Holly Springs School FOR Early Education

10A NCAC 09 .0304 · Violation

Name of Operation: HOLLY SPRINGS SCHOOL FOR EARLY EDUCATION Facility ID: 92001426 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 6/4/2025 Number Present: 88 Completed Date: 6/4/2025 Age: From 0 To 5 Total Minutes: 130 Time In: 09:20 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I was greeted by Amanda Krick, and she accompanied me throughout the visit. At the completion of the visit, this summary was printed, reviewed, and a copy left with you. CURRENT LICENSE STATUS: The program operates with a 4 star-rated License issued on 8/2/22. This permit reflects a change in the program’s capacity. Their last rated license assessment was conducted 7/26/18. They received 6 points in program standards, 4 points in staff education and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. During my walk-through all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity. Infants were engaged in tummy time, napping, and diapering routines. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. ANNUAL INSPECTIONS: The last sanitation inspection was completed on: 7/11/24. The last fire inspection was completed on 2/8/24. The last outdoor play area inspection was completed on 4/1/25. The last fire drill was conducted on 5/20/25. The last lock down/shelter-in-place drill was completed on 3/18/25. The EPR plan was updated on 8/20/24. The last annual compliance visit was conducted on 12/17/24. ITEMS MONITORED: A partial monitoring of applicable child care requirements was conducted, monitoring 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, and Permit Restrictions. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, HOLLY SPRINGS SCHOOL FOR EARLY ED, INC., was current/active. 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 completed on 2/8/24. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for space #7. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) A feeding schedule was not posted for two children that was younger than fifteen months. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. A medication permission form was not on file for a child with an Epi Pen. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last documented playground inspection was on 4/1/25. .0605(q) 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 6/18/25, 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 95%. TECHNICAL ASSISTANCE: During today’s visit a child receiving medicine for an EPI Pen did not have consent to administer. The parent/guardian must complete, signs, and dates the Medication Administration Permission Form for the teacher to administer. A copy of the form given permission to administer was left with you today. The last fire inspection was completed on 2/8/24. Please reach out to your inspector today and schedule to have it completed. The last documented playground inspection was completed on 4/1/25. This inspection should be completed monthly, and a copy kept on file. REMINDER: Your emergency drill Shelter-in-place/Lock down will be due by end of the month. CONSULTATION AND RESOURCES: 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. Staff should use their individual NCID username and password. DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. 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 SCHOOL FOR EARLY EDUCATION Facility ID: 92001426 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 6/4/2025 Number Present: 88 Completed Date: 6/4/2025 Age: From 0 To 5 Total Minutes: 130 Time In: 09:20 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I was greeted by Amanda Krick, and she accompanied me throughout the visit. At the completion of the visit, this summary was printed, reviewed, and a copy left with you. CURRENT LICENSE STATUS: The program operates with a 4 star-rated License issued on 8/2/22. This permit reflects a change in the program’s capacity. Their last rated license assessment was conducted 7/26/18. They received 6 points in program standards, 4 points in staff education and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. During my walk-through all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity. Infants were engaged in tummy time, napping, and diapering routines. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. ANNUAL INSPECTIONS: The last sanitation inspection was completed on: 7/11/24. The last fire inspection was completed on 2/8/24. The last outdoor play area inspection was completed on 4/1/25. The last fire drill was conducted on 5/20/25. The last lock down/shelter-in-place drill was completed on 3/18/25. The EPR plan was updated on 8/20/24. The last annual compliance visit was conducted on 12/17/24. ITEMS MONITORED: A partial monitoring of applicable child care requirements was conducted, monitoring 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, and Permit Restrictions. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, HOLLY SPRINGS SCHOOL FOR EARLY ED, INC., was current/active. 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 completed on 2/8/24. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for space #7. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) A feeding schedule was not posted for two children that was younger than fifteen months. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. A medication permission form was not on file for a child with an Epi Pen. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last documented playground inspection was on 4/1/25. .0605(q) 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 6/18/25, 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 95%. TECHNICAL ASSISTANCE: During today’s visit a child receiving medicine for an EPI Pen did not have consent to administer. The parent/guardian must complete, signs, and dates the Medication Administration Permission Form for the teacher to administer. A copy of the form given permission to administer was left with you today. The last fire inspection was completed on 2/8/24. Please reach out to your inspector today and schedule to have it completed. The last documented playground inspection was completed on 4/1/25. This inspection should be completed monthly, and a copy kept on file. REMINDER: Your emergency drill Shelter-in-place/Lock down will be due by end of the month. CONSULTATION AND RESOURCES: 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. Staff should use their individual NCID username and password. DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. 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 SCHOOL FOR EARLY EDUCATION Facility ID: 92001426 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 6/4/2025 Number Present: 88 Completed Date: 6/4/2025 Age: From 0 To 5 Total Minutes: 130 Time In: 09:20 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I was greeted by Amanda Krick, and she accompanied me throughout the visit. At the completion of the visit, this summary was printed, reviewed, and a copy left with you. CURRENT LICENSE STATUS: The program operates with a 4 star-rated License issued on 8/2/22. This permit reflects a change in the program’s capacity. Their last rated license assessment was conducted 7/26/18. They received 6 points in program standards, 4 points in staff education and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. During my walk-through all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity. Infants were engaged in tummy time, napping, and diapering routines. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. ANNUAL INSPECTIONS: The last sanitation inspection was completed on: 7/11/24. The last fire inspection was completed on 2/8/24. The last outdoor play area inspection was completed on 4/1/25. The last fire drill was conducted on 5/20/25. The last lock down/shelter-in-place drill was completed on 3/18/25. The EPR plan was updated on 8/20/24. The last annual compliance visit was conducted on 12/17/24. ITEMS MONITORED: A partial monitoring of applicable child care requirements was conducted, monitoring 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, and Permit Restrictions. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, HOLLY SPRINGS SCHOOL FOR EARLY ED, INC., was current/active. 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 completed on 2/8/24. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for space #7. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) A feeding schedule was not posted for two children that was younger than fifteen months. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. A medication permission form was not on file for a child with an Epi Pen. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last documented playground inspection was on 4/1/25. .0605(q) 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 6/18/25, 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 95%. TECHNICAL ASSISTANCE: During today’s visit a child receiving medicine for an EPI Pen did not have consent to administer. The parent/guardian must complete, signs, and dates the Medication Administration Permission Form for the teacher to administer. A copy of the form given permission to administer was left with you today. The last fire inspection was completed on 2/8/24. Please reach out to your inspector today and schedule to have it completed. The last documented playground inspection was completed on 4/1/25. This inspection should be completed monthly, and a copy kept on file. REMINDER: Your emergency drill Shelter-in-place/Lock down will be due by end of the month. CONSULTATION AND RESOURCES: 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. Staff should use their individual NCID username and password. DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. 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 .0902 · Violation

Name of Operation: HOLLY SPRINGS SCHOOL FOR EARLY EDUCATION Facility ID: 92001426 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 6/4/2025 Number Present: 88 Completed Date: 6/4/2025 Age: From 0 To 5 Total Minutes: 130 Time In: 09:20 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I was greeted by Amanda Krick, and she accompanied me throughout the visit. At the completion of the visit, this summary was printed, reviewed, and a copy left with you. CURRENT LICENSE STATUS: The program operates with a 4 star-rated License issued on 8/2/22. This permit reflects a change in the program’s capacity. Their last rated license assessment was conducted 7/26/18. They received 6 points in program standards, 4 points in staff education and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. During my walk-through all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity. Infants were engaged in tummy time, napping, and diapering routines. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. ANNUAL INSPECTIONS: The last sanitation inspection was completed on: 7/11/24. The last fire inspection was completed on 2/8/24. The last outdoor play area inspection was completed on 4/1/25. The last fire drill was conducted on 5/20/25. The last lock down/shelter-in-place drill was completed on 3/18/25. The EPR plan was updated on 8/20/24. The last annual compliance visit was conducted on 12/17/24. ITEMS MONITORED: A partial monitoring of applicable child care requirements was conducted, monitoring 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, and Permit Restrictions. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, HOLLY SPRINGS SCHOOL FOR EARLY ED, INC., was current/active. 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 completed on 2/8/24. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for space #7. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) A feeding schedule was not posted for two children that was younger than fifteen months. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. A medication permission form was not on file for a child with an Epi Pen. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last documented playground inspection was on 4/1/25. .0605(q) 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 6/18/25, 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 95%. TECHNICAL ASSISTANCE: During today’s visit a child receiving medicine for an EPI Pen did not have consent to administer. The parent/guardian must complete, signs, and dates the Medication Administration Permission Form for the teacher to administer. A copy of the form given permission to administer was left with you today. The last fire inspection was completed on 2/8/24. Please reach out to your inspector today and schedule to have it completed. The last documented playground inspection was completed on 4/1/25. This inspection should be completed monthly, and a copy kept on file. REMINDER: Your emergency drill Shelter-in-place/Lock down will be due by end of the month. CONSULTATION AND RESOURCES: 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. Staff should use their individual NCID username and password. DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. 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 .0802 · Violation

Name of Operation: HOLLY SPRINGS SCHOOL FOR EARLY EDUCATION Facility ID: 92001426 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 12/17/2024 Number Present: 84 Completed Date: 12/17/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 01:00 PM Time Out: 05:00 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 Amanda Krick, and she accompanied me throughout the visit. CURRENT LICENSE STATUS: The program operates with a 4 star-rated License issued on 8/2/22. This permit reflects a change in the program’s capacity. Their last rated license assessment was conducted 7/26/18.They received 6 points in program standards, 4 points in staff education and 1 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: 7/11/24. The last fire inspection was completed on 2/8/24. The last outdoor play area inspection was completed on 12/2/24. The last fire drill was conducted on 12/4/24. The last lock down/shelter-in-place drill was completed on 10/14/24. The EPR plan was updated on 8/20/24. The last annual compliance visit was conducted on 1/22/24. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 100%. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, HOLLY SPRINGS SCHOOL FOR EARLY ED, INC. was active/not current. You visited all approved indoor/outdoor spaces with me during today’s visit. Children were engaged in classroom activities and outdoor play during today’s visit. A full assessment was conducted. A monitoring checklist was used to observe all minimum licensing requirements and applicable enhanced requirements including but not limited to approved space, child interactions, required in-service trainings, indoor and outdoor materials and equipment, storage of hazardous items, storage of medication and medication forms, children records, Staff Criminal Record Checks, attendance records, CPR and First Aid certificates, activity plans and supervision. ON GOING TRAINING HOURS Your center’s annual Inservice training for the period of January 2024 through December 2024 was reviewed during today’s visit. All staff employed for more than one year had completed their annual in-service training hours. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #3 three authorization forms did not have the amount to apply and the date the medication should be given. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff files did not have verification for an annual EMC review. 10A NCAC 09 .0802(a) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR plan was last updated on 8/20/21. .0607(d)(8) 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 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 12/31/24, 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. TECHNICAL ASSISTANCE Medication: In one classroom the medical authorization forms did not have dates and the amount of cream to apply. When one staff person is assigned to check in medication it helps to identify missing items that parent forgot to fill-in. ANNUAL EPR/EMC REVIEW- Staff member did not have verification on file for receiving an annual review. The review date should be documented to show that it was completed. Today we discussed your reviews plans and going forward make sure they are listed on the agenda and to have staff sign the roster showing that they were in attendance. CONSULTATION AND RESOURCES: ANNUAL LICENSE FEE Per North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on your licensed capacity. Invoices were emailed to the facility email address on file in regulatory. Online payments are due by December 31, 2024. HEALTH AND SAFETY 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. Staff should use their individual NCID username and password to access this training. All staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training counts toward requirements for Health and Safety. Recognizing and Responding to Suspicions of Child Maltreatment training is available at www.preventchildabusenc.org. DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. 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 SCHOOL FOR EARLY EDUCATION Facility ID: 92001426 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 12/17/2024 Number Present: 84 Completed Date: 12/17/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 01:00 PM Time Out: 05:00 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 Amanda Krick, and she accompanied me throughout the visit. CURRENT LICENSE STATUS: The program operates with a 4 star-rated License issued on 8/2/22. This permit reflects a change in the program’s capacity. Their last rated license assessment was conducted 7/26/18.They received 6 points in program standards, 4 points in staff education and 1 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: 7/11/24. The last fire inspection was completed on 2/8/24. The last outdoor play area inspection was completed on 12/2/24. The last fire drill was conducted on 12/4/24. The last lock down/shelter-in-place drill was completed on 10/14/24. The EPR plan was updated on 8/20/24. The last annual compliance visit was conducted on 1/22/24. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 100%. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, HOLLY SPRINGS SCHOOL FOR EARLY ED, INC. was active/not current. You visited all approved indoor/outdoor spaces with me during today’s visit. Children were engaged in classroom activities and outdoor play during today’s visit. A full assessment was conducted. A monitoring checklist was used to observe all minimum licensing requirements and applicable enhanced requirements including but not limited to approved space, child interactions, required in-service trainings, indoor and outdoor materials and equipment, storage of hazardous items, storage of medication and medication forms, children records, Staff Criminal Record Checks, attendance records, CPR and First Aid certificates, activity plans and supervision. ON GOING TRAINING HOURS Your center’s annual Inservice training for the period of January 2024 through December 2024 was reviewed during today’s visit. All staff employed for more than one year had completed their annual in-service training hours. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #3 three authorization forms did not have the amount to apply and the date the medication should be given. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff files did not have verification for an annual EMC review. 10A NCAC 09 .0802(a) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR plan was last updated on 8/20/21. .0607(d)(8) 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 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 12/31/24, 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. TECHNICAL ASSISTANCE Medication: In one classroom the medical authorization forms did not have dates and the amount of cream to apply. When one staff person is assigned to check in medication it helps to identify missing items that parent forgot to fill-in. ANNUAL EPR/EMC REVIEW- Staff member did not have verification on file for receiving an annual review. The review date should be documented to show that it was completed. Today we discussed your reviews plans and going forward make sure they are listed on the agenda and to have staff sign the roster showing that they were in attendance. CONSULTATION AND RESOURCES: ANNUAL LICENSE FEE Per North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on your licensed capacity. Invoices were emailed to the facility email address on file in regulatory. Online payments are due by December 31, 2024. HEALTH AND SAFETY 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. Staff should use their individual NCID username and password to access this training. All staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training counts toward requirements for Health and Safety. Recognizing and Responding to Suspicions of Child Maltreatment training is available at www.preventchildabusenc.org. DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. 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