is sleeping. Staff could use a timer to alert them to conduct visual checks. • Item # 1835: The medical action plan on file for one child in space #5 was dated August 15, 2022. Medical Action plans must be updated annually. I suggested that you update all forms in January of each year that require annual updates. • Item #533: In space #2a, one (1) prepared bottle of formula stored in the refrigerator was dated August 23, 2023. Two (2) additional prepared bottles of formula could not be identified with the name or date that was on the label. I suggested that staff have a label and sharpie available for labeling bottles that are brought in to the facility prepared for cold storage. • Item # 1882: In space #1, one bottle of Coppertone Water Babies sunscreen was not dated when the parent signed the authorization. In space #5, the permission to administer Hello Bellow Sunscreen did not list the amount to apply to the child. One permission form for Desitin Diaper Rash Cream dated April 20, 2023, did not have the parents’ signature. I suggested that staff review permission forms for accuracy. The amount to be administered needs to be specific, the parent needs to sign the form and date it. • Item # 1115: Both vans used to transport school-aged children on field trips during summer camp did not have a fire extinguisher. I reminded you that vans used to transport children must have a fire extinguisher and it must be mounted. I suggested that you purchase one for each van prior to using the van next. • Item # 1124: The Emergency Information Forms and identifying information did not include a photograph of the child for the twenty-three school-aged children enrolled in summer camp and transported on field trips. We discussed the importance of placing a photograph on the child’s emergency information form in case of an emergency. • Item #1311: One (1) child with an enrollment date of August 4, 2014, had their Emergency Medical information last updated June 2, 2022. I suggested that you update children’s emergency medical care information in January of each year. You could conduct annual conferences with the child’s parent and update forms at that time. • Item # 1897: One (1) staff with a hire date of October 14, 2022, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on January 30, 2023. I suggested that you use the Staff File Checklist for timeframes when required trainings are due. • Item #840: At the entrance to the facility, a Glade Plug-in air freshener warmer was accessible to children. A First Aid kit was on each van used to transport children. The First Aid kit on each van, contained six (6) individual packages of alcohol prep pads, four (4) individual BZK Antiseptic towelettes, and two (2) individual Burn Care, Burn Gel packs. The First Aid kits were not locked and accessible to children. You corrected this violation by removing the Glade Plug-In at the entrance and removing the hazardous items in the first aid kits located on the vans used to transport children in care for summer camp. • Item #1232: One (1) staff with a hire date of April 5, 2021, did not have an annual staff evaluation on file for review. I suggested that you use the File Checklist for Staff or the Staff and Training Worksheet to remind you that staff must have an annual evaluation completed. • Item #323: One (1) staff caring for school-aged children did not have a signed and dated statement on file that they had reviewed the center’s aquatic policy. The staff and training worksheet listed this employee as the teacher in the space for school-aged children. The posted field trip calendar listed multiple days at the pool as a field trip. I suggested at the beginning of summer camp, you review the aquatic policy with all staff during a staff meeting. • Item #862: The facility did not maintain a document that the Emergency Medical Care plan was reviewed with staff annually. Seven staff did not have a review date listed to verify. Four staff had a date listed as September 9, 2021. One staff had a date listed as October 25, 2021, and one staff had a date listed as April 25, 2022. I suggested that you have a staff meeting and review the EMC plan. I suggested that you take minutes of the meeting and have a sign in sheet for staff to print and sign their name that the information was reviewed with them. Consultation: • As a reminder, all the blanks on a child’s application need to be addressed including the child’s health care professional. The parent can add “not applicable” in blanks if the question does not apply to their child. • The written feeding plan for children under fifteen months of age must be posted. • From now until June 30, 2024, is your preparation period for the rated license assessment. As I discussed, please continue to prepare your environment, remove excess materials and store in an alternate location. You can review NCRLAP.org for webinars regarding the ITERS-R and ECERS-R assessments. • A new helpline has launched regarding Children and Challenging Behaviors. Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at **828-782-0945** or e-mail jennifer.roberts@dhhs.nc.gov. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. 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 .1003 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 89 Completed Date: 8/24/2023 Age: From 0 To 12 Total Minutes: 402 Time In: 10:38 AM Time Out: 05:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance visit. Robin Prichard, Financial Administrator, conducted the walk through with us. You, Geri Ward, Administrator, assisted with the visit. Dinah Brown, Child Care Consultant, accompanied me on the visit. The last annual compliance visit was conducted on September 14, 2022. The North Carolina Secretary of State’s website was viewed before the visit, and Northlakes Academy, Inc. was listed as current/active. Per child care rule .0204(a) (a) When the ownership of a child care center changes, the prospective new owner shall apply for a new license in accordance with Rule .0403 of this Chapter at least 30 days before acquiring ownership of the center. A child care center license shall not be bought, sold, or transferred by one person or entity to another. You reported no changes today. Your program currently operates with a five-star rated license issued on November 28, 2018. The restrictions on your license include daytime care only, meets enhanced ratios minus one, meets enhanced ratios, and meets enhanced space. Fire Inspection: The last fire inspection was made on September 9, 2022. The center was approved for daytime care only. You are due to have a fire inspection completed by September 9, 2023. Please send me a copy once the inspection is completed. Sanitation Inspection: The last sanitation inspection was made on June 14, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during outdoor free play, handwashing, lunch, floor play, routines, and nap/rest. School aged children were observed playing outside the fenced in area behind the playground used by children three to five years of age. A checklist was used to note the requirements I monitored today. The following violations were observed during the visit: Violation Number Comment Rule 323 Prior to supervising children on an aquatic activity, and annually, staff did not sign and date a statement that they had reviewed the center's policies on aquatic activities. One (1) staff caring for school-aged children did not have a signed and dated statement on file that they had reviewed the center’s aquatic policy. The staff and training worksheet listed this employee as the teacher in the space for school-aged children. 10A NCAC 09 .1403(h)(1-3) 533 Breast 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. In space #2a, one (1) prepared bottle of formula stored in the refrigerator was dated August 23, 2023. Two (2) additional prepared bottles of formula could not be identified with the name or date that was on the label. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #2a, the written feeding plan for three (3) infants was not signed or dated by the parent. In space #2b, the written feeding plan for one (1) infant and two (2) fourteen-month-old toddlers were not signed by the parent and dated when the center received the plan. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, one (1) electrical outlet was not covered with a safety plug in the music center, accessible to children three and four years of age. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. At the entrance to the facility, a Glade Plug-in air freshener warmer was accessible to children. A First Aid kit was on each van used to transport children. The First Aid kit on each van, contained six (6) individual packages of alcohol prep pads, four (4) individual BZK Antiseptic towelettes, and two (2) individual Burn Care, Burn Gel packs. The First Aid kits were not locked and accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #5, “Honest” diapers were stored in the original plastic packaging under the unlocked cabinet door to the left of the sink. The packaging listed multiple warnings in addition to keep out of reach of children and accessible to children two (2) years of age. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility did not maintain a document that the Emergency Medical Care plan was reviewed with staff annually. Seven staff did not have a review date listed to verify. Four staff had a date listed as September 9, 2021. One staff had a date listed as October 25, 2021, and one staff had a date listed as April 25, 2022. 10A NCAC 09 .0802(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. In space #2a, one (1) infant, four months of age, had a visual sleep check chart for August 3, 2023, that listed a time of 8:30 am and the next time listed on the visual sleep chart was awake at 9 am. .0606(g) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In space #4, one (1) child sized cot was leaning upright against the exit door to the playground, causing the fire exit door to be blocked. GS 110-91 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. Both vans used to transport school-aged children on field trips during summer camp did not have a fire extinguisher. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The Emergency Information Forms and identifying information did not include a photograph of the child for the twenty-three school-aged children enrolled in summer camp and transported on field trips. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff with a hire date of April 5, 2021, did not have an annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 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 (1) child with an enrollment date of August 4, 2014, had their Emergency medical care information last updated June 2, 2022. .0802(c) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. In space #2a, one (1) staff member was providing care to three (3) infants, but a current ITS/SIDS training verification was not on file. .01102 (f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan on file for one child in space #5 was dated August 15, 2022. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, one bottle of Coppertone Water Babies sunscreen was not dated when the parent signed the authorization. In space #5, the permission to administer Hello Bellow Sunscreen did not list the amount to apply to the child. One permission form for Desitin Diaper Rash Cream dated April 20, 2023, did not have the parents’ signature. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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 (1) staff with a hire date of October 14, 2022, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on January 30, 2023 .1102(g) The violations documented must be corrected immediately. On or before September 7, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Roberts, Child Care Consultant PO Box 426 Sherrills Ford, NC 28673 Jennifer.roberts@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was ninety-four percent (94%) as of August 23, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: • Item #812: When electrical outlets are not in use, they must be covered with a safety plug. I suggested that staff conduct safety visual checks daily to ensure electrical outlets are covered. This violation was corrected by placing a safety cover in the outlet. • Item #899: In space #4, one child sized cot was leaning upright against the exit door to the playground, causing the fire exit to be blocked. The cot was removed from the exit and placed in an alternate location to correct this violation. • Item #541: In space #2a, the written feeding plan for three (3) infants was not signed or dated by the parent. In space #2b, the written feeding plan for one (1) infant and two (2) fourteen-month-old toddlers were not signed but the parent and dated when the center received the plan. I reminded you that all documents must be completed in their entirety. Parents must sign and date forms when a signature and date are required. • Item #858: In space #5, “Honest” diapers were stored in the original plastic packaging under the unlocked cabinet door to the left of the sink. The packaging listed multiple warnings in addition to keep out of reach of children and accessible to children two (2) years of age. I suggested that all plastic packaging be removed from diapers and baby wipes when they are brought in and placed in a container for storage. This violation was corrected by removing the diapers and placing them on a shelf greater than five feet from ground level. • Item #1831: In space #2a, one (1) staff member was providing care to three (3) infants, but a current ITS/SIDS training verification was not on file. I reminded you that space #2a and #2b are two separate spaces and 2 separate groups of infants/toddlers. Only those with current SIDS training can care for infants if left alone. • Item #887: In space #2a, one (1) infant, four months of age, had a visual sleep check chart for August 3, 2023, that listed a time of 8:30 am and the next time listed on the visual sleep chart was awake at 9 am. Visual sleep checks must be completed every 15 minutes when the infant is sleeping. Staff could use a timer to alert them to conduct visual checks. • Item # 1835: The medical action plan on file for one child in space #5 was dated August 15, 2022. Medical Action plans must be updated annually. I suggested that you update all forms in January of each year that require annual updates. • Item #533: In space #2a, one (1) prepared bottle of formula stored in the refrigerator was dated August 23, 2023. Two (2) additional prepared bottles of formula could not be identified with the name or date that was on the label. I suggested that staff have a label and sharpie available for labeling bottles that are brought in to the facility prepared for cold storage. • Item # 1882: In space #1, one bottle of Coppertone Water Babies sunscreen was not dated when the parent signed the authorization. In space #5, the permission to administer Hello Bellow Sunscreen did not list the amount to apply to the child. One permission form for Desitin Diaper Rash Cream dated April 20, 2023, did not have the parents’ signature. I suggested that staff review permission forms for accuracy. The amount to be administered needs to be specific, the parent needs to sign the form and date it. • Item # 1115: Both vans used to transport school-aged children on field trips during summer camp did not have a fire extinguisher. I reminded you that vans used to transport children must have a fire extinguisher and it must be mounted. I suggested that you purchase one for each van prior to using the van next. • Item # 1124: The Emergency Information Forms and identifying information did not include a photograph of the child for the twenty-three school-aged children enrolled in summer camp and transported on field trips. We discussed the importance of placing a photograph on the child’s emergency information form in case of an emergency. • Item #1311: One (1) child with an enrollment date of August 4, 2014, had their Emergency Medical information last updated June 2, 2022. I suggested that you update children’s emergency medical care information in January of each year. You could conduct annual conferences with the child’s parent and update forms at that time. • Item # 1897: One (1) staff with a hire date of October 14, 2022, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on January 30, 2023. I suggested that you use the Staff File Checklist for timeframes when required trainings are due. • Item #840: At the entrance to the facility, a Glade Plug-in air freshener warmer was accessible to children. A First Aid kit was on each van used to transport children. The First Aid kit on each van, contained six (6) individual packages of alcohol prep pads, four (4) individual BZK Antiseptic towelettes, and two (2) individual Burn Care, Burn Gel packs. The First Aid kits were not locked and accessible to children. You corrected this violation by removing the Glade Plug-In at the entrance and removing the hazardous items in the first aid kits located on the vans used to transport children in care for summer camp. • Item #1232: One (1) staff with a hire date of April 5, 2021, did not have an annual staff evaluation on file for review. I suggested that you use the File Checklist for Staff or the Staff and Training Worksheet to remind you that staff must have an annual evaluation completed. • Item #323: One (1) staff caring for school-aged children did not have a signed and dated statement on file that they had reviewed the center’s aquatic policy. The staff and training worksheet listed this employee as the teacher in the space for school-aged children. The posted field trip calendar listed multiple days at the pool as a field trip. I suggested at the beginning of summer camp, you review the aquatic policy with all staff during a staff meeting. • Item #862: The facility did not maintain a document that the Emergency Medical Care plan was reviewed with staff annually. Seven staff did not have a review date listed to verify. Four staff had a date listed as September 9, 2021. One staff had a date listed as October 25, 2021, and one staff had a date listed as April 25, 2022. I suggested that you have a staff meeting and review the EMC plan. I suggested that you take minutes of the meeting and have a sign in sheet for staff to print and sign their name that the information was reviewed with them. Consultation: • As a reminder, all the blanks on a child’s application need to be addressed including the child’s health care professional. The parent can add “not applicable” in blanks if the question does not apply to their child. • The written feeding plan for children under fifteen months of age must be posted. • From now until June 30, 2024, is your preparation period for the rated license assessment. As I discussed, please continue to prepare your environment, remove excess materials and store in an alternate location. You can review NCRLAP.org for webinars regarding the ITERS-R and ECERS-R assessments. • A new helpline has launched regarding Children and Challenging Behaviors. Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at **828-782-0945** or e-mail jennifer.roberts@dhhs.nc.gov. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. 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 .1403 · Violation

Name of Operation: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 89 Completed Date: 8/24/2023 Age: From 0 To 12 Total Minutes: 402 Time In: 10:38 AM Time Out: 05:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance visit. Robin Prichard, Financial Administrator, conducted the walk through with us. You, Geri Ward, Administrator, assisted with the visit. Dinah Brown, Child Care Consultant, accompanied me on the visit. The last annual compliance visit was conducted on September 14, 2022. The North Carolina Secretary of State’s website was viewed before the visit, and Northlakes Academy, Inc. was listed as current/active. Per child care rule .0204(a) (a) When the ownership of a child care center changes, the prospective new owner shall apply for a new license in accordance with Rule .0403 of this Chapter at least 30 days before acquiring ownership of the center. A child care center license shall not be bought, sold, or transferred by one person or entity to another. You reported no changes today. Your program currently operates with a five-star rated license issued on November 28, 2018. The restrictions on your license include daytime care only, meets enhanced ratios minus one, meets enhanced ratios, and meets enhanced space. Fire Inspection: The last fire inspection was made on September 9, 2022. The center was approved for daytime care only. You are due to have a fire inspection completed by September 9, 2023. Please send me a copy once the inspection is completed. Sanitation Inspection: The last sanitation inspection was made on June 14, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during outdoor free play, handwashing, lunch, floor play, routines, and nap/rest. School aged children were observed playing outside the fenced in area behind the playground used by children three to five years of age. A checklist was used to note the requirements I monitored today. The following violations were observed during the visit: Violation Number Comment Rule 323 Prior to supervising children on an aquatic activity, and annually, staff did not sign and date a statement that they had reviewed the center's policies on aquatic activities. One (1) staff caring for school-aged children did not have a signed and dated statement on file that they had reviewed the center’s aquatic policy. The staff and training worksheet listed this employee as the teacher in the space for school-aged children. 10A NCAC 09 .1403(h)(1-3) 533 Breast 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. In space #2a, one (1) prepared bottle of formula stored in the refrigerator was dated August 23, 2023. Two (2) additional prepared bottles of formula could not be identified with the name or date that was on the label. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #2a, the written feeding plan for three (3) infants was not signed or dated by the parent. In space #2b, the written feeding plan for one (1) infant and two (2) fourteen-month-old toddlers were not signed by the parent and dated when the center received the plan. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, one (1) electrical outlet was not covered with a safety plug in the music center, accessible to children three and four years of age. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. At the entrance to the facility, a Glade Plug-in air freshener warmer was accessible to children. A First Aid kit was on each van used to transport children. The First Aid kit on each van, contained six (6) individual packages of alcohol prep pads, four (4) individual BZK Antiseptic towelettes, and two (2) individual Burn Care, Burn Gel packs. The First Aid kits were not locked and accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #5, “Honest” diapers were stored in the original plastic packaging under the unlocked cabinet door to the left of the sink. The packaging listed multiple warnings in addition to keep out of reach of children and accessible to children two (2) years of age. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility did not maintain a document that the Emergency Medical Care plan was reviewed with staff annually. Seven staff did not have a review date listed to verify. Four staff had a date listed as September 9, 2021. One staff had a date listed as October 25, 2021, and one staff had a date listed as April 25, 2022. 10A NCAC 09 .0802(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. In space #2a, one (1) infant, four months of age, had a visual sleep check chart for August 3, 2023, that listed a time of 8:30 am and the next time listed on the visual sleep chart was awake at 9 am. .0606(g) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In space #4, one (1) child sized cot was leaning upright against the exit door to the playground, causing the fire exit door to be blocked. GS 110-91 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. Both vans used to transport school-aged children on field trips during summer camp did not have a fire extinguisher. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The Emergency Information Forms and identifying information did not include a photograph of the child for the twenty-three school-aged children enrolled in summer camp and transported on field trips. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff with a hire date of April 5, 2021, did not have an annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 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 (1) child with an enrollment date of August 4, 2014, had their Emergency medical care information last updated June 2, 2022. .0802(c) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. In space #2a, one (1) staff member was providing care to three (3) infants, but a current ITS/SIDS training verification was not on file. .01102 (f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan on file for one child in space #5 was dated August 15, 2022. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, one bottle of Coppertone Water Babies sunscreen was not dated when the parent signed the authorization. In space #5, the permission to administer Hello Bellow Sunscreen did not list the amount to apply to the child. One permission form for Desitin Diaper Rash Cream dated April 20, 2023, did not have the parents’ signature. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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 (1) staff with a hire date of October 14, 2022, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on January 30, 2023 .1102(g) The violations documented must be corrected immediately. On or before September 7, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Roberts, Child Care Consultant PO Box 426 Sherrills Ford, NC 28673 Jennifer.roberts@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was ninety-four percent (94%) as of August 23, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: • Item #812: When electrical outlets are not in use, they must be covered with a safety plug. I suggested that staff conduct safety visual checks daily to ensure electrical outlets are covered. This violation was corrected by placing a safety cover in the outlet. • Item #899: In space #4, one child sized cot was leaning upright against the exit door to the playground, causing the fire exit to be blocked. The cot was removed from the exit and placed in an alternate location to correct this violation. • Item #541: In space #2a, the written feeding plan for three (3) infants was not signed or dated by the parent. In space #2b, the written feeding plan for one (1) infant and two (2) fourteen-month-old toddlers were not signed but the parent and dated when the center received the plan. I reminded you that all documents must be completed in their entirety. Parents must sign and date forms when a signature and date are required. • Item #858: In space #5, “Honest” diapers were stored in the original plastic packaging under the unlocked cabinet door to the left of the sink. The packaging listed multiple warnings in addition to keep out of reach of children and accessible to children two (2) years of age. I suggested that all plastic packaging be removed from diapers and baby wipes when they are brought in and placed in a container for storage. This violation was corrected by removing the diapers and placing them on a shelf greater than five feet from ground level. • Item #1831: In space #2a, one (1) staff member was providing care to three (3) infants, but a current ITS/SIDS training verification was not on file. I reminded you that space #2a and #2b are two separate spaces and 2 separate groups of infants/toddlers. Only those with current SIDS training can care for infants if left alone. • Item #887: In space #2a, one (1) infant, four months of age, had a visual sleep check chart for August 3, 2023, that listed a time of 8:30 am and the next time listed on the visual sleep chart was awake at 9 am. Visual sleep checks must be completed every 15 minutes when the infant is sleeping. Staff could use a timer to alert them to conduct visual checks. • Item # 1835: The medical action plan on file for one child in space #5 was dated August 15, 2022. Medical Action plans must be updated annually. I suggested that you update all forms in January of each year that require annual updates. • Item #533: In space #2a, one (1) prepared bottle of formula stored in the refrigerator was dated August 23, 2023. Two (2) additional prepared bottles of formula could not be identified with the name or date that was on the label. I suggested that staff have a label and sharpie available for labeling bottles that are brought in to the facility prepared for cold storage. • Item # 1882: In space #1, one bottle of Coppertone Water Babies sunscreen was not dated when the parent signed the authorization. In space #5, the permission to administer Hello Bellow Sunscreen did not list the amount to apply to the child. One permission form for Desitin Diaper Rash Cream dated April 20, 2023, did not have the parents’ signature. I suggested that staff review permission forms for accuracy. The amount to be administered needs to be specific, the parent needs to sign the form and date it. • Item # 1115: Both vans used to transport school-aged children on field trips during summer camp did not have a fire extinguisher. I reminded you that vans used to transport children must have a fire extinguisher and it must be mounted. I suggested that you purchase one for each van prior to using the van next. • Item # 1124: The Emergency Information Forms and identifying information did not include a photograph of the child for the twenty-three school-aged children enrolled in summer camp and transported on field trips. We discussed the importance of placing a photograph on the child’s emergency information form in case of an emergency. • Item #1311: One (1) child with an enrollment date of August 4, 2014, had their Emergency Medical information last updated June 2, 2022. I suggested that you update children’s emergency medical care information in January of each year. You could conduct annual conferences with the child’s parent and update forms at that time. • Item # 1897: One (1) staff with a hire date of October 14, 2022, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on January 30, 2023. I suggested that you use the Staff File Checklist for timeframes when required trainings are due. • Item #840: At the entrance to the facility, a Glade Plug-in air freshener warmer was accessible to children. A First Aid kit was on each van used to transport children. The First Aid kit on each van, contained six (6) individual packages of alcohol prep pads, four (4) individual BZK Antiseptic towelettes, and two (2) individual Burn Care, Burn Gel packs. The First Aid kits were not locked and accessible to children. You corrected this violation by removing the Glade Plug-In at the entrance and removing the hazardous items in the first aid kits located on the vans used to transport children in care for summer camp. • Item #1232: One (1) staff with a hire date of April 5, 2021, did not have an annual staff evaluation on file for review. I suggested that you use the File Checklist for Staff or the Staff and Training Worksheet to remind you that staff must have an annual evaluation completed. • Item #323: One (1) staff caring for school-aged children did not have a signed and dated statement on file that they had reviewed the center’s aquatic policy. The staff and training worksheet listed this employee as the teacher in the space for school-aged children. The posted field trip calendar listed multiple days at the pool as a field trip. I suggested at the beginning of summer camp, you review the aquatic policy with all staff during a staff meeting. • Item #862: The facility did not maintain a document that the Emergency Medical Care plan was reviewed with staff annually. Seven staff did not have a review date listed to verify. Four staff had a date listed as September 9, 2021. One staff had a date listed as October 25, 2021, and one staff had a date listed as April 25, 2022. I suggested that you have a staff meeting and review the EMC plan. I suggested that you take minutes of the meeting and have a sign in sheet for staff to print and sign their name that the information was reviewed with them. Consultation: • As a reminder, all the blanks on a child’s application need to be addressed including the child’s health care professional. The parent can add “not applicable” in blanks if the question does not apply to their child. • The written feeding plan for children under fifteen months of age must be posted. • From now until June 30, 2024, is your preparation period for the rated license assessment. As I discussed, please continue to prepare your environment, remove excess materials and store in an alternate location. You can review NCRLAP.org for webinars regarding the ITERS-R and ECERS-R assessments. • A new helpline has launched regarding Children and Challenging Behaviors. Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at **828-782-0945** or e-mail jennifer.roberts@dhhs.nc.gov. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. 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: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 89 Completed Date: 8/24/2023 Age: From 0 To 12 Total Minutes: 402 Time In: 10:38 AM Time Out: 05:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance visit. Robin Prichard, Financial Administrator, conducted the walk through with us. You, Geri Ward, Administrator, assisted with the visit. Dinah Brown, Child Care Consultant, accompanied me on the visit. The last annual compliance visit was conducted on September 14, 2022. The North Carolina Secretary of State’s website was viewed before the visit, and Northlakes Academy, Inc. was listed as current/active. Per child care rule .0204(a) (a) When the ownership of a child care center changes, the prospective new owner shall apply for a new license in accordance with Rule .0403 of this Chapter at least 30 days before acquiring ownership of the center. A child care center license shall not be bought, sold, or transferred by one person or entity to another. You reported no changes today. Your program currently operates with a five-star rated license issued on November 28, 2018. The restrictions on your license include daytime care only, meets enhanced ratios minus one, meets enhanced ratios, and meets enhanced space. Fire Inspection: The last fire inspection was made on September 9, 2022. The center was approved for daytime care only. You are due to have a fire inspection completed by September 9, 2023. Please send me a copy once the inspection is completed. Sanitation Inspection: The last sanitation inspection was made on June 14, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during outdoor free play, handwashing, lunch, floor play, routines, and nap/rest. School aged children were observed playing outside the fenced in area behind the playground used by children three to five years of age. A checklist was used to note the requirements I monitored today. The following violations were observed during the visit: Violation Number Comment Rule 323 Prior to supervising children on an aquatic activity, and annually, staff did not sign and date a statement that they had reviewed the center's policies on aquatic activities. One (1) staff caring for school-aged children did not have a signed and dated statement on file that they had reviewed the center’s aquatic policy. The staff and training worksheet listed this employee as the teacher in the space for school-aged children. 10A NCAC 09 .1403(h)(1-3) 533 Breast 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. In space #2a, one (1) prepared bottle of formula stored in the refrigerator was dated August 23, 2023. Two (2) additional prepared bottles of formula could not be identified with the name or date that was on the label. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #2a, the written feeding plan for three (3) infants was not signed or dated by the parent. In space #2b, the written feeding plan for one (1) infant and two (2) fourteen-month-old toddlers were not signed by the parent and dated when the center received the plan. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, one (1) electrical outlet was not covered with a safety plug in the music center, accessible to children three and four years of age. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. At the entrance to the facility, a Glade Plug-in air freshener warmer was accessible to children. A First Aid kit was on each van used to transport children. The First Aid kit on each van, contained six (6) individual packages of alcohol prep pads, four (4) individual BZK Antiseptic towelettes, and two (2) individual Burn Care, Burn Gel packs. The First Aid kits were not locked and accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #5, “Honest” diapers were stored in the original plastic packaging under the unlocked cabinet door to the left of the sink. The packaging listed multiple warnings in addition to keep out of reach of children and accessible to children two (2) years of age. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility did not maintain a document that the Emergency Medical Care plan was reviewed with staff annually. Seven staff did not have a review date listed to verify. Four staff had a date listed as September 9, 2021. One staff had a date listed as October 25, 2021, and one staff had a date listed as April 25, 2022. 10A NCAC 09 .0802(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. In space #2a, one (1) infant, four months of age, had a visual sleep check chart for August 3, 2023, that listed a time of 8:30 am and the next time listed on the visual sleep chart was awake at 9 am. .0606(g) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In space #4, one (1) child sized cot was leaning upright against the exit door to the playground, causing the fire exit door to be blocked. GS 110-91 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. Both vans used to transport school-aged children on field trips during summer camp did not have a fire extinguisher. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The Emergency Information Forms and identifying information did not include a photograph of the child for the twenty-three school-aged children enrolled in summer camp and transported on field trips. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff with a hire date of April 5, 2021, did not have an annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 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 (1) child with an enrollment date of August 4, 2014, had their Emergency medical care information last updated June 2, 2022. .0802(c) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. In space #2a, one (1) staff member was providing care to three (3) infants, but a current ITS/SIDS training verification was not on file. .01102 (f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan on file for one child in space #5 was dated August 15, 2022. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, one bottle of Coppertone Water Babies sunscreen was not dated when the parent signed the authorization. In space #5, the permission to administer Hello Bellow Sunscreen did not list the amount to apply to the child. One permission form for Desitin Diaper Rash Cream dated April 20, 2023, did not have the parents’ signature. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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 (1) staff with a hire date of October 14, 2022, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on January 30, 2023 .1102(g) The violations documented must be corrected immediately. On or before September 7, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Roberts, Child Care Consultant PO Box 426 Sherrills Ford, NC 28673 Jennifer.roberts@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was ninety-four percent (94%) as of August 23, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: • Item #812: When electrical outlets are not in use, they must be covered with a safety plug. I suggested that staff conduct safety visual checks daily to ensure electrical outlets are covered. This violation was corrected by placing a safety cover in the outlet. • Item #899: In space #4, one child sized cot was leaning upright against the exit door to the playground, causing the fire exit to be blocked. The cot was removed from the exit and placed in an alternate location to correct this violation. • Item #541: In space #2a, the written feeding plan for three (3) infants was not signed or dated by the parent. In space #2b, the written feeding plan for one (1) infant and two (2) fourteen-month-old toddlers were not signed but the parent and dated when the center received the plan. I reminded you that all documents must be completed in their entirety. Parents must sign and date forms when a signature and date are required. • Item #858: In space #5, “Honest” diapers were stored in the original plastic packaging under the unlocked cabinet door to the left of the sink. The packaging listed multiple warnings in addition to keep out of reach of children and accessible to children two (2) years of age. I suggested that all plastic packaging be removed from diapers and baby wipes when they are brought in and placed in a container for storage. This violation was corrected by removing the diapers and placing them on a shelf greater than five feet from ground level. • Item #1831: In space #2a, one (1) staff member was providing care to three (3) infants, but a current ITS/SIDS training verification was not on file. I reminded you that space #2a and #2b are two separate spaces and 2 separate groups of infants/toddlers. Only those with current SIDS training can care for infants if left alone. • Item #887: In space #2a, one (1) infant, four months of age, had a visual sleep check chart for August 3, 2023, that listed a time of 8:30 am and the next time listed on the visual sleep chart was awake at 9 am. Visual sleep checks must be completed every 15 minutes when the infant is sleeping. Staff could use a timer to alert them to conduct visual checks. • Item # 1835: The medical action plan on file for one child in space #5 was dated August 15, 2022. Medical Action plans must be updated annually. I suggested that you update all forms in January of each year that require annual updates. • Item #533: In space #2a, one (1) prepared bottle of formula stored in the refrigerator was dated August 23, 2023. Two (2) additional prepared bottles of formula could not be identified with the name or date that was on the label. I suggested that staff have a label and sharpie available for labeling bottles that are brought in to the facility prepared for cold storage. • Item # 1882: In space #1, one bottle of Coppertone Water Babies sunscreen was not dated when the parent signed the authorization. In space #5, the permission to administer Hello Bellow Sunscreen did not list the amount to apply to the child. One permission form for Desitin Diaper Rash Cream dated April 20, 2023, did not have the parents’ signature. I suggested that staff review permission forms for accuracy. The amount to be administered needs to be specific, the parent needs to sign the form and date it. • Item # 1115: Both vans used to transport school-aged children on field trips during summer camp did not have a fire extinguisher. I reminded you that vans used to transport children must have a fire extinguisher and it must be mounted. I suggested that you purchase one for each van prior to using the van next. • Item # 1124: The Emergency Information Forms and identifying information did not include a photograph of the child for the twenty-three school-aged children enrolled in summer camp and transported on field trips. We discussed the importance of placing a photograph on the child’s emergency information form in case of an emergency. • Item #1311: One (1) child with an enrollment date of August 4, 2014, had their Emergency Medical information last updated June 2, 2022. I suggested that you update children’s emergency medical care information in January of each year. You could conduct annual conferences with the child’s parent and update forms at that time. • Item # 1897: One (1) staff with a hire date of October 14, 2022, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on January 30, 2023. I suggested that you use the Staff File Checklist for timeframes when required trainings are due. • Item #840: At the entrance to the facility, a Glade Plug-in air freshener warmer was accessible to children. A First Aid kit was on each van used to transport children. The First Aid kit on each van, contained six (6) individual packages of alcohol prep pads, four (4) individual BZK Antiseptic towelettes, and two (2) individual Burn Care, Burn Gel packs. The First Aid kits were not locked and accessible to children. You corrected this violation by removing the Glade Plug-In at the entrance and removing the hazardous items in the first aid kits located on the vans used to transport children in care for summer camp. • Item #1232: One (1) staff with a hire date of April 5, 2021, did not have an annual staff evaluation on file for review. I suggested that you use the File Checklist for Staff or the Staff and Training Worksheet to remind you that staff must have an annual evaluation completed. • Item #323: One (1) staff caring for school-aged children did not have a signed and dated statement on file that they had reviewed the center’s aquatic policy. The staff and training worksheet listed this employee as the teacher in the space for school-aged children. The posted field trip calendar listed multiple days at the pool as a field trip. I suggested at the beginning of summer camp, you review the aquatic policy with all staff during a staff meeting. • Item #862: The facility did not maintain a document that the Emergency Medical Care plan was reviewed with staff annually. Seven staff did not have a review date listed to verify. Four staff had a date listed as September 9, 2021. One staff had a date listed as October 25, 2021, and one staff had a date listed as April 25, 2022. I suggested that you have a staff meeting and review the EMC plan. I suggested that you take minutes of the meeting and have a sign in sheet for staff to print and sign their name that the information was reviewed with them. Consultation: • As a reminder, all the blanks on a child’s application need to be addressed including the child’s health care professional. The parent can add “not applicable” in blanks if the question does not apply to their child. • The written feeding plan for children under fifteen months of age must be posted. • From now until June 30, 2024, is your preparation period for the rated license assessment. As I discussed, please continue to prepare your environment, remove excess materials and store in an alternate location. You can review NCRLAP.org for webinars regarding the ITERS-R and ECERS-R assessments. • A new helpline has launched regarding Children and Challenging Behaviors. Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at **828-782-0945** or e-mail jennifer.roberts@dhhs.nc.gov. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. 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: NORTHLAKES ACADEMY, INC Facility ID: 1455043 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 89 Completed Date: 8/24/2023 Age: From 0 To 12 Total Minutes: 402 Time In: 10:38 AM Time Out: 05:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance visit. Robin Prichard, Financial Administrator, conducted the walk through with us. You, Geri Ward, Administrator, assisted with the visit. Dinah Brown, Child Care Consultant, accompanied me on the visit. The last annual compliance visit was conducted on September 14, 2022. The North Carolina Secretary of State’s website was viewed before the visit, and Northlakes Academy, Inc. was listed as current/active. Per child care rule .0204(a) (a) When the ownership of a child care center changes, the prospective new owner shall apply for a new license in accordance with Rule .0403 of this Chapter at least 30 days before acquiring ownership of the center. A child care center license shall not be bought, sold, or transferred by one person or entity to another. You reported no changes today. Your program currently operates with a five-star rated license issued on November 28, 2018. The restrictions on your license include daytime care only, meets enhanced ratios minus one, meets enhanced ratios, and meets enhanced space. Fire Inspection: The last fire inspection was made on September 9, 2022. The center was approved for daytime care only. You are due to have a fire inspection completed by September 9, 2023. Please send me a copy once the inspection is completed. Sanitation Inspection: The last sanitation inspection was made on June 14, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during outdoor free play, handwashing, lunch, floor play, routines, and nap/rest. School aged children were observed playing outside the fenced in area behind the playground used by children three to five years of age. A checklist was used to note the requirements I monitored today. The following violations were observed during the visit: Violation Number Comment Rule 323 Prior to supervising children on an aquatic activity, and annually, staff did not sign and date a statement that they had reviewed the center's policies on aquatic activities. One (1) staff caring for school-aged children did not have a signed and dated statement on file that they had reviewed the center’s aquatic policy. The staff and training worksheet listed this employee as the teacher in the space for school-aged children. 10A NCAC 09 .1403(h)(1-3) 533 Breast 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. In space #2a, one (1) prepared bottle of formula stored in the refrigerator was dated August 23, 2023. Two (2) additional prepared bottles of formula could not be identified with the name or date that was on the label. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #2a, the written feeding plan for three (3) infants was not signed or dated by the parent. In space #2b, the written feeding plan for one (1) infant and two (2) fourteen-month-old toddlers were not signed by the parent and dated when the center received the plan. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, one (1) electrical outlet was not covered with a safety plug in the music center, accessible to children three and four years of age. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. At the entrance to the facility, a Glade Plug-in air freshener warmer was accessible to children. A First Aid kit was on each van used to transport children. The First Aid kit on each van, contained six (6) individual packages of alcohol prep pads, four (4) individual BZK Antiseptic towelettes, and two (2) individual Burn Care, Burn Gel packs. The First Aid kits were not locked and accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #5, “Honest” diapers were stored in the original plastic packaging under the unlocked cabinet door to the left of the sink. The packaging listed multiple warnings in addition to keep out of reach of children and accessible to children two (2) years of age. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility did not maintain a document that the Emergency Medical Care plan was reviewed with staff annually. Seven staff did not have a review date listed to verify. Four staff had a date listed as September 9, 2021. One staff had a date listed as October 25, 2021, and one staff had a date listed as April 25, 2022. 10A NCAC 09 .0802(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. In space #2a, one (1) infant, four months of age, had a visual sleep check chart for August 3, 2023, that listed a time of 8:30 am and the next time listed on the visual sleep chart was awake at 9 am. .0606(g) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In space #4, one (1) child sized cot was leaning upright against the exit door to the playground, causing the fire exit door to be blocked. GS 110-91 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. Both vans used to transport school-aged children on field trips during summer camp did not have a fire extinguisher. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The Emergency Information Forms and identifying information did not include a photograph of the child for the twenty-three school-aged children enrolled in summer camp and transported on field trips. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff with a hire date of April 5, 2021, did not have an annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 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 (1) child with an enrollment date of August 4, 2014, had their Emergency medical care information last updated June 2, 2022. .0802(c) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. In space #2a, one (1) staff member was providing care to three (3) infants, but a current ITS/SIDS training verification was not on file. .01102 (f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan on file for one child in space #5 was dated August 15, 2022. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, one bottle of Coppertone Water Babies sunscreen was not dated when the parent signed the authorization. In space #5, the permission to administer Hello Bellow Sunscreen did not list the amount to apply to the child. One permission form for Desitin Diaper Rash Cream dated April 20, 2023, did not have the parents’ signature. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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 (1) staff with a hire date of October 14, 2022, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on January 30, 2023 .1102(g) The violations documented must be corrected immediately. On or before September 7, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Jennifer Roberts, Child Care Consultant PO Box 426 Sherrills Ford, NC 28673 Jennifer.roberts@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was ninety-four percent (94%) as of August 23, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: • Item #812: When electrical outlets are not in use, they must be covered with a safety plug. I suggested that staff conduct safety visual checks daily to ensure electrical outlets are covered. This violation was corrected by placing a safety cover in the outlet. • Item #899: In space #4, one child sized cot was leaning upright against the exit door to the playground, causing the fire exit to be blocked. The cot was removed from the exit and placed in an alternate location to correct this violation. • Item #541: In space #2a, the written feeding plan for three (3) infants was not signed or dated by the parent. In space #2b, the written feeding plan for one (1) infant and two (2) fourteen-month-old toddlers were not signed but the parent and dated when the center received the plan. I reminded you that all documents must be completed in their entirety. Parents must sign and date forms when a signature and date are required. • Item #858: In space #5, “Honest” diapers were stored in the original plastic packaging under the unlocked cabinet door to the left of the sink. The packaging listed multiple warnings in addition to keep out of reach of children and accessible to children two (2) years of age. I suggested that all plastic packaging be removed from diapers and baby wipes when they are brought in and placed in a container for storage. This violation was corrected by removing the diapers and placing them on a shelf greater than five feet from ground level. • Item #1831: In space #2a, one (1) staff member was providing care to three (3) infants, but a current ITS/SIDS training verification was not on file. I reminded you that space #2a and #2b are two separate spaces and 2 separate groups of infants/toddlers. Only those with current SIDS training can care for infants if left alone. • Item #887: In space #2a, one (1) infant, four months of age, had a visual sleep check chart for August 3, 2023, that listed a time of 8:30 am and the next time listed on the visual sleep chart was awake at 9 am. Visual sleep checks must be completed every 15 minutes when the infant is sleeping. Staff could use a timer to alert them to conduct visual checks. • Item # 1835: The medical action plan on file for one child in space #5 was dated August 15, 2022. Medical Action plans must be updated annually. I suggested that you update all forms in January of each year that require annual updates. • Item #533: In space #2a, one (1) prepared bottle of formula stored in the refrigerator was dated August 23, 2023. Two (2) additional prepared bottles of formula could not be identified with the name or date that was on the label. I suggested that staff have a label and sharpie available for labeling bottles that are brought in to the facility prepared for cold storage. • Item # 1882: In space #1, one bottle of Coppertone Water Babies sunscreen was not dated when the parent signed the authorization. In space #5, the permission to administer Hello Bellow Sunscreen did not list the amount to apply to the child. One permission form for Desitin Diaper Rash Cream dated April 20, 2023, did not have the parents’ signature. I suggested that staff review permission forms for accuracy. The amount to be administered needs to be specific, the parent needs to sign the form and date it. • Item # 1115: Both vans used to transport school-aged children on field trips during summer camp did not have a fire extinguisher. I reminded you that vans used to transport children must have a fire extinguisher and it must be mounted. I suggested that you purchase one for each van prior to using the van next. • Item # 1124: The Emergency Information Forms and identifying information did not include a photograph of the child for the twenty-three school-aged children enrolled in summer camp and transported on field trips. We discussed the importance of placing a photograph on the child’s emergency information form in case of an emergency. • Item #1311: One (1) child with an enrollment date of August 4, 2014, had their Emergency Medical information last updated June 2, 2022. I suggested that you update children’s emergency medical care information in January of each year. You could conduct annual conferences with the child’s parent and update forms at that time. • Item # 1897: One (1) staff with a hire date of October 14, 2022, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on January 30, 2023. I suggested that you use the Staff File Checklist for timeframes when required trainings are due. • Item #840: At the entrance to the facility, a Glade Plug-in air freshener warmer was accessible to children. A First Aid kit was on each van used to transport children. The First Aid kit on each van, contained six (6) individual packages of alcohol prep pads, four (4) individual BZK Antiseptic towelettes, and two (2) individual Burn Care, Burn Gel packs. The First Aid kits were not locked and accessible to children. You corrected this violation by removing the Glade Plug-In at the entrance and removing the hazardous items in the first aid kits located on the vans used to transport children in care for summer camp. • Item #1232: One (1) staff with a hire date of April 5, 2021, did not have an annual staff evaluation on file for review. I suggested that you use the File Checklist for Staff or the Staff and Training Worksheet to remind you that staff must have an annual evaluation completed. • Item #323: One (1) staff caring for school-aged children did not have a signed and dated statement on file that they had reviewed the center’s aquatic policy. The staff and training worksheet listed this employee as the teacher in the space for school-aged children. The posted field trip calendar listed multiple days at the pool as a field trip. I suggested at the beginning of summer camp, you review the aquatic policy with all staff during a staff meeting. • Item #862: The facility did not maintain a document that the Emergency Medical Care plan was reviewed with staff annually. Seven staff did not have a review date listed to verify. Four staff had a date listed as September 9, 2021. One staff had a date listed as October 25, 2021, and one staff had a date listed as April 25, 2022. I suggested that you have a staff meeting and review the EMC plan. I suggested that you take minutes of the meeting and have a sign in sheet for staff to print and sign their name that the information was reviewed with them. Consultation: • As a reminder, all the blanks on a child’s application need to be addressed including the child’s health care professional. The parent can add “not applicable” in blanks if the question does not apply to their child. • The written feeding plan for children under fifteen months of age must be posted. • From now until June 30, 2024, is your preparation period for the rated license assessment. As I discussed, please continue to prepare your environment, remove excess materials and store in an alternate location. You can review NCRLAP.org for webinars regarding the ITERS-R and ECERS-R assessments. • A new helpline has launched regarding Children and Challenging Behaviors. Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at **828-782-0945** or e-mail jennifer.roberts@dhhs.nc.gov. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. 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