HCA Little Lions

NC GS 110-90 · Violation

Name of Operation: HCA LITTLE LIONS Facility ID: 68000583 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 4/8/2026 Number Present: 8 Completed Date: 4/8/2026 Age: From 3 To 4 Total Minutes: 18 Time In: 09:47 AM Time Out: 10:05 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with required childcare requirements for a routine unannounced visit. You, Leah Chapman, Assistant Principal, assisted me with the visit. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on April 6, 2026, and Hillsborough Christian Academy, was listed as current and active. The program’s compliance history was 99% prior to today’s visit. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children during free play and routine care. No new staff were reported at this program. A playground inspection was recorded on February 27, 2026. A fire drill was recorded on March 26, 2026. A shelter drill for the facility was recorded on October 24, 2025. The most recent fire inspection was on June 27, 2025. I observed a sanitation inspection that was last conducted on November 5, 2025, earning a Superior classification. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on February 27, 2025. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last safety drill was completed on October 24, 2025. .0604(u);.0302(d)(8) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before April 22, 2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to turkessha.casterlow@dhhs.nc.gov. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Regular playground inspections in child care are essential to prevent injuries, ensure compliance with safety standards, and reduce liability. Inspections identify hazards like broken equipment, improper surfacing, and entrapment risks, ensuring a safe, secure environment for children while extending the lifespan of the equipment. • Completing safety drills in childcare is essential to ensure the safety of children, familiarize them with emergency procedures to reduce fear, and prepare staff to react calmly and efficiently. Regular drills identify weaknesses in evacuation plans, ensure compliance with licensing regulations, and build staff confidence in managing crisis situations. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .0604 · Violation

Name of Operation: HCA LITTLE LIONS Facility ID: 68000583 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 5/6/2025 Number Present: 9 Completed Date: 5/6/2025 Age: From 2 To 4 Total Minutes: 80 Time In: 09:15 AM Time Out: 10:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ms. L. Chapman assisted me with the visit today. Currently this facility operates with a GS 110 Notice of Compliance that was issued 1/20/23. The center's compliance history was reviewed with the operator. The program’s compliance history was 100% as of 5/6/25. The notice of compliance was posted, and the restrictions were in compliance. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. 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 morning outdoor time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Fire (8/12/24) and sanitation (3/17/25) inspections remain current. I reviewed one new staff member’s file. The last fire drill was conducted on 3/27/25. Shelter and lock down drills were conducted on 4/17/25. The outdoor check list was conducted on 4/17/25. One violation was observed. This violation was corrected during the visit. The provider did ask questions pertaining to staying in compliance. Violation Number Comment Rule 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member who started on 3/31/25 did not have a signed acknowledgement with all the required information on their personal file prior to providing care to children. .0608(d)(1-4) Consultation and Technical Assistance We discussed staff records and surfacing for the outdoor environment. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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 .0605 · Violation

Name of Operation: HCA LITTLE LIONS Facility ID: 68000583 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 5/6/2025 Number Present: 9 Completed Date: 5/6/2025 Age: From 2 To 4 Total Minutes: 80 Time In: 09:15 AM Time Out: 10:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ms. L. Chapman assisted me with the visit today. Currently this facility operates with a GS 110 Notice of Compliance that was issued 1/20/23. The center's compliance history was reviewed with the operator. The program’s compliance history was 100% as of 5/6/25. The notice of compliance was posted, and the restrictions were in compliance. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. 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 morning outdoor time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Fire (8/12/24) and sanitation (3/17/25) inspections remain current. I reviewed one new staff member’s file. The last fire drill was conducted on 3/27/25. Shelter and lock down drills were conducted on 4/17/25. The outdoor check list was conducted on 4/17/25. One violation was observed. This violation was corrected during the visit. The provider did ask questions pertaining to staying in compliance. Violation Number Comment Rule 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member who started on 3/31/25 did not have a signed acknowledgement with all the required information on their personal file prior to providing care to children. .0608(d)(1-4) Consultation and Technical Assistance We discussed staff records and surfacing for the outdoor environment. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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 .0608 · Violation

Name of Operation: HCA LITTLE LIONS Facility ID: 68000583 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 5/6/2025 Number Present: 9 Completed Date: 5/6/2025 Age: From 2 To 4 Total Minutes: 80 Time In: 09:15 AM Time Out: 10:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ms. L. Chapman assisted me with the visit today. Currently this facility operates with a GS 110 Notice of Compliance that was issued 1/20/23. The center's compliance history was reviewed with the operator. The program’s compliance history was 100% as of 5/6/25. The notice of compliance was posted, and the restrictions were in compliance. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. 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 morning outdoor time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Fire (8/12/24) and sanitation (3/17/25) inspections remain current. I reviewed one new staff member’s file. The last fire drill was conducted on 3/27/25. Shelter and lock down drills were conducted on 4/17/25. The outdoor check list was conducted on 4/17/25. One violation was observed. This violation was corrected during the visit. The provider did ask questions pertaining to staying in compliance. Violation Number Comment Rule 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member who started on 3/31/25 did not have a signed acknowledgement with all the required information on their personal file prior to providing care to children. .0608(d)(1-4) Consultation and Technical Assistance We discussed staff records and surfacing for the outdoor environment. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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