Holly Springs Academy

10A NCAC 09 .0304 · Violation

Name of Operation: HOLLY SPRINGS ACADEMY Facility ID: 92003869 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 80 Completed Date: 7/24/2025 Age: From 1 To 6 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full 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, I was greeted by Julionna Baird, she accompanied me during the walk through of the facility. The director, Helen Lambeth, joined me later. CURRENT LICENSE STATUS: The program operates with a five (5) star rated license issued on 5/30/24. They received 6 points in programming standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. ANNUAL INSPECTIONS: The last sanitation inspection was completed on 12/18/24. The last fire inspection was completed on 4/2/25. The last outdoor play area inspection was completed on 7/3/25. The last fire drill was conducted on 7/2/25. The last lock down/shelter-in-place drill was completed on 5/21/25. The EPR plan was updated on 2/18/25. The last annual compliance visit was conducted on 8/13/24. You visited all approved indoor spaces with me during today’s visit. Children were participating in group activities, and outdoor play. A full assessment was conducted. A monitoring checklist was used to observe all minimum licensing requirements Six (6) staff files and ten (10) children’s files were reviewed during today’s visit. A sample of the files reviewed for children/staff was left with you. ON GOING TRAINING HOURS Your center’s annual Inservice training for the period of August 2024 through July 2025 was reviewed during today’s visit. A copy of the staff training worksheet was not available today; please include your training worksheet with the correction action letter. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, HOLLY SPRINGS OPERATIONS, LLC., was active/current. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last documented fire inspection was 4/2/24. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. The activity plan posted was dated 7/13/25 - 7/18/25. GS 110-91(12); .0508(a) 847 Parent's medication authorization did not include required information. Permission forms in space #1 expired on 7/16/25; in space #3 two forms did not have dates to administrator. 10A NCAC 09 .0803(4)(6-9) 9995 15A NCAC 18A .2824 (b) Floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. The floor in space #2 was dirty; build up of old wax. Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you will correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. If I do not receive your letter by 8/7/25, and/or if you do not address all violations, I will be making a return visit to your program to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. Your compliance letter should be sent to me at the following email address: corrine.fulp@dhhs.nc.gov., or mailed to 1781 Indian Camp Road Clayton, NC 27520. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 90%. TECHNICAL ASSISTANCE In space #2 the tile floor was dirty. 15A NCAC 18A .2824 (b) states the floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. The activity plan posted was dated July 13 – July 18; plan had not been updated from the previous week. The refrigerator in space #3 was not working; staff used the refrigerator in another classroom to store the children’s lunches. In space #1 and Space #3 the permission forms to administrator medication had expired. While there isn't a specific rule outlining general vehicle storage on childcare premises in North Carolina, several regulations address safety concerns related to vehicles and child access: Potentially hazardous items •Potentially hazardous items, including vehicles, power tools, lawnmowers, chemicals, propane stoves, gasoline, and kerosene, must be stored in locked areas, removed from the premises, or otherwise inaccessible to children. CONSULTATION AND RESOURCES: HEALTH AND SAFETY Training in all the required health and safety topics must be completed every 5 years. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Staff should use their individual NCID username and password to access this training. DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. Now is a good time to learn more about the pathway to stars. Go to the DCDEE website [www.ncchildcare.nc.gov] under “What New” and pan down to the QRIS Modernization section. You will find information on the different pathways, education requirements, continuous quality improvement standards, and a section on frequently asked questions. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached at: 919-606-2388 or email me at corrine.fulp@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: HOLLY SPRINGS ACADEMY Facility ID: 92003869 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 80 Completed Date: 7/24/2025 Age: From 1 To 6 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full 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, I was greeted by Julionna Baird, she accompanied me during the walk through of the facility. The director, Helen Lambeth, joined me later. CURRENT LICENSE STATUS: The program operates with a five (5) star rated license issued on 5/30/24. They received 6 points in programming standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. ANNUAL INSPECTIONS: The last sanitation inspection was completed on 12/18/24. The last fire inspection was completed on 4/2/25. The last outdoor play area inspection was completed on 7/3/25. The last fire drill was conducted on 7/2/25. The last lock down/shelter-in-place drill was completed on 5/21/25. The EPR plan was updated on 2/18/25. The last annual compliance visit was conducted on 8/13/24. You visited all approved indoor spaces with me during today’s visit. Children were participating in group activities, and outdoor play. A full assessment was conducted. A monitoring checklist was used to observe all minimum licensing requirements Six (6) staff files and ten (10) children’s files were reviewed during today’s visit. A sample of the files reviewed for children/staff was left with you. ON GOING TRAINING HOURS Your center’s annual Inservice training for the period of August 2024 through July 2025 was reviewed during today’s visit. A copy of the staff training worksheet was not available today; please include your training worksheet with the correction action letter. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, HOLLY SPRINGS OPERATIONS, LLC., was active/current. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last documented fire inspection was 4/2/24. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. The activity plan posted was dated 7/13/25 - 7/18/25. GS 110-91(12); .0508(a) 847 Parent's medication authorization did not include required information. Permission forms in space #1 expired on 7/16/25; in space #3 two forms did not have dates to administrator. 10A NCAC 09 .0803(4)(6-9) 9995 15A NCAC 18A .2824 (b) Floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. The floor in space #2 was dirty; build up of old wax. Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you will correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. If I do not receive your letter by 8/7/25, and/or if you do not address all violations, I will be making a return visit to your program to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. Your compliance letter should be sent to me at the following email address: corrine.fulp@dhhs.nc.gov., or mailed to 1781 Indian Camp Road Clayton, NC 27520. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 90%. TECHNICAL ASSISTANCE In space #2 the tile floor was dirty. 15A NCAC 18A .2824 (b) states the floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. The activity plan posted was dated July 13 – July 18; plan had not been updated from the previous week. The refrigerator in space #3 was not working; staff used the refrigerator in another classroom to store the children’s lunches. In space #1 and Space #3 the permission forms to administrator medication had expired. While there isn't a specific rule outlining general vehicle storage on childcare premises in North Carolina, several regulations address safety concerns related to vehicles and child access: Potentially hazardous items •Potentially hazardous items, including vehicles, power tools, lawnmowers, chemicals, propane stoves, gasoline, and kerosene, must be stored in locked areas, removed from the premises, or otherwise inaccessible to children. CONSULTATION AND RESOURCES: HEALTH AND SAFETY Training in all the required health and safety topics must be completed every 5 years. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Staff should use their individual NCID username and password to access this training. DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. Now is a good time to learn more about the pathway to stars. Go to the DCDEE website [www.ncchildcare.nc.gov] under “What New” and pan down to the QRIS Modernization section. You will find information on the different pathways, education requirements, continuous quality improvement standards, and a section on frequently asked questions. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached at: 919-606-2388 or email me at corrine.fulp@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

GS 110-91 · Violation

Name of Operation: HOLLY SPRINGS ACADEMY Facility ID: 92003869 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 80 Completed Date: 7/24/2025 Age: From 1 To 6 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full 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, I was greeted by Julionna Baird, she accompanied me during the walk through of the facility. The director, Helen Lambeth, joined me later. CURRENT LICENSE STATUS: The program operates with a five (5) star rated license issued on 5/30/24. They received 6 points in programming standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. ANNUAL INSPECTIONS: The last sanitation inspection was completed on 12/18/24. The last fire inspection was completed on 4/2/25. The last outdoor play area inspection was completed on 7/3/25. The last fire drill was conducted on 7/2/25. The last lock down/shelter-in-place drill was completed on 5/21/25. The EPR plan was updated on 2/18/25. The last annual compliance visit was conducted on 8/13/24. You visited all approved indoor spaces with me during today’s visit. Children were participating in group activities, and outdoor play. A full assessment was conducted. A monitoring checklist was used to observe all minimum licensing requirements Six (6) staff files and ten (10) children’s files were reviewed during today’s visit. A sample of the files reviewed for children/staff was left with you. ON GOING TRAINING HOURS Your center’s annual Inservice training for the period of August 2024 through July 2025 was reviewed during today’s visit. A copy of the staff training worksheet was not available today; please include your training worksheet with the correction action letter. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, HOLLY SPRINGS OPERATIONS, LLC., was active/current. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last documented fire inspection was 4/2/24. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. The activity plan posted was dated 7/13/25 - 7/18/25. GS 110-91(12); .0508(a) 847 Parent's medication authorization did not include required information. Permission forms in space #1 expired on 7/16/25; in space #3 two forms did not have dates to administrator. 10A NCAC 09 .0803(4)(6-9) 9995 15A NCAC 18A .2824 (b) Floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. The floor in space #2 was dirty; build up of old wax. Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you will correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. If I do not receive your letter by 8/7/25, and/or if you do not address all violations, I will be making a return visit to your program to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. Your compliance letter should be sent to me at the following email address: corrine.fulp@dhhs.nc.gov., or mailed to 1781 Indian Camp Road Clayton, NC 27520. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 90%. TECHNICAL ASSISTANCE In space #2 the tile floor was dirty. 15A NCAC 18A .2824 (b) states the floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. The activity plan posted was dated July 13 – July 18; plan had not been updated from the previous week. The refrigerator in space #3 was not working; staff used the refrigerator in another classroom to store the children’s lunches. In space #1 and Space #3 the permission forms to administrator medication had expired. While there isn't a specific rule outlining general vehicle storage on childcare premises in North Carolina, several regulations address safety concerns related to vehicles and child access: Potentially hazardous items •Potentially hazardous items, including vehicles, power tools, lawnmowers, chemicals, propane stoves, gasoline, and kerosene, must be stored in locked areas, removed from the premises, or otherwise inaccessible to children. CONSULTATION AND RESOURCES: HEALTH AND SAFETY Training in all the required health and safety topics must be completed every 5 years. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Staff should use their individual NCID username and password to access this training. DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. Now is a good time to learn more about the pathway to stars. Go to the DCDEE website [www.ncchildcare.nc.gov] under “What New” and pan down to the QRIS Modernization section. You will find information on the different pathways, education requirements, continuous quality improvement standards, and a section on frequently asked questions. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached at: 919-606-2388 or email me at corrine.fulp@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

GS 110-91 · Violation

Name of Operation: HOLLY SPRINGS ACADEMY Facility ID: 92003869 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 4/25/2024 Number Present: 111 Completed Date: 4/25/2024 Age: From 1 To 5 Total Minutes: 165 Time In: 09:30 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to assess applicable child-care requirements during a routine unannounced visit. The director, Jessica Summerlin (Wilson), assisted me with today’s visit. Mandy Annunziata, child care consultant, accompanied me for today’s visit. We conducted a walk-through of the indoor and outdoor learning environments I observed groups of children engaged in free play activities in their classroom and on the playgrounds. I also observed groups of children using the communal restrooms and handwashing. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 1/11/24. They received 5 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. This license was issued at the program’s request using their current scores for staff education and Environment Rating Scales scores from March 2023, which were conducted during their temporary license. Your next rated license is due to be assessed by 1/11/27. INSPECTIONS The last sanitation inspection was conducted 1/2/24. The last fire inspection was conducted 4/2/24 The last documented fire drill was conducted 3/20/24. The last documented shelter-in-place or lockdown drill was conducted 1/23/24. The last documented playground inspection was conducted 3/26/24. The status of the owners, Holly Springs Operations, LLC., is listed as current and active on the NC Secretary of State website. Limited monitoring of child care requirements was assessed during today’s visit. I reviewed emergency medications, and confirmed that all staff have current CPR, First Aid, The program had no new employees since their last annual visit. They do not transport children, enroll infants or school aged children, therefore, these requirements were not assessed. The following violation was observed and recorded during today’s visit. Violation Number Comment Rule 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Portions of the exterior fencing on Playgrounds 1 and 3 had soil built up along the fence line which resulted in areas of the fence to be 3 to 3.5 feed high. GS 110-91(6); .0605((i) The above violations must be corrected immediately. By 5/9/24 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it to 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made and additional violations may be added. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 96%. TECHNICAL ASSISTANCE There are portions of the fencing on playgrounds 1 and 3 where plant beds have been added or erosion has caused build up along the fence line and the fencing is no longer at least 4 feet high. There are several ways that this can be corrected; the extra soil can be removed from the area or the fencing can be extended. Many providers add a lattice to the top of their fencing to bring their outdoor areas into compliance. CONSULTATION All child care facilities are required to test their drinking and cooking water for led every three years. It may be time for your facility to complete this testing again. For more information, you should contact Clean Water for Carolina Kids. Contact www.cleanwaterforcarolinakids.org for more information. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. 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://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration into your web browser. Additional information can be found in the RaiseNC newsletter sent on December 7, 2023. You should also ensure that all staff have registered and have their education assessed in WORKS. It is recommended that you complete this process as part of your onboarding process with new hires and as existing staff members complete additional coursework. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. There is a link to this training on Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. If you are unable to access this training in Moodle, you can use ProSolutions or a local trainer to complete training in these required topics. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. The expiration date on staff qualification letters has been extended by two years. New letters reflecting this change will not be sent. However, I will note this change as I make visits to the center. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently to stay updated on rule requirements. If you have any questions or need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: HOLLY SPRINGS ACADEMY Facility ID: 92003869 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 96 Completed Date: 10/26/2023 Age: From 1 To 5 Total Minutes: 315 Time In: 09:45 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to assess applicable child-care requirements during an unannounced annual compliance visit. The director, Jess, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments. I observed groups of children engaged in free play in their indoor and outdoor play areas and group times in their classrooms. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 5/22/23. They received 5 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. While reviewing the center’s file, in preparation for today’s visit. I noticed a discrepancy in the center capacity. Your license indicates a capacity of 146, however, the sanitation capacity is 136. We discussed this issue during today’s visit, and you currently have 109 children enrolled and the staff child ratios and group sizes that you implement for day-to-day operation would never require a capacity of 146 children. I will issue a new license to you that reflects the correct change in capacity, which is 136. INSPECTIONS The last sanitation inspection was conducted 1/10/23. The last fire inspection was conducted 3/30/23. The last documented fire drill was conducted 9/27/23. The last documented shelter-in-place or lockdown drill was conducted 7/27/23. The last documented playground inspection was conducted 9/19/23. The status of the owners, Holly Springs Operations, LLC., is listed as current and active on the NC Secretary of State website. All applicable child care requirements were assessed during today’s visit. The center does not provide transportation, infant or school-age care, therefore, these requirements were not assessed. Staff on-going training was assessed from November 1, 2022 – October 31, 2023. All staff who have been employed for at least 1 year have completed the required training. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A metal post for a bench is exposed on the playground for 3 to 5 year old children. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. The medication authorization from for a child's epi-pen was expired. 10A NCAC 09 .0803(1)(d) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member's First Aid was expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR was expired. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The orientation form was missing from one staff member's file. .1101(a)(b) The above violations must be corrected immediately. By 11/9/23 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it to 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made and additional violations may be added. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 100%. TECHNICAL ASSISTANCE One emergency medications authorization form expired earlier this month. Emergency medications authorization forms are valid for 6 months from the date it is completed. A metal post on a bench located on the 3- to 5-year-old playground is exposed, posing a potential trip or puncture hazard. Posts should be covered. One staff member’s CPR and First Aid certification has expired. All staff member’s certifications should be renewed prior to the expiration date. Orientation documentation was missing from one staff member’s file. Staff orientation should be documented as it occurs. CONSULTATION You should also ensure that all staff have registered and have their education assessed in WORKS. It is recommended that you complete this process as part of your onboarding process with new hires and as existing staff members complete additional coursework. There are new Sanitation Requirements effective 7/1/23. You should review their website or contact your Environmental Health Specialist for more information. The expiration date on staff qualification letters has been extended by two years. New letters reflecting this change will not be sent. However, I will note this change as I make visits to the center. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently to stay updated on rule requirements. Please be safe and continue to follow the guidelines in the Childcare Strong NC Public Health Toolkit, which was last updated on 8/31/22. COVID is still a reportable illness. You must contact the Health Department if you have a confirmed case in your program. If you have any questions or need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: HOLLY SPRINGS ACADEMY Facility ID: 92003869 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 96 Completed Date: 10/26/2023 Age: From 1 To 5 Total Minutes: 315 Time In: 09:45 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to assess applicable child-care requirements during an unannounced annual compliance visit. The director, Jess, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments. I observed groups of children engaged in free play in their indoor and outdoor play areas and group times in their classrooms. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 5/22/23. They received 5 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. While reviewing the center’s file, in preparation for today’s visit. I noticed a discrepancy in the center capacity. Your license indicates a capacity of 146, however, the sanitation capacity is 136. We discussed this issue during today’s visit, and you currently have 109 children enrolled and the staff child ratios and group sizes that you implement for day-to-day operation would never require a capacity of 146 children. I will issue a new license to you that reflects the correct change in capacity, which is 136. INSPECTIONS The last sanitation inspection was conducted 1/10/23. The last fire inspection was conducted 3/30/23. The last documented fire drill was conducted 9/27/23. The last documented shelter-in-place or lockdown drill was conducted 7/27/23. The last documented playground inspection was conducted 9/19/23. The status of the owners, Holly Springs Operations, LLC., is listed as current and active on the NC Secretary of State website. All applicable child care requirements were assessed during today’s visit. The center does not provide transportation, infant or school-age care, therefore, these requirements were not assessed. Staff on-going training was assessed from November 1, 2022 – October 31, 2023. All staff who have been employed for at least 1 year have completed the required training. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A metal post for a bench is exposed on the playground for 3 to 5 year old children. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. The medication authorization from for a child's epi-pen was expired. 10A NCAC 09 .0803(1)(d) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member's First Aid was expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR was expired. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The orientation form was missing from one staff member's file. .1101(a)(b) The above violations must be corrected immediately. By 11/9/23 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it to 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made and additional violations may be added. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 100%. TECHNICAL ASSISTANCE One emergency medications authorization form expired earlier this month. Emergency medications authorization forms are valid for 6 months from the date it is completed. A metal post on a bench located on the 3- to 5-year-old playground is exposed, posing a potential trip or puncture hazard. Posts should be covered. One staff member’s CPR and First Aid certification has expired. All staff member’s certifications should be renewed prior to the expiration date. Orientation documentation was missing from one staff member’s file. Staff orientation should be documented as it occurs. CONSULTATION You should also ensure that all staff have registered and have their education assessed in WORKS. It is recommended that you complete this process as part of your onboarding process with new hires and as existing staff members complete additional coursework. There are new Sanitation Requirements effective 7/1/23. You should review their website or contact your Environmental Health Specialist for more information. The expiration date on staff qualification letters has been extended by two years. New letters reflecting this change will not be sent. However, I will note this change as I make visits to the center. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently to stay updated on rule requirements. Please be safe and continue to follow the guidelines in the Childcare Strong NC Public Health Toolkit, which was last updated on 8/31/22. COVID is still a reportable illness. You must contact the Health Department if you have a confirmed case in your program. If you have any questions or need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times