10A NCAC 09 .0803 · Violation

Name of Operation: Little Sprouts Academy: Louisburg Facility ID: 35000172 Consultant: RAMIE DOLL Operation Type: Center Case Number: Visit Date: 6/9/2026 Number Present: 27 Completed Date: 6/9/2026 Age: From 0 To 5 Total Minutes: 305 Time In: 09:10 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a first temporary time period visit. This program currently operates with a Temporary License issued May 1, 2026. The temporary license is valid through November 1, 2026. This facility is owned and operated by Little Sprouts Academy of Zebulon III, Inc. According to the NC Secretary of State, this corporation is current and active. Upon arrival, you were present with another staff member, who is working as an office staff member and is in charge when you are not present. You emailed me a completed staff and training worksheet. I reviewed a sampling of the children’s records and all current staff records. A total of seventy-seven children, ranging in ages from infancy to five (5) years of age, were present. Four (4) groups of children were observed today. No children were present in Room 5 today. Room 5 will be used beginning tomorrow, June 10, 2026, for school aged children. The children in various groups were observed interacting with assigned staff members, playing with toys made available, and playing outdoors within the assigned fenced play area. The infants were observed being fed, sleeping, and interacting with assigned staff members. No school aged children were observed today. All required posted items were available for review and were current. Continue conducting monthly fire drills and outdoor playground inspections at different times each month. Ensure to include the school aged children for fire drills, such as when they have early release from school or a teacher work day. The following violations were documented today: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The parent of one (1) infant did not complete permission forms to administer Vick's Baby Rub Ointment and Little Remedies Saline Spray and Drops. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Medical exams for two (2) staff were completed more than 12 months prior to their hire dates. A medical exam was completed August 30, 2024 for a staff member who was hired May 11, 2026. A medical exam was completed March 11, 2024 for a staff member who was hired May 26, 2026. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A TB screening form was completed March 11, 2024 for a staff member whose hire date was May 26, 2026. .0701(a) 1301 Center did not maintain a record of daily attendance. Attendance has not been documented since June 4, 2026 for the children enrolled in Room 1. Attendance has not been documented from June 2, 2026 through June 5, 2026 for the children enrolled in Room 2. GS 110-91(9) 1887 Each infant was not served only bottles labeled with their individual name. Three (3) bottles were not labeled with an infant's name nor date. .0902(d) The above violations must be corrected immediately. Email me verification of correction of the violations within the next two (2) weeks, on or before June 23, 2026, stating how the pending violations have been corrected. Contact me with any questions regarding how to submit a compliance letter. My mailing address is: PO Box 1397 Elm City, NC 27822 COMPLIANCE HISTORY: The compliance history for this facility will be reviewed after today’s visit. We reviewed that all facilities must maintain at least a 75% compliance history score over an eighteen-month time frame to be in good standing with DCDEE. If a facility’s compliance history falls below 75% over an eighteen-month time frame, some type of administrative action may be issued. The violations documented today will affect the facility’s compliance history score. Technical Assistance/Consultation/Reminders Specific to Today’s Visit: ITS-SIDS AND VISUAL SAFE SLEEP CHECKS: We reviewed that ITS-SIDS training is required to be completed within the first 2 months of hiring for a staff member, and within the first 3 months for an administrator. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. NUTRITION: Remind parents to label and date bottles and sippy cups. If a parent does not label and date the bottles, staff can label. Continue to remind parents to bring tops for their infant’s bottles. If a parent does not bring tops for bottles, you can cover the tops with foil, etc. STAFF RECORDS: -A medical exam and proof of a negative TB skin test or a TB screening form can be accepted if completed with the last 12 months of a person’s hire date. If either were completed more than 12 months after a person’s hire date, a new TB skin test or screening form and medical exam must be completed. -Continue keeping staff medical information in a notebook, separate from each staff file. ATTENDANCE SHEETS: Ensure staff document attendance as children arrive each day. Arrival and departure times were noted for each group of children in their assigned rooms. Staff should continue to use their attendance sheet and sign in/out sheets when going outdoors and during drills. MEDICATION: Remind parents to complete permission forms prior to leaving medication with staff or you. A parent left two medications today but did not complete the permission forms. You kept the medications to return to the parent when the child is picked up this afternoon. You can maintain permission forms separately from the medication such as in a notebook or in a zip lock back that is kept in the locked boxes. CPR AND FIRST AID TRAINING: Ensure staff complete approved CPR and First Aid training within the first 90 days of hire. You stated you use a trainer with American Red Cross with this facility and the other two (2) facilities you operate. Once the training is complete, ensure their cards are on file for verification. FIRE DRILLS AND OUTDOOR INSPECTIONS: Continue conducting fire drills are each month and when children are enrolled and present. When you conduct fire drills, conduct the drills at different times each month. Contact the fire alarm company to ask that the fire alarm system be put into “test” mode so the fire drill can be conducted. Once the drill is completed, call the fire alarm company to have the alarm taken out of “test” mode. Ensure outdoor inspections are completed using the inspection form that can be printed from the Provider Documents and Forms tab from DCDEE’s website. You can use a calendar or your phone to set reminders each month to complete both a fire drill and an outdoor inspection. You have been conducting monthly fire drills and outdoor playground inspections. HEALTH AND SAFETY TRAININGS: Health and Safety training topics must be completed within the first year and every five (5) years thereafter. The health and safety trainings are offered for free via DCDEE Moodle. Staff must use their individual NCID and password to log into Moodle. 1. Go to the DCDEE website: https://ncchildcare.ncdhhs.gov and click on Provider, Training and Professional Development, DCDEE Moodle. OR go directly to the Moodle site - https://www.dcdee.moodle.nc.gov 2. In the upper right corner click login and type in your individual NCID and password 3. Scroll down to the bottom of the page until you see a search bar 4. Type in ”2026 CCDF health and safety in child care” 5. The training module will come up, click “self-enroll.” 6. Eight different trainings will show that you can take 7. A 9th training has been added regarding medication. Go back to the search bar and type 2026 Part 1: Medications in child care to access. 8. Reminder: print your training certificate upon completion and record onto your ongoing training log Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. The “Recognizing and Responding to Child Abuse and Maltreatment” training must be completed within 90 days of hire and every five years. This training must be completed the first time via the Prevent Child Abuse NC website: www.preventchildabusenc.org. Documentation of training must be kept on file for review. Complete the health and safety training record as found on the DCDEE website. RATED LICENSE ASSESSMENT: We discussed and referenced the various Pathways related to the QRIS. We discussed formative assessments and curriculums today. We discussed continuous quality improvement plans, family and community engagement options, and other information related to QRIS. You can reference specific NC Child Care rules pertaining to QRIS in section .3200 of the NC Child Care rules. I will continue to work with you regarding QRIS. You will be transitioned from a temporary license to one of the pathways, if you choose to apply for a Rated License. You can also reference information and forms pertaining to QRIS from the “What’s New” tab and “QRIS Modernization” tab. Education Standards: WORKS is a self-service applicant portal that will be used by an individual applicant to register and maintain their workforce information to support education requirements. The WORKS portal is available online and requires the user to maintain an individual North Carolina Identity Management (NCID) username and password. Electronic official transcripts can be submitted to the Workforce Education Unit from a person’s college or university provided the school participates with the National Clearing House. If not, then official transcripts must be mailed to the Workforce Education Unit at DCDEE for evaluation. All staff education should be current before the fifth month (October 2026), of the temporary time period as a rated license will need to be processed before the end date of the temporary license. We reviewed any staff that are not listed and evaluated via WORKS to create a WORKS account and apply for the appropriate position before submitting an official transcript so that the Workforce Education Unit is aware of what needs to be evaluated for a person. We reviewed how to access DCEEE’s WORKS logon link today via DCDEE’s website. For more information about NCID and WORKS, visit the DCDEE website at www.ncchildcare.ncdhhs.gov to view more information under the DCDEE WORKS tab http://ncchildcare.ncdhhs.gov/general/mb_dcdeeworks.asp. You can also contact the Workforce Education Unit at 1-800-859-0829 for more information concerning WORKS. The total points for the Child Care Star Rated License will be determined around the 5th month (October) before the end of the temporary time period. To continue being eligible to receive subsidy via DSS, a facility must earn at least a Three-star license. We reviewed the importance of hiring staff that have already completed and earned the North Carolina Early Childhood Credential or the equivalent, or they have at least five (5) years of verifiable child care work experience. DCDEE’S WEBSITE: Continue reviewing the Division of Child Development and Early Education’s website for the most up to date information regarding child care requirements. DCDEE’s website is: https://ncchildcare.ncdhhs.gov/. You can access the most current NC Child Care rules, (July 1, 2025), resources, forms, sanitation rules, laws, etc. from DCDEE’s website. If you have questions, please contact me at: (252)373-3074 or ramie.doll@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller, with any questions at (252)373-9809 or via email at susan.fuller@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: Little Sprouts Academy: Louisburg Facility ID: 35000172 Consultant: RAMIE DOLL Operation Type: Center Case Number: Visit Date: 6/9/2026 Number Present: 27 Completed Date: 6/9/2026 Age: From 0 To 5 Total Minutes: 305 Time In: 09:10 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a first temporary time period visit. This program currently operates with a Temporary License issued May 1, 2026. The temporary license is valid through November 1, 2026. This facility is owned and operated by Little Sprouts Academy of Zebulon III, Inc. According to the NC Secretary of State, this corporation is current and active. Upon arrival, you were present with another staff member, who is working as an office staff member and is in charge when you are not present. You emailed me a completed staff and training worksheet. I reviewed a sampling of the children’s records and all current staff records. A total of seventy-seven children, ranging in ages from infancy to five (5) years of age, were present. Four (4) groups of children were observed today. No children were present in Room 5 today. Room 5 will be used beginning tomorrow, June 10, 2026, for school aged children. The children in various groups were observed interacting with assigned staff members, playing with toys made available, and playing outdoors within the assigned fenced play area. The infants were observed being fed, sleeping, and interacting with assigned staff members. No school aged children were observed today. All required posted items were available for review and were current. Continue conducting monthly fire drills and outdoor playground inspections at different times each month. Ensure to include the school aged children for fire drills, such as when they have early release from school or a teacher work day. The following violations were documented today: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The parent of one (1) infant did not complete permission forms to administer Vick's Baby Rub Ointment and Little Remedies Saline Spray and Drops. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Medical exams for two (2) staff were completed more than 12 months prior to their hire dates. A medical exam was completed August 30, 2024 for a staff member who was hired May 11, 2026. A medical exam was completed March 11, 2024 for a staff member who was hired May 26, 2026. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A TB screening form was completed March 11, 2024 for a staff member whose hire date was May 26, 2026. .0701(a) 1301 Center did not maintain a record of daily attendance. Attendance has not been documented since June 4, 2026 for the children enrolled in Room 1. Attendance has not been documented from June 2, 2026 through June 5, 2026 for the children enrolled in Room 2. GS 110-91(9) 1887 Each infant was not served only bottles labeled with their individual name. Three (3) bottles were not labeled with an infant's name nor date. .0902(d) The above violations must be corrected immediately. Email me verification of correction of the violations within the next two (2) weeks, on or before June 23, 2026, stating how the pending violations have been corrected. Contact me with any questions regarding how to submit a compliance letter. My mailing address is: PO Box 1397 Elm City, NC 27822 COMPLIANCE HISTORY: The compliance history for this facility will be reviewed after today’s visit. We reviewed that all facilities must maintain at least a 75% compliance history score over an eighteen-month time frame to be in good standing with DCDEE. If a facility’s compliance history falls below 75% over an eighteen-month time frame, some type of administrative action may be issued. The violations documented today will affect the facility’s compliance history score. Technical Assistance/Consultation/Reminders Specific to Today’s Visit: ITS-SIDS AND VISUAL SAFE SLEEP CHECKS: We reviewed that ITS-SIDS training is required to be completed within the first 2 months of hiring for a staff member, and within the first 3 months for an administrator. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. NUTRITION: Remind parents to label and date bottles and sippy cups. If a parent does not label and date the bottles, staff can label. Continue to remind parents to bring tops for their infant’s bottles. If a parent does not bring tops for bottles, you can cover the tops with foil, etc. STAFF RECORDS: -A medical exam and proof of a negative TB skin test or a TB screening form can be accepted if completed with the last 12 months of a person’s hire date. If either were completed more than 12 months after a person’s hire date, a new TB skin test or screening form and medical exam must be completed. -Continue keeping staff medical information in a notebook, separate from each staff file. ATTENDANCE SHEETS: Ensure staff document attendance as children arrive each day. Arrival and departure times were noted for each group of children in their assigned rooms. Staff should continue to use their attendance sheet and sign in/out sheets when going outdoors and during drills. MEDICATION: Remind parents to complete permission forms prior to leaving medication with staff or you. A parent left two medications today but did not complete the permission forms. You kept the medications to return to the parent when the child is picked up this afternoon. You can maintain permission forms separately from the medication such as in a notebook or in a zip lock back that is kept in the locked boxes. CPR AND FIRST AID TRAINING: Ensure staff complete approved CPR and First Aid training within the first 90 days of hire. You stated you use a trainer with American Red Cross with this facility and the other two (2) facilities you operate. Once the training is complete, ensure their cards are on file for verification. FIRE DRILLS AND OUTDOOR INSPECTIONS: Continue conducting fire drills are each month and when children are enrolled and present. When you conduct fire drills, conduct the drills at different times each month. Contact the fire alarm company to ask that the fire alarm system be put into “test” mode so the fire drill can be conducted. Once the drill is completed, call the fire alarm company to have the alarm taken out of “test” mode. Ensure outdoor inspections are completed using the inspection form that can be printed from the Provider Documents and Forms tab from DCDEE’s website. You can use a calendar or your phone to set reminders each month to complete both a fire drill and an outdoor inspection. You have been conducting monthly fire drills and outdoor playground inspections. HEALTH AND SAFETY TRAININGS: Health and Safety training topics must be completed within the first year and every five (5) years thereafter. The health and safety trainings are offered for free via DCDEE Moodle. Staff must use their individual NCID and password to log into Moodle. 1. Go to the DCDEE website: https://ncchildcare.ncdhhs.gov and click on Provider, Training and Professional Development, DCDEE Moodle. OR go directly to the Moodle site - https://www.dcdee.moodle.nc.gov 2. In the upper right corner click login and type in your individual NCID and password 3. Scroll down to the bottom of the page until you see a search bar 4. Type in ”2026 CCDF health and safety in child care” 5. The training module will come up, click “self-enroll.” 6. Eight different trainings will show that you can take 7. A 9th training has been added regarding medication. Go back to the search bar and type 2026 Part 1: Medications in child care to access. 8. Reminder: print your training certificate upon completion and record onto your ongoing training log Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. The “Recognizing and Responding to Child Abuse and Maltreatment” training must be completed within 90 days of hire and every five years. This training must be completed the first time via the Prevent Child Abuse NC website: www.preventchildabusenc.org. Documentation of training must be kept on file for review. Complete the health and safety training record as found on the DCDEE website. RATED LICENSE ASSESSMENT: We discussed and referenced the various Pathways related to the QRIS. We discussed formative assessments and curriculums today. We discussed continuous quality improvement plans, family and community engagement options, and other information related to QRIS. You can reference specific NC Child Care rules pertaining to QRIS in section .3200 of the NC Child Care rules. I will continue to work with you regarding QRIS. You will be transitioned from a temporary license to one of the pathways, if you choose to apply for a Rated License. You can also reference information and forms pertaining to QRIS from the “What’s New” tab and “QRIS Modernization” tab. Education Standards: WORKS is a self-service applicant portal that will be used by an individual applicant to register and maintain their workforce information to support education requirements. The WORKS portal is available online and requires the user to maintain an individual North Carolina Identity Management (NCID) username and password. Electronic official transcripts can be submitted to the Workforce Education Unit from a person’s college or university provided the school participates with the National Clearing House. If not, then official transcripts must be mailed to the Workforce Education Unit at DCDEE for evaluation. All staff education should be current before the fifth month (October 2026), of the temporary time period as a rated license will need to be processed before the end date of the temporary license. We reviewed any staff that are not listed and evaluated via WORKS to create a WORKS account and apply for the appropriate position before submitting an official transcript so that the Workforce Education Unit is aware of what needs to be evaluated for a person. We reviewed how to access DCEEE’s WORKS logon link today via DCDEE’s website. For more information about NCID and WORKS, visit the DCDEE website at www.ncchildcare.ncdhhs.gov to view more information under the DCDEE WORKS tab http://ncchildcare.ncdhhs.gov/general/mb_dcdeeworks.asp. You can also contact the Workforce Education Unit at 1-800-859-0829 for more information concerning WORKS. The total points for the Child Care Star Rated License will be determined around the 5th month (October) before the end of the temporary time period. To continue being eligible to receive subsidy via DSS, a facility must earn at least a Three-star license. We reviewed the importance of hiring staff that have already completed and earned the North Carolina Early Childhood Credential or the equivalent, or they have at least five (5) years of verifiable child care work experience. DCDEE’S WEBSITE: Continue reviewing the Division of Child Development and Early Education’s website for the most up to date information regarding child care requirements. DCDEE’s website is: https://ncchildcare.ncdhhs.gov/. You can access the most current NC Child Care rules, (July 1, 2025), resources, forms, sanitation rules, laws, etc. from DCDEE’s website. If you have questions, please contact me at: (252)373-3074 or ramie.doll@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller, with any questions at (252)373-9809 or via email at susan.fuller@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.