Nebo Crossing Junior Academy

NC GS 110-90 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 57 Completed Date: 5/27/2026 Age: From 0 To 5 Total Minutes: 254 Time In: 09:31 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Kylee Roland, Administrator. This program currently operates with a Notice of Compliance issued on January 12, 2022. The permit restrictions include 1st shift and children under 2 ½ in rooms with direct exits only. The last annual compliance visit was conducted on June 16, 2025. The most recent sanitation inspection for your facility was conducted on November 19, 2025. A superior sanitation classification was issued with nine demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on April 6, 20126 for daytime care only. The most recent monthly fire drill was conducted on May 8, 2026 at 9:45am. The most recent quarterly lockdown drill was conducted on March 12, 2026 at 10:00am. The most recent monthly playground inspection was completed on May 8, 2026. The center's compliance history was reviewed with the operator. The program’s compliance history was 85 percent as of May 26, 2026. The NC Secretary of State website was reviewed on May 26, 2026 and Nebo Crossing, Inc. was listed as current-active. The facilities contact information was reviewed and confirmed with you. You visited each indoor and outdoor space with me. A walk-through of the facility was completed today, 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 free play activities indoors, outdoor gross motor time, and handwashing routines. Infants were engaged in tummy time, diapering changing, and napping. The caregivers were interacting and meeting the developmental needs for each of the children. A checklist was used to note the requirements I monitored today. The analysis date for the most recent lead water test was October 30, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead-based paint testing. The following violations were observed: Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. In space #6, one staff member employed on 5/3/21, did not wash their hands after diapering two children one year of age. 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. In space #6, two children one year of age did not wash their hands after a diaper change. 15A NCAC 18A .2803(c)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, there was a spray bottle of Bodycology Winter Vanilla with multiple warnings in an unlocked drawer accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #5, there were multiple marker/pen lids, staples, and small toy parts small enough to be swallowed in a drawer accessible to children under three years of age. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #3, sleep checks dated 5/26/26 for a three month old child that enrolled on 5/18/26 did not have sleep positions verified for checks at 11:56am, 12:11pm, 12:26pm, and 12:41pm. .0606(g) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The verification on file for the most recent review of the EPR plan by the trained staff member was dated 1/14/25. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On outdoor space #3, the mulch around the anchored play structure measured 3 inches. .0605(k)(1-4) Comments: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 10, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Beth Archer, Child Care Consultant PO Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance was provided on the following: Child care center employees must wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center, (2) before and after handling or preparing food, (3) before bottle feeding a child, (4) before providing food service, (5) before handling clean utensils, (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge, (7) after diaper changing, (8) after handling soiled items that are not clean, (9) after being outdoors, (10) after handling animals or animal cages, and (11) after removing disposable gloves. Child care center employees must ensure that children wash their hands as follows: (1) upon arrival at the child care center, (2) after each diaper change or visit to the toilet, (3) before eating meals or snacks, (4) before and after water play, (5) after being outdoors, and (6) after handling animals or animal cages. I suggested you review handwashing requirements, as well as the handwashing poster with all staff members including substitute/float staff to ensure proper handwashing requirements are followed. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The violation was corrected during the visit by removing the hazardous product from space #6. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three (3) years of age. I suggested you remind staff members assigned to classrooms for children under three (3) years of age to do a daily check of the classroom space prior to children arriving to ensure that no choking hazards are accessible. The violation was corrected during the visit by removing the choking hazards from space #6. . Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log including the sleeping position of the child. I suggested you post the sleep logs near the crib where infants sleep. I also suggested you review the facility’s safe sleep policy with your infant teachers when they are assigned to the classroom for infants and at least annually thereafter, to ensure the policy is followed at all times. The staff member trained in Emergency Preparedness and Response must review and update the facility’s Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. I suggested you set a reminder in your calendar at least twice per year to review the Emergency Preparedness and Response Plan to ensure all of the information is up to date and publish the plan as verification of the date that the plan was reviewed. The violation was corrected during the visit when you reviewed and published the EPR plan in the EPR portal. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Based on the critical height of the stationary equipment on the playground, the mulch surfacing must be a depth of six (6) inches at all times. Add mulch now and as needed to ensure an appropriate depth. I suggested you check the depth of the mulch monthly, as required, during the playground inspection and note any deficiencies on the playground inspection form. I also suggested you rake and fluff the mulch regularly when needed to ensure a proper depth. Additionally, I suggested you use a six (6) inch or longer screwdriver as a measuring tool for mulch. Consultation: The ABCMS provider portal facility roster should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Beth Archer Child Care Consultant 828-748-7893 Beth.Archer@dhhs.nc.gov or my supervisor, Tammy McGalliard Tammy.McGalliard@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 2/4/2026 Number Present: 49 Completed Date: 2/4/2026 Age: From 0 To 5 Total Minutes: 210 Time In: 09:45 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit, including health and safety. The visit was conducted with you, Kylee Roland, Administrator. This program currently operates with a Notice of Compliance issued on January 12, 2022. The permit restrictions include 1st shift and children under 2 ½ in rooms with direct exits only. The last annual compliance visit was conducted June 16, 2025. The most recent sanitation inspection for your facility was conducted on November 19, 2025. A superior sanitation classification was issued with nine demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on July 7, 2025 for daytime care only. The most recent monthly fire drill was conducted on January 19, 2026. The most recent shelter-in-place drill was conducted on December 10, 2025. The most recent monthly playground inspection was completed on January 16, 2026. The center's compliance history was reviewed with the operator. The program’s compliance history was 80 percent as of February 3, 2026. The NC Secretary of State website was reviewed on February 3, 2026 and Nebo Crossing, Inc. was listed as current-active. The facilities contact information was reviewed and confirmed with you. You visited each indoor and outdoor space with me. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play activities indoors, group story time, and lunch. Infants were engaged in tummy time and free play activities in the floor. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. The analysis date for the most recent lead water test was October 30, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead-based paint testing. You provided me with applicable program and staff records for review. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, and Special Training. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #1, an authorization for Boudreaux's Butt Paste expired on 1/31/26. .0803(12) 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. Two volunteers who began volunteering 11/4/2025 two times per week did not have a TB test or screening on file for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two volunteers, who began volunteering 11/4/25, did not have an Emergency Information form on file for review. .0701(a) 1888 On or before the first day of work, the operator did not verify the age of the volunteer and/or substitute provider and/or documentation of date of birth was not maintained in the individual's personnel file. There was no verification of age on file for two volunteers who began volunteering on 11/4/2025. .0703(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 18, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Beth Archer, Child Care Consultant PO Box 64 Rutherfordton, NC 28139 Beth.Archer@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, should be discarded, I suggested you assign a staff member to each room to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. All staff, including the director and individuals who volunteer more than once per week must have the results indicating the individual is free of active tuberculosis on file on or before the first day of work. This must be obtained within the 12 months prior to the date of employment and must be on file on or before the employee’s/volunteer’s first day of work. I suggested that you have a pre-service orientation meeting with potential volunteers and discuss that the TB test/screening results will be need to submitted prior to being scheduled to volunteer. Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you create a new volunteer packet to ensure all required documentation is completed and on file prior to the volunteer's first day of volunteer service. I also suggested you create a schedule to update all volunteer Emergency Information forms at least once per year to ensure they are all updated at least annually. On or before the first day of work, the operator must verify the age of the volunteer and/or substitute provider and/or documentation of date of birth must be maintained in the individual's personnel file. We reviewed requirements related to volunteers. I suggested that you consider using the volunteer file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Consultation or other topics discussed today: Medications both prescription and over the counter may have authorization for up to six months. The medical action plan is required to be completely annual or whenever changes are made. We discussed that bathrooms should not be used to storage toys or extra classroom supplies. The ABCMS provider portal facility roster should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Beth Archer Child Care Consultant 828-748-7893 Beth.Archer@dhhs.nc.gov or my supervisor, Tammy McGalliard Tammy.McGalliard@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 6/16/2025 Number Present: 52 Completed Date: 6/16/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 10:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Kylee Webb, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Nebo Crossing, Inc. was current/active as of June 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective January 12, 2022. The permit restrictions include 1st shift and children under 2 ½ in rooms with direct exits only. The program’s compliance history was 85 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, 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 in compliance. Children and staff were participating in outdoor gross motor time, free play in activity centers, lunch, and nap. The last monthly fire drill was practiced on May 20, 2025. The last shelter-in-place drill was practiced on June 9, 2025. The last monthly playground inspection was completed on May 30, 2025. A sample of eight children’s records were reviewed. Two new staff files and three existing staff files were reviewed. The most recent sanitation inspection for your facility was conducted on May 8, 2025. A superior sanitation classification was issued with 6 demerits noted on the grade card. The most recent lead water test results were completed on October 30, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on April 4, 2024. Due to printer issues, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: 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 most recent fire inspection on file was completed 4/4/2024. 10A NCAC 09 .0304(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. In space #1, the menu posted was dated 6/9-6/13/2025. 10A NCAC 09 .0901(b) 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) In space #5, one feeding plan for a child fourteen months of age was not posted. 10A NCAC 09 .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, fourteen children did not wash their hands after outside play. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. In space #7, I observed the classroom for preschool age children to be too dark with the overhead light turned off. The classroom did not have windows to provide natural light and had only one small portable light that did not provide enough light to view the room. There was music playing the classroom that was too loud to be able to hear someone speaking. The room was too dark and music was too loud for staff to adequately observe and respond to the needs of the children in care. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, there was one aerosol can of Sprayway glass cleaner, and one bottle of Pinesol floor cleaner with double warnings in an unlocked cabinet. .2820(b) 847 Parent's medication authorization did not include required information. One child, one year of age, had an EPI pen that did not have a parent's authorization on file. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. During today's visit, there was no incident log available for review. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there were marker lids, small rubber bands, and staples in a drawer accessible to children under three years of age. In the hallway used by children in care, there was a cabinet with a broken lock that contained multiple art items that were small enough to be swallowed that were accessible to children under three years of age. .0604(q) 1314 Emergency information did not name childs health care professional. One child enrolled 11/12/24 did not have a parent's choice of health care professional listed on the application. .0802(c)(2) 1329 Application for enrollment did not include all required information. One child enrolled 11/18/24 and one child enrolled 11/12/24, did not have all required information on the application for enrollment including any health care needs or concerns, symptoms of and the type of response required for these healthcare needs or concerns and fears or behavior characteristics that the child has. .0801(a)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. There were five child care providers not listed on the facility's provider portal in ABCMS. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child, one year of age, had a medical action plan on file that was not signed by a parent or health care professional. .0801(b) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 30, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Menu: I reviewed requirements for posting the current menu for parents to view. We discussed having menus printed and placed in the classroom on Friday afternoons to ensure that the menu is available for review by the time of arrival on Monday of each week. Feeding Plan: For children under fifteen months of age, an individual written feeding plan must be posted. You stated that when a child ages up to the classroom for one year old children, you had been filing the feeding plan in the child's file. We discussed that the feeding plan will need to be posted in the child's classroom until the child reaches fifteen months of age. Hand Washing: Children must wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. In space #1, the children were observed returning from outdoor play without hand washing. Consider reviewing hand washing protocols in an upcoming staff meeting to ensure staff understanding of the requirements. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. We reviewed how to look for multiple warnings on cleaning products. Staff should check for proper storage of all hazardous products before children arrive daily. Medication Authorization: 10A NCAC 09.803(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. You report that the facility recently received an EPI pen for a child with allergies and you were unsure of what paperwork was needed. We reviewed the requirements regarding medication permission and discussed that parental permission must be obtained to administer all medications. A sample of a medication administration form can be found on the DCDEE website under provider documents/forms. Medical Action Plan: A medical action plan must be completed by the child's parent or health care professional for children with allergies or other chronic health conditions. We discussed that the medical action plan on file for a one year child with allergies did not have a signature of a parent or healthcare professional. You stated a plan to meet with the parent to review the medical action plan and obtain needed signatures. Choking Hazards: Small toy parts and other choking hazards must be inaccessible to children under three years of age. You reported that you have placed a request with church maintenance to repair the locks on the space #2 drawer and on the cabinet in the hallway. All potential choking hazards should be moved from the broken drawer and cabinet until the repairs are completed. Safe Environment: I discussed with you and your staff that when the overhead light is turned off, the room is too dark to adequately observe and respond to the needs of the children. I suggested to you and your staff that if the overhead light is turned off, sufficient supplemental lighting is needed to maintain a safe and healthy environment. You must be able to see all areas of the classroom fully. If music is used during naptime, the volume should be quiet and soothing to children. The volume should not present a barrier to hearing a child speak or voice their needs. During the visit, the volume of the music was lower and you brought a lamp into the classroom to provide additional lighting. Incident Log: We reviewed requirements for incident logs. I reminded you that all incidents are to be recorded on the log and that the incident log form can be found on the DCDEE website under provider documents and forms. You stated that you will begin tracking all incidents on the log form beginning today. Child Application: All children’s applications must include any fears or behavior characteristics for the child. We discussed that the child’s application should be fully complete without any information left blank. If any information is not applicable, mark n/a to verify that the requirement has been addressed with the parent. Choice of Healthcare Professional: The parental choice of healthcare professional must be recorded on the child’s application. We discussed the need to review the application with the parent at the time of enrollment to ensure that all needed information is obtained. Fire Inspection: Each operator must schedule and obtain a fire inspection within twelve months of the center's previous fire inspection. Call the local fire inspector and arrange for a fire inspection within the next two weeks. Submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. We discussed scheduling the fire inspection at least one month in advance to ensure compliance with the requirement. Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS to satisfy this requirement. The ABCMS provider portal was reviewed and five current employees need to be added to the portal. You stated that you have been working on this requirement and had not yet completed the task. A completed roster must be in the provider portal within two weeks. Consultation: We discussed the following during the visit: -Consider repositioning outdoor portable play equipment to allow for appropriate spacing for safe play. -Rake and fluff mulch on a regular basis to ensure surfacing requirements are maintained. -Sample forms/documents can be found on the DCDEE website under the provider tab. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 6/16/2025 Number Present: 52 Completed Date: 6/16/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 10:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Kylee Webb, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Nebo Crossing, Inc. was current/active as of June 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective January 12, 2022. The permit restrictions include 1st shift and children under 2 ½ in rooms with direct exits only. The program’s compliance history was 85 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, 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 in compliance. Children and staff were participating in outdoor gross motor time, free play in activity centers, lunch, and nap. The last monthly fire drill was practiced on May 20, 2025. The last shelter-in-place drill was practiced on June 9, 2025. The last monthly playground inspection was completed on May 30, 2025. A sample of eight children’s records were reviewed. Two new staff files and three existing staff files were reviewed. The most recent sanitation inspection for your facility was conducted on May 8, 2025. A superior sanitation classification was issued with 6 demerits noted on the grade card. The most recent lead water test results were completed on October 30, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on April 4, 2024. Due to printer issues, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: 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 most recent fire inspection on file was completed 4/4/2024. 10A NCAC 09 .0304(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. In space #1, the menu posted was dated 6/9-6/13/2025. 10A NCAC 09 .0901(b) 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) In space #5, one feeding plan for a child fourteen months of age was not posted. 10A NCAC 09 .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, fourteen children did not wash their hands after outside play. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. In space #7, I observed the classroom for preschool age children to be too dark with the overhead light turned off. The classroom did not have windows to provide natural light and had only one small portable light that did not provide enough light to view the room. There was music playing the classroom that was too loud to be able to hear someone speaking. The room was too dark and music was too loud for staff to adequately observe and respond to the needs of the children in care. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, there was one aerosol can of Sprayway glass cleaner, and one bottle of Pinesol floor cleaner with double warnings in an unlocked cabinet. .2820(b) 847 Parent's medication authorization did not include required information. One child, one year of age, had an EPI pen that did not have a parent's authorization on file. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. During today's visit, there was no incident log available for review. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there were marker lids, small rubber bands, and staples in a drawer accessible to children under three years of age. In the hallway used by children in care, there was a cabinet with a broken lock that contained multiple art items that were small enough to be swallowed that were accessible to children under three years of age. .0604(q) 1314 Emergency information did not name childs health care professional. One child enrolled 11/12/24 did not have a parent's choice of health care professional listed on the application. .0802(c)(2) 1329 Application for enrollment did not include all required information. One child enrolled 11/18/24 and one child enrolled 11/12/24, did not have all required information on the application for enrollment including any health care needs or concerns, symptoms of and the type of response required for these healthcare needs or concerns and fears or behavior characteristics that the child has. .0801(a)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. There were five child care providers not listed on the facility's provider portal in ABCMS. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child, one year of age, had a medical action plan on file that was not signed by a parent or health care professional. .0801(b) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 30, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Menu: I reviewed requirements for posting the current menu for parents to view. We discussed having menus printed and placed in the classroom on Friday afternoons to ensure that the menu is available for review by the time of arrival on Monday of each week. Feeding Plan: For children under fifteen months of age, an individual written feeding plan must be posted. You stated that when a child ages up to the classroom for one year old children, you had been filing the feeding plan in the child's file. We discussed that the feeding plan will need to be posted in the child's classroom until the child reaches fifteen months of age. Hand Washing: Children must wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. In space #1, the children were observed returning from outdoor play without hand washing. Consider reviewing hand washing protocols in an upcoming staff meeting to ensure staff understanding of the requirements. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. We reviewed how to look for multiple warnings on cleaning products. Staff should check for proper storage of all hazardous products before children arrive daily. Medication Authorization: 10A NCAC 09.803(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. You report that the facility recently received an EPI pen for a child with allergies and you were unsure of what paperwork was needed. We reviewed the requirements regarding medication permission and discussed that parental permission must be obtained to administer all medications. A sample of a medication administration form can be found on the DCDEE website under provider documents/forms. Medical Action Plan: A medical action plan must be completed by the child's parent or health care professional for children with allergies or other chronic health conditions. We discussed that the medical action plan on file for a one year child with allergies did not have a signature of a parent or healthcare professional. You stated a plan to meet with the parent to review the medical action plan and obtain needed signatures. Choking Hazards: Small toy parts and other choking hazards must be inaccessible to children under three years of age. You reported that you have placed a request with church maintenance to repair the locks on the space #2 drawer and on the cabinet in the hallway. All potential choking hazards should be moved from the broken drawer and cabinet until the repairs are completed. Safe Environment: I discussed with you and your staff that when the overhead light is turned off, the room is too dark to adequately observe and respond to the needs of the children. I suggested to you and your staff that if the overhead light is turned off, sufficient supplemental lighting is needed to maintain a safe and healthy environment. You must be able to see all areas of the classroom fully. If music is used during naptime, the volume should be quiet and soothing to children. The volume should not present a barrier to hearing a child speak or voice their needs. During the visit, the volume of the music was lower and you brought a lamp into the classroom to provide additional lighting. Incident Log: We reviewed requirements for incident logs. I reminded you that all incidents are to be recorded on the log and that the incident log form can be found on the DCDEE website under provider documents and forms. You stated that you will begin tracking all incidents on the log form beginning today. Child Application: All children’s applications must include any fears or behavior characteristics for the child. We discussed that the child’s application should be fully complete without any information left blank. If any information is not applicable, mark n/a to verify that the requirement has been addressed with the parent. Choice of Healthcare Professional: The parental choice of healthcare professional must be recorded on the child’s application. We discussed the need to review the application with the parent at the time of enrollment to ensure that all needed information is obtained. Fire Inspection: Each operator must schedule and obtain a fire inspection within twelve months of the center's previous fire inspection. Call the local fire inspector and arrange for a fire inspection within the next two weeks. Submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. We discussed scheduling the fire inspection at least one month in advance to ensure compliance with the requirement. Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS to satisfy this requirement. The ABCMS provider portal was reviewed and five current employees need to be added to the portal. You stated that you have been working on this requirement and had not yet completed the task. A completed roster must be in the provider portal within two weeks. Consultation: We discussed the following during the visit: -Consider repositioning outdoor portable play equipment to allow for appropriate spacing for safe play. -Rake and fluff mulch on a regular basis to ensure surfacing requirements are maintained. -Sample forms/documents can be found on the DCDEE website under the provider tab. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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 .0304 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 6/16/2025 Number Present: 52 Completed Date: 6/16/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 10:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Kylee Webb, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Nebo Crossing, Inc. was current/active as of June 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective January 12, 2022. The permit restrictions include 1st shift and children under 2 ½ in rooms with direct exits only. The program’s compliance history was 85 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, 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 in compliance. Children and staff were participating in outdoor gross motor time, free play in activity centers, lunch, and nap. The last monthly fire drill was practiced on May 20, 2025. The last shelter-in-place drill was practiced on June 9, 2025. The last monthly playground inspection was completed on May 30, 2025. A sample of eight children’s records were reviewed. Two new staff files and three existing staff files were reviewed. The most recent sanitation inspection for your facility was conducted on May 8, 2025. A superior sanitation classification was issued with 6 demerits noted on the grade card. The most recent lead water test results were completed on October 30, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on April 4, 2024. Due to printer issues, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: 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 most recent fire inspection on file was completed 4/4/2024. 10A NCAC 09 .0304(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. In space #1, the menu posted was dated 6/9-6/13/2025. 10A NCAC 09 .0901(b) 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) In space #5, one feeding plan for a child fourteen months of age was not posted. 10A NCAC 09 .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, fourteen children did not wash their hands after outside play. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. In space #7, I observed the classroom for preschool age children to be too dark with the overhead light turned off. The classroom did not have windows to provide natural light and had only one small portable light that did not provide enough light to view the room. There was music playing the classroom that was too loud to be able to hear someone speaking. The room was too dark and music was too loud for staff to adequately observe and respond to the needs of the children in care. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, there was one aerosol can of Sprayway glass cleaner, and one bottle of Pinesol floor cleaner with double warnings in an unlocked cabinet. .2820(b) 847 Parent's medication authorization did not include required information. One child, one year of age, had an EPI pen that did not have a parent's authorization on file. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. During today's visit, there was no incident log available for review. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there were marker lids, small rubber bands, and staples in a drawer accessible to children under three years of age. In the hallway used by children in care, there was a cabinet with a broken lock that contained multiple art items that were small enough to be swallowed that were accessible to children under three years of age. .0604(q) 1314 Emergency information did not name childs health care professional. One child enrolled 11/12/24 did not have a parent's choice of health care professional listed on the application. .0802(c)(2) 1329 Application for enrollment did not include all required information. One child enrolled 11/18/24 and one child enrolled 11/12/24, did not have all required information on the application for enrollment including any health care needs or concerns, symptoms of and the type of response required for these healthcare needs or concerns and fears or behavior characteristics that the child has. .0801(a)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. There were five child care providers not listed on the facility's provider portal in ABCMS. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child, one year of age, had a medical action plan on file that was not signed by a parent or health care professional. .0801(b) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 30, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Menu: I reviewed requirements for posting the current menu for parents to view. We discussed having menus printed and placed in the classroom on Friday afternoons to ensure that the menu is available for review by the time of arrival on Monday of each week. Feeding Plan: For children under fifteen months of age, an individual written feeding plan must be posted. You stated that when a child ages up to the classroom for one year old children, you had been filing the feeding plan in the child's file. We discussed that the feeding plan will need to be posted in the child's classroom until the child reaches fifteen months of age. Hand Washing: Children must wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. In space #1, the children were observed returning from outdoor play without hand washing. Consider reviewing hand washing protocols in an upcoming staff meeting to ensure staff understanding of the requirements. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. We reviewed how to look for multiple warnings on cleaning products. Staff should check for proper storage of all hazardous products before children arrive daily. Medication Authorization: 10A NCAC 09.803(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. You report that the facility recently received an EPI pen for a child with allergies and you were unsure of what paperwork was needed. We reviewed the requirements regarding medication permission and discussed that parental permission must be obtained to administer all medications. A sample of a medication administration form can be found on the DCDEE website under provider documents/forms. Medical Action Plan: A medical action plan must be completed by the child's parent or health care professional for children with allergies or other chronic health conditions. We discussed that the medical action plan on file for a one year child with allergies did not have a signature of a parent or healthcare professional. You stated a plan to meet with the parent to review the medical action plan and obtain needed signatures. Choking Hazards: Small toy parts and other choking hazards must be inaccessible to children under three years of age. You reported that you have placed a request with church maintenance to repair the locks on the space #2 drawer and on the cabinet in the hallway. All potential choking hazards should be moved from the broken drawer and cabinet until the repairs are completed. Safe Environment: I discussed with you and your staff that when the overhead light is turned off, the room is too dark to adequately observe and respond to the needs of the children. I suggested to you and your staff that if the overhead light is turned off, sufficient supplemental lighting is needed to maintain a safe and healthy environment. You must be able to see all areas of the classroom fully. If music is used during naptime, the volume should be quiet and soothing to children. The volume should not present a barrier to hearing a child speak or voice their needs. During the visit, the volume of the music was lower and you brought a lamp into the classroom to provide additional lighting. Incident Log: We reviewed requirements for incident logs. I reminded you that all incidents are to be recorded on the log and that the incident log form can be found on the DCDEE website under provider documents and forms. You stated that you will begin tracking all incidents on the log form beginning today. Child Application: All children’s applications must include any fears or behavior characteristics for the child. We discussed that the child’s application should be fully complete without any information left blank. If any information is not applicable, mark n/a to verify that the requirement has been addressed with the parent. Choice of Healthcare Professional: The parental choice of healthcare professional must be recorded on the child’s application. We discussed the need to review the application with the parent at the time of enrollment to ensure that all needed information is obtained. Fire Inspection: Each operator must schedule and obtain a fire inspection within twelve months of the center's previous fire inspection. Call the local fire inspector and arrange for a fire inspection within the next two weeks. Submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. We discussed scheduling the fire inspection at least one month in advance to ensure compliance with the requirement. Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS to satisfy this requirement. The ABCMS provider portal was reviewed and five current employees need to be added to the portal. You stated that you have been working on this requirement and had not yet completed the task. A completed roster must be in the provider portal within two weeks. Consultation: We discussed the following during the visit: -Consider repositioning outdoor portable play equipment to allow for appropriate spacing for safe play. -Rake and fluff mulch on a regular basis to ensure surfacing requirements are maintained. -Sample forms/documents can be found on the DCDEE website under the provider tab. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 6/16/2025 Number Present: 52 Completed Date: 6/16/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 10:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Kylee Webb, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Nebo Crossing, Inc. was current/active as of June 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective January 12, 2022. The permit restrictions include 1st shift and children under 2 ½ in rooms with direct exits only. The program’s compliance history was 85 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, 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 in compliance. Children and staff were participating in outdoor gross motor time, free play in activity centers, lunch, and nap. The last monthly fire drill was practiced on May 20, 2025. The last shelter-in-place drill was practiced on June 9, 2025. The last monthly playground inspection was completed on May 30, 2025. A sample of eight children’s records were reviewed. Two new staff files and three existing staff files were reviewed. The most recent sanitation inspection for your facility was conducted on May 8, 2025. A superior sanitation classification was issued with 6 demerits noted on the grade card. The most recent lead water test results were completed on October 30, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on April 4, 2024. Due to printer issues, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: 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 most recent fire inspection on file was completed 4/4/2024. 10A NCAC 09 .0304(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. In space #1, the menu posted was dated 6/9-6/13/2025. 10A NCAC 09 .0901(b) 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) In space #5, one feeding plan for a child fourteen months of age was not posted. 10A NCAC 09 .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, fourteen children did not wash their hands after outside play. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. In space #7, I observed the classroom for preschool age children to be too dark with the overhead light turned off. The classroom did not have windows to provide natural light and had only one small portable light that did not provide enough light to view the room. There was music playing the classroom that was too loud to be able to hear someone speaking. The room was too dark and music was too loud for staff to adequately observe and respond to the needs of the children in care. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, there was one aerosol can of Sprayway glass cleaner, and one bottle of Pinesol floor cleaner with double warnings in an unlocked cabinet. .2820(b) 847 Parent's medication authorization did not include required information. One child, one year of age, had an EPI pen that did not have a parent's authorization on file. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. During today's visit, there was no incident log available for review. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there were marker lids, small rubber bands, and staples in a drawer accessible to children under three years of age. In the hallway used by children in care, there was a cabinet with a broken lock that contained multiple art items that were small enough to be swallowed that were accessible to children under three years of age. .0604(q) 1314 Emergency information did not name childs health care professional. One child enrolled 11/12/24 did not have a parent's choice of health care professional listed on the application. .0802(c)(2) 1329 Application for enrollment did not include all required information. One child enrolled 11/18/24 and one child enrolled 11/12/24, did not have all required information on the application for enrollment including any health care needs or concerns, symptoms of and the type of response required for these healthcare needs or concerns and fears or behavior characteristics that the child has. .0801(a)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. There were five child care providers not listed on the facility's provider portal in ABCMS. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child, one year of age, had a medical action plan on file that was not signed by a parent or health care professional. .0801(b) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 30, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Menu: I reviewed requirements for posting the current menu for parents to view. We discussed having menus printed and placed in the classroom on Friday afternoons to ensure that the menu is available for review by the time of arrival on Monday of each week. Feeding Plan: For children under fifteen months of age, an individual written feeding plan must be posted. You stated that when a child ages up to the classroom for one year old children, you had been filing the feeding plan in the child's file. We discussed that the feeding plan will need to be posted in the child's classroom until the child reaches fifteen months of age. Hand Washing: Children must wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. In space #1, the children were observed returning from outdoor play without hand washing. Consider reviewing hand washing protocols in an upcoming staff meeting to ensure staff understanding of the requirements. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. We reviewed how to look for multiple warnings on cleaning products. Staff should check for proper storage of all hazardous products before children arrive daily. Medication Authorization: 10A NCAC 09.803(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. You report that the facility recently received an EPI pen for a child with allergies and you were unsure of what paperwork was needed. We reviewed the requirements regarding medication permission and discussed that parental permission must be obtained to administer all medications. A sample of a medication administration form can be found on the DCDEE website under provider documents/forms. Medical Action Plan: A medical action plan must be completed by the child's parent or health care professional for children with allergies or other chronic health conditions. We discussed that the medical action plan on file for a one year child with allergies did not have a signature of a parent or healthcare professional. You stated a plan to meet with the parent to review the medical action plan and obtain needed signatures. Choking Hazards: Small toy parts and other choking hazards must be inaccessible to children under three years of age. You reported that you have placed a request with church maintenance to repair the locks on the space #2 drawer and on the cabinet in the hallway. All potential choking hazards should be moved from the broken drawer and cabinet until the repairs are completed. Safe Environment: I discussed with you and your staff that when the overhead light is turned off, the room is too dark to adequately observe and respond to the needs of the children. I suggested to you and your staff that if the overhead light is turned off, sufficient supplemental lighting is needed to maintain a safe and healthy environment. You must be able to see all areas of the classroom fully. If music is used during naptime, the volume should be quiet and soothing to children. The volume should not present a barrier to hearing a child speak or voice their needs. During the visit, the volume of the music was lower and you brought a lamp into the classroom to provide additional lighting. Incident Log: We reviewed requirements for incident logs. I reminded you that all incidents are to be recorded on the log and that the incident log form can be found on the DCDEE website under provider documents and forms. You stated that you will begin tracking all incidents on the log form beginning today. Child Application: All children’s applications must include any fears or behavior characteristics for the child. We discussed that the child’s application should be fully complete without any information left blank. If any information is not applicable, mark n/a to verify that the requirement has been addressed with the parent. Choice of Healthcare Professional: The parental choice of healthcare professional must be recorded on the child’s application. We discussed the need to review the application with the parent at the time of enrollment to ensure that all needed information is obtained. Fire Inspection: Each operator must schedule and obtain a fire inspection within twelve months of the center's previous fire inspection. Call the local fire inspector and arrange for a fire inspection within the next two weeks. Submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. We discussed scheduling the fire inspection at least one month in advance to ensure compliance with the requirement. Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS to satisfy this requirement. The ABCMS provider portal was reviewed and five current employees need to be added to the portal. You stated that you have been working on this requirement and had not yet completed the task. A completed roster must be in the provider portal within two weeks. Consultation: We discussed the following during the visit: -Consider repositioning outdoor portable play equipment to allow for appropriate spacing for safe play. -Rake and fluff mulch on a regular basis to ensure surfacing requirements are maintained. -Sample forms/documents can be found on the DCDEE website under the provider tab. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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 .0901 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 6/16/2025 Number Present: 52 Completed Date: 6/16/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 10:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Kylee Webb, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Nebo Crossing, Inc. was current/active as of June 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective January 12, 2022. The permit restrictions include 1st shift and children under 2 ½ in rooms with direct exits only. The program’s compliance history was 85 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, 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 in compliance. Children and staff were participating in outdoor gross motor time, free play in activity centers, lunch, and nap. The last monthly fire drill was practiced on May 20, 2025. The last shelter-in-place drill was practiced on June 9, 2025. The last monthly playground inspection was completed on May 30, 2025. A sample of eight children’s records were reviewed. Two new staff files and three existing staff files were reviewed. The most recent sanitation inspection for your facility was conducted on May 8, 2025. A superior sanitation classification was issued with 6 demerits noted on the grade card. The most recent lead water test results were completed on October 30, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on April 4, 2024. Due to printer issues, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: 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 most recent fire inspection on file was completed 4/4/2024. 10A NCAC 09 .0304(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. In space #1, the menu posted was dated 6/9-6/13/2025. 10A NCAC 09 .0901(b) 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) In space #5, one feeding plan for a child fourteen months of age was not posted. 10A NCAC 09 .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, fourteen children did not wash their hands after outside play. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. In space #7, I observed the classroom for preschool age children to be too dark with the overhead light turned off. The classroom did not have windows to provide natural light and had only one small portable light that did not provide enough light to view the room. There was music playing the classroom that was too loud to be able to hear someone speaking. The room was too dark and music was too loud for staff to adequately observe and respond to the needs of the children in care. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, there was one aerosol can of Sprayway glass cleaner, and one bottle of Pinesol floor cleaner with double warnings in an unlocked cabinet. .2820(b) 847 Parent's medication authorization did not include required information. One child, one year of age, had an EPI pen that did not have a parent's authorization on file. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. During today's visit, there was no incident log available for review. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there were marker lids, small rubber bands, and staples in a drawer accessible to children under three years of age. In the hallway used by children in care, there was a cabinet with a broken lock that contained multiple art items that were small enough to be swallowed that were accessible to children under three years of age. .0604(q) 1314 Emergency information did not name childs health care professional. One child enrolled 11/12/24 did not have a parent's choice of health care professional listed on the application. .0802(c)(2) 1329 Application for enrollment did not include all required information. One child enrolled 11/18/24 and one child enrolled 11/12/24, did not have all required information on the application for enrollment including any health care needs or concerns, symptoms of and the type of response required for these healthcare needs or concerns and fears or behavior characteristics that the child has. .0801(a)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. There were five child care providers not listed on the facility's provider portal in ABCMS. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child, one year of age, had a medical action plan on file that was not signed by a parent or health care professional. .0801(b) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 30, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Menu: I reviewed requirements for posting the current menu for parents to view. We discussed having menus printed and placed in the classroom on Friday afternoons to ensure that the menu is available for review by the time of arrival on Monday of each week. Feeding Plan: For children under fifteen months of age, an individual written feeding plan must be posted. You stated that when a child ages up to the classroom for one year old children, you had been filing the feeding plan in the child's file. We discussed that the feeding plan will need to be posted in the child's classroom until the child reaches fifteen months of age. Hand Washing: Children must wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. In space #1, the children were observed returning from outdoor play without hand washing. Consider reviewing hand washing protocols in an upcoming staff meeting to ensure staff understanding of the requirements. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. We reviewed how to look for multiple warnings on cleaning products. Staff should check for proper storage of all hazardous products before children arrive daily. Medication Authorization: 10A NCAC 09.803(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. You report that the facility recently received an EPI pen for a child with allergies and you were unsure of what paperwork was needed. We reviewed the requirements regarding medication permission and discussed that parental permission must be obtained to administer all medications. A sample of a medication administration form can be found on the DCDEE website under provider documents/forms. Medical Action Plan: A medical action plan must be completed by the child's parent or health care professional for children with allergies or other chronic health conditions. We discussed that the medical action plan on file for a one year child with allergies did not have a signature of a parent or healthcare professional. You stated a plan to meet with the parent to review the medical action plan and obtain needed signatures. Choking Hazards: Small toy parts and other choking hazards must be inaccessible to children under three years of age. You reported that you have placed a request with church maintenance to repair the locks on the space #2 drawer and on the cabinet in the hallway. All potential choking hazards should be moved from the broken drawer and cabinet until the repairs are completed. Safe Environment: I discussed with you and your staff that when the overhead light is turned off, the room is too dark to adequately observe and respond to the needs of the children. I suggested to you and your staff that if the overhead light is turned off, sufficient supplemental lighting is needed to maintain a safe and healthy environment. You must be able to see all areas of the classroom fully. If music is used during naptime, the volume should be quiet and soothing to children. The volume should not present a barrier to hearing a child speak or voice their needs. During the visit, the volume of the music was lower and you brought a lamp into the classroom to provide additional lighting. Incident Log: We reviewed requirements for incident logs. I reminded you that all incidents are to be recorded on the log and that the incident log form can be found on the DCDEE website under provider documents and forms. You stated that you will begin tracking all incidents on the log form beginning today. Child Application: All children’s applications must include any fears or behavior characteristics for the child. We discussed that the child’s application should be fully complete without any information left blank. If any information is not applicable, mark n/a to verify that the requirement has been addressed with the parent. Choice of Healthcare Professional: The parental choice of healthcare professional must be recorded on the child’s application. We discussed the need to review the application with the parent at the time of enrollment to ensure that all needed information is obtained. Fire Inspection: Each operator must schedule and obtain a fire inspection within twelve months of the center's previous fire inspection. Call the local fire inspector and arrange for a fire inspection within the next two weeks. Submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. We discussed scheduling the fire inspection at least one month in advance to ensure compliance with the requirement. Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS to satisfy this requirement. The ABCMS provider portal was reviewed and five current employees need to be added to the portal. You stated that you have been working on this requirement and had not yet completed the task. A completed roster must be in the provider portal within two weeks. Consultation: We discussed the following during the visit: -Consider repositioning outdoor portable play equipment to allow for appropriate spacing for safe play. -Rake and fluff mulch on a regular basis to ensure surfacing requirements are maintained. -Sample forms/documents can be found on the DCDEE website under the provider tab. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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 09.803 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 6/16/2025 Number Present: 52 Completed Date: 6/16/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 10:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Kylee Webb, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Nebo Crossing, Inc. was current/active as of June 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective January 12, 2022. The permit restrictions include 1st shift and children under 2 ½ in rooms with direct exits only. The program’s compliance history was 85 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, 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 in compliance. Children and staff were participating in outdoor gross motor time, free play in activity centers, lunch, and nap. The last monthly fire drill was practiced on May 20, 2025. The last shelter-in-place drill was practiced on June 9, 2025. The last monthly playground inspection was completed on May 30, 2025. A sample of eight children’s records were reviewed. Two new staff files and three existing staff files were reviewed. The most recent sanitation inspection for your facility was conducted on May 8, 2025. A superior sanitation classification was issued with 6 demerits noted on the grade card. The most recent lead water test results were completed on October 30, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on April 4, 2024. Due to printer issues, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: 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 most recent fire inspection on file was completed 4/4/2024. 10A NCAC 09 .0304(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. In space #1, the menu posted was dated 6/9-6/13/2025. 10A NCAC 09 .0901(b) 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) In space #5, one feeding plan for a child fourteen months of age was not posted. 10A NCAC 09 .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, fourteen children did not wash their hands after outside play. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. In space #7, I observed the classroom for preschool age children to be too dark with the overhead light turned off. The classroom did not have windows to provide natural light and had only one small portable light that did not provide enough light to view the room. There was music playing the classroom that was too loud to be able to hear someone speaking. The room was too dark and music was too loud for staff to adequately observe and respond to the needs of the children in care. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, there was one aerosol can of Sprayway glass cleaner, and one bottle of Pinesol floor cleaner with double warnings in an unlocked cabinet. .2820(b) 847 Parent's medication authorization did not include required information. One child, one year of age, had an EPI pen that did not have a parent's authorization on file. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. During today's visit, there was no incident log available for review. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there were marker lids, small rubber bands, and staples in a drawer accessible to children under three years of age. In the hallway used by children in care, there was a cabinet with a broken lock that contained multiple art items that were small enough to be swallowed that were accessible to children under three years of age. .0604(q) 1314 Emergency information did not name childs health care professional. One child enrolled 11/12/24 did not have a parent's choice of health care professional listed on the application. .0802(c)(2) 1329 Application for enrollment did not include all required information. One child enrolled 11/18/24 and one child enrolled 11/12/24, did not have all required information on the application for enrollment including any health care needs or concerns, symptoms of and the type of response required for these healthcare needs or concerns and fears or behavior characteristics that the child has. .0801(a)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. There were five child care providers not listed on the facility's provider portal in ABCMS. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child, one year of age, had a medical action plan on file that was not signed by a parent or health care professional. .0801(b) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 30, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Menu: I reviewed requirements for posting the current menu for parents to view. We discussed having menus printed and placed in the classroom on Friday afternoons to ensure that the menu is available for review by the time of arrival on Monday of each week. Feeding Plan: For children under fifteen months of age, an individual written feeding plan must be posted. You stated that when a child ages up to the classroom for one year old children, you had been filing the feeding plan in the child's file. We discussed that the feeding plan will need to be posted in the child's classroom until the child reaches fifteen months of age. Hand Washing: Children must wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. In space #1, the children were observed returning from outdoor play without hand washing. Consider reviewing hand washing protocols in an upcoming staff meeting to ensure staff understanding of the requirements. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. We reviewed how to look for multiple warnings on cleaning products. Staff should check for proper storage of all hazardous products before children arrive daily. Medication Authorization: 10A NCAC 09.803(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. You report that the facility recently received an EPI pen for a child with allergies and you were unsure of what paperwork was needed. We reviewed the requirements regarding medication permission and discussed that parental permission must be obtained to administer all medications. A sample of a medication administration form can be found on the DCDEE website under provider documents/forms. Medical Action Plan: A medical action plan must be completed by the child's parent or health care professional for children with allergies or other chronic health conditions. We discussed that the medical action plan on file for a one year child with allergies did not have a signature of a parent or healthcare professional. You stated a plan to meet with the parent to review the medical action plan and obtain needed signatures. Choking Hazards: Small toy parts and other choking hazards must be inaccessible to children under three years of age. You reported that you have placed a request with church maintenance to repair the locks on the space #2 drawer and on the cabinet in the hallway. All potential choking hazards should be moved from the broken drawer and cabinet until the repairs are completed. Safe Environment: I discussed with you and your staff that when the overhead light is turned off, the room is too dark to adequately observe and respond to the needs of the children. I suggested to you and your staff that if the overhead light is turned off, sufficient supplemental lighting is needed to maintain a safe and healthy environment. You must be able to see all areas of the classroom fully. If music is used during naptime, the volume should be quiet and soothing to children. The volume should not present a barrier to hearing a child speak or voice their needs. During the visit, the volume of the music was lower and you brought a lamp into the classroom to provide additional lighting. Incident Log: We reviewed requirements for incident logs. I reminded you that all incidents are to be recorded on the log and that the incident log form can be found on the DCDEE website under provider documents and forms. You stated that you will begin tracking all incidents on the log form beginning today. Child Application: All children’s applications must include any fears or behavior characteristics for the child. We discussed that the child’s application should be fully complete without any information left blank. If any information is not applicable, mark n/a to verify that the requirement has been addressed with the parent. Choice of Healthcare Professional: The parental choice of healthcare professional must be recorded on the child’s application. We discussed the need to review the application with the parent at the time of enrollment to ensure that all needed information is obtained. Fire Inspection: Each operator must schedule and obtain a fire inspection within twelve months of the center's previous fire inspection. Call the local fire inspector and arrange for a fire inspection within the next two weeks. Submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. We discussed scheduling the fire inspection at least one month in advance to ensure compliance with the requirement. Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS to satisfy this requirement. The ABCMS provider portal was reviewed and five current employees need to be added to the portal. You stated that you have been working on this requirement and had not yet completed the task. A completed roster must be in the provider portal within two weeks. Consultation: We discussed the following during the visit: -Consider repositioning outdoor portable play equipment to allow for appropriate spacing for safe play. -Rake and fluff mulch on a regular basis to ensure surfacing requirements are maintained. -Sample forms/documents can be found on the DCDEE website under the provider tab. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 6/16/2025 Number Present: 52 Completed Date: 6/16/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 10:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Kylee Webb, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Nebo Crossing, Inc. was current/active as of June 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective January 12, 2022. The permit restrictions include 1st shift and children under 2 ½ in rooms with direct exits only. The program’s compliance history was 85 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, 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 in compliance. Children and staff were participating in outdoor gross motor time, free play in activity centers, lunch, and nap. The last monthly fire drill was practiced on May 20, 2025. The last shelter-in-place drill was practiced on June 9, 2025. The last monthly playground inspection was completed on May 30, 2025. A sample of eight children’s records were reviewed. Two new staff files and three existing staff files were reviewed. The most recent sanitation inspection for your facility was conducted on May 8, 2025. A superior sanitation classification was issued with 6 demerits noted on the grade card. The most recent lead water test results were completed on October 30, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on April 4, 2024. Due to printer issues, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: 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 most recent fire inspection on file was completed 4/4/2024. 10A NCAC 09 .0304(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. In space #1, the menu posted was dated 6/9-6/13/2025. 10A NCAC 09 .0901(b) 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) In space #5, one feeding plan for a child fourteen months of age was not posted. 10A NCAC 09 .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, fourteen children did not wash their hands after outside play. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. In space #7, I observed the classroom for preschool age children to be too dark with the overhead light turned off. The classroom did not have windows to provide natural light and had only one small portable light that did not provide enough light to view the room. There was music playing the classroom that was too loud to be able to hear someone speaking. The room was too dark and music was too loud for staff to adequately observe and respond to the needs of the children in care. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, there was one aerosol can of Sprayway glass cleaner, and one bottle of Pinesol floor cleaner with double warnings in an unlocked cabinet. .2820(b) 847 Parent's medication authorization did not include required information. One child, one year of age, had an EPI pen that did not have a parent's authorization on file. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. During today's visit, there was no incident log available for review. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there were marker lids, small rubber bands, and staples in a drawer accessible to children under three years of age. In the hallway used by children in care, there was a cabinet with a broken lock that contained multiple art items that were small enough to be swallowed that were accessible to children under three years of age. .0604(q) 1314 Emergency information did not name childs health care professional. One child enrolled 11/12/24 did not have a parent's choice of health care professional listed on the application. .0802(c)(2) 1329 Application for enrollment did not include all required information. One child enrolled 11/18/24 and one child enrolled 11/12/24, did not have all required information on the application for enrollment including any health care needs or concerns, symptoms of and the type of response required for these healthcare needs or concerns and fears or behavior characteristics that the child has. .0801(a)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. There were five child care providers not listed on the facility's provider portal in ABCMS. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child, one year of age, had a medical action plan on file that was not signed by a parent or health care professional. .0801(b) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 30, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Menu: I reviewed requirements for posting the current menu for parents to view. We discussed having menus printed and placed in the classroom on Friday afternoons to ensure that the menu is available for review by the time of arrival on Monday of each week. Feeding Plan: For children under fifteen months of age, an individual written feeding plan must be posted. You stated that when a child ages up to the classroom for one year old children, you had been filing the feeding plan in the child's file. We discussed that the feeding plan will need to be posted in the child's classroom until the child reaches fifteen months of age. Hand Washing: Children must wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. In space #1, the children were observed returning from outdoor play without hand washing. Consider reviewing hand washing protocols in an upcoming staff meeting to ensure staff understanding of the requirements. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. We reviewed how to look for multiple warnings on cleaning products. Staff should check for proper storage of all hazardous products before children arrive daily. Medication Authorization: 10A NCAC 09.803(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. You report that the facility recently received an EPI pen for a child with allergies and you were unsure of what paperwork was needed. We reviewed the requirements regarding medication permission and discussed that parental permission must be obtained to administer all medications. A sample of a medication administration form can be found on the DCDEE website under provider documents/forms. Medical Action Plan: A medical action plan must be completed by the child's parent or health care professional for children with allergies or other chronic health conditions. We discussed that the medical action plan on file for a one year child with allergies did not have a signature of a parent or healthcare professional. You stated a plan to meet with the parent to review the medical action plan and obtain needed signatures. Choking Hazards: Small toy parts and other choking hazards must be inaccessible to children under three years of age. You reported that you have placed a request with church maintenance to repair the locks on the space #2 drawer and on the cabinet in the hallway. All potential choking hazards should be moved from the broken drawer and cabinet until the repairs are completed. Safe Environment: I discussed with you and your staff that when the overhead light is turned off, the room is too dark to adequately observe and respond to the needs of the children. I suggested to you and your staff that if the overhead light is turned off, sufficient supplemental lighting is needed to maintain a safe and healthy environment. You must be able to see all areas of the classroom fully. If music is used during naptime, the volume should be quiet and soothing to children. The volume should not present a barrier to hearing a child speak or voice their needs. During the visit, the volume of the music was lower and you brought a lamp into the classroom to provide additional lighting. Incident Log: We reviewed requirements for incident logs. I reminded you that all incidents are to be recorded on the log and that the incident log form can be found on the DCDEE website under provider documents and forms. You stated that you will begin tracking all incidents on the log form beginning today. Child Application: All children’s applications must include any fears or behavior characteristics for the child. We discussed that the child’s application should be fully complete without any information left blank. If any information is not applicable, mark n/a to verify that the requirement has been addressed with the parent. Choice of Healthcare Professional: The parental choice of healthcare professional must be recorded on the child’s application. We discussed the need to review the application with the parent at the time of enrollment to ensure that all needed information is obtained. Fire Inspection: Each operator must schedule and obtain a fire inspection within twelve months of the center's previous fire inspection. Call the local fire inspector and arrange for a fire inspection within the next two weeks. Submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. We discussed scheduling the fire inspection at least one month in advance to ensure compliance with the requirement. Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS to satisfy this requirement. The ABCMS provider portal was reviewed and five current employees need to be added to the portal. You stated that you have been working on this requirement and had not yet completed the task. A completed roster must be in the provider portal within two weeks. Consultation: We discussed the following during the visit: -Consider repositioning outdoor portable play equipment to allow for appropriate spacing for safe play. -Rake and fluff mulch on a regular basis to ensure surfacing requirements are maintained. -Sample forms/documents can be found on the DCDEE website under the provider tab. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 6/16/2025 Number Present: 52 Completed Date: 6/16/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 10:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Kylee Webb, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Nebo Crossing, Inc. was current/active as of June 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective January 12, 2022. The permit restrictions include 1st shift and children under 2 ½ in rooms with direct exits only. The program’s compliance history was 85 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, 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 in compliance. Children and staff were participating in outdoor gross motor time, free play in activity centers, lunch, and nap. The last monthly fire drill was practiced on May 20, 2025. The last shelter-in-place drill was practiced on June 9, 2025. The last monthly playground inspection was completed on May 30, 2025. A sample of eight children’s records were reviewed. Two new staff files and three existing staff files were reviewed. The most recent sanitation inspection for your facility was conducted on May 8, 2025. A superior sanitation classification was issued with 6 demerits noted on the grade card. The most recent lead water test results were completed on October 30, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on April 4, 2024. Due to printer issues, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: 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 most recent fire inspection on file was completed 4/4/2024. 10A NCAC 09 .0304(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. In space #1, the menu posted was dated 6/9-6/13/2025. 10A NCAC 09 .0901(b) 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) In space #5, one feeding plan for a child fourteen months of age was not posted. 10A NCAC 09 .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, fourteen children did not wash their hands after outside play. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. In space #7, I observed the classroom for preschool age children to be too dark with the overhead light turned off. The classroom did not have windows to provide natural light and had only one small portable light that did not provide enough light to view the room. There was music playing the classroom that was too loud to be able to hear someone speaking. The room was too dark and music was too loud for staff to adequately observe and respond to the needs of the children in care. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, there was one aerosol can of Sprayway glass cleaner, and one bottle of Pinesol floor cleaner with double warnings in an unlocked cabinet. .2820(b) 847 Parent's medication authorization did not include required information. One child, one year of age, had an EPI pen that did not have a parent's authorization on file. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. During today's visit, there was no incident log available for review. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there were marker lids, small rubber bands, and staples in a drawer accessible to children under three years of age. In the hallway used by children in care, there was a cabinet with a broken lock that contained multiple art items that were small enough to be swallowed that were accessible to children under three years of age. .0604(q) 1314 Emergency information did not name childs health care professional. One child enrolled 11/12/24 did not have a parent's choice of health care professional listed on the application. .0802(c)(2) 1329 Application for enrollment did not include all required information. One child enrolled 11/18/24 and one child enrolled 11/12/24, did not have all required information on the application for enrollment including any health care needs or concerns, symptoms of and the type of response required for these healthcare needs or concerns and fears or behavior characteristics that the child has. .0801(a)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. There were five child care providers not listed on the facility's provider portal in ABCMS. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child, one year of age, had a medical action plan on file that was not signed by a parent or health care professional. .0801(b) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 30, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Menu: I reviewed requirements for posting the current menu for parents to view. We discussed having menus printed and placed in the classroom on Friday afternoons to ensure that the menu is available for review by the time of arrival on Monday of each week. Feeding Plan: For children under fifteen months of age, an individual written feeding plan must be posted. You stated that when a child ages up to the classroom for one year old children, you had been filing the feeding plan in the child's file. We discussed that the feeding plan will need to be posted in the child's classroom until the child reaches fifteen months of age. Hand Washing: Children must wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. In space #1, the children were observed returning from outdoor play without hand washing. Consider reviewing hand washing protocols in an upcoming staff meeting to ensure staff understanding of the requirements. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. We reviewed how to look for multiple warnings on cleaning products. Staff should check for proper storage of all hazardous products before children arrive daily. Medication Authorization: 10A NCAC 09.803(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. You report that the facility recently received an EPI pen for a child with allergies and you were unsure of what paperwork was needed. We reviewed the requirements regarding medication permission and discussed that parental permission must be obtained to administer all medications. A sample of a medication administration form can be found on the DCDEE website under provider documents/forms. Medical Action Plan: A medical action plan must be completed by the child's parent or health care professional for children with allergies or other chronic health conditions. We discussed that the medical action plan on file for a one year child with allergies did not have a signature of a parent or healthcare professional. You stated a plan to meet with the parent to review the medical action plan and obtain needed signatures. Choking Hazards: Small toy parts and other choking hazards must be inaccessible to children under three years of age. You reported that you have placed a request with church maintenance to repair the locks on the space #2 drawer and on the cabinet in the hallway. All potential choking hazards should be moved from the broken drawer and cabinet until the repairs are completed. Safe Environment: I discussed with you and your staff that when the overhead light is turned off, the room is too dark to adequately observe and respond to the needs of the children. I suggested to you and your staff that if the overhead light is turned off, sufficient supplemental lighting is needed to maintain a safe and healthy environment. You must be able to see all areas of the classroom fully. If music is used during naptime, the volume should be quiet and soothing to children. The volume should not present a barrier to hearing a child speak or voice their needs. During the visit, the volume of the music was lower and you brought a lamp into the classroom to provide additional lighting. Incident Log: We reviewed requirements for incident logs. I reminded you that all incidents are to be recorded on the log and that the incident log form can be found on the DCDEE website under provider documents and forms. You stated that you will begin tracking all incidents on the log form beginning today. Child Application: All children’s applications must include any fears or behavior characteristics for the child. We discussed that the child’s application should be fully complete without any information left blank. If any information is not applicable, mark n/a to verify that the requirement has been addressed with the parent. Choice of Healthcare Professional: The parental choice of healthcare professional must be recorded on the child’s application. We discussed the need to review the application with the parent at the time of enrollment to ensure that all needed information is obtained. Fire Inspection: Each operator must schedule and obtain a fire inspection within twelve months of the center's previous fire inspection. Call the local fire inspector and arrange for a fire inspection within the next two weeks. Submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. We discussed scheduling the fire inspection at least one month in advance to ensure compliance with the requirement. Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS to satisfy this requirement. The ABCMS provider portal was reviewed and five current employees need to be added to the portal. You stated that you have been working on this requirement and had not yet completed the task. A completed roster must be in the provider portal within two weeks. Consultation: We discussed the following during the visit: -Consider repositioning outdoor portable play equipment to allow for appropriate spacing for safe play. -Rake and fluff mulch on a regular basis to ensure surfacing requirements are maintained. -Sample forms/documents can be found on the DCDEE website under the provider tab. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 69 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 12:30 PM Time In: 01:30 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. The purpose of the visit was reviewed with you, Hannah Ingle, director. Beth Archer, Child Care Consultant accompanied me on the visit. You accompanied us on a walkthrough of the facility. Kylee Roland, classroom manager, also accompanied us on the walkthrough. A checklist was used to note the requirements I monitored today. Your program currently operates with a GS -110 status. The Secretary of State website was checked on July 10, 2024, and your organization Nebo Crossing Inc. is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The children in care were observed during outdoor gross motor play, free play activities, lunch, nap, and departure. Infants were observed during tummy time, free play/floor play, and while being held. A sample of nine (9) children’s files were reviewed with four violations. Five (5) new staff files were reviewed. Two (2) existing staff files were also reviewed with seven (7) violati0ons documented. The last monthly fire drill was practiced on June 18, 2024. The last lockdown/shelter-in place drill was practiced on June 25, 2024. The last playground inspection was conducted June7, 2024. Medication: One violation was documented regarding medication. The most recent lead water testing results were completed October 5, 2021. Lead testing must be completed every three years. Lead testing must be completed on or before October 2021. The most recent sanitation inspection for your facility was conducted on November 9, 2023. A superior sanitation classification was issued with ten (10) demerits. The most recent fire inspection for your facility was conducted on May 9, 2024. The facility was approved for day time care Fifteen (15) violations were observed and documented during today’s visit. The violations were discussed with you during the visit Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Four (4) children enrolled on 9/11/23, 4/8/24, 6/3/24, 4/22/24 did not have documentation of having received a copy of the the summary of the NC Child Care Law. GS 110-102 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two permissions to administer sunscreen forms expired on 7/6/24 and 7/10/24. The topical ointments (sunscreens) were not returned to parents or discarded. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last dated annual review was dated 7/5/23 for existing staff. This exceeds the required timeframe. 10A NCAC 09 .0802(a) 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. One staff employed on 4/23/24 had a medical report dated 4/25/24 on file. 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. One staff employed on 7/1/24 had a TB test dated 9/9/17 and one staff employed on 4/23/24 had a TB test on file dated 6/21/24. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaires for existing staff was completed on 7/5/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information Form was reviewed on 7/5/23. This exceeds the required timeframe. .0701(a) 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 employed on 1/12/22 had expired First Aid training as of 2/24. .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 employed on 1/12/22 had expired CPR training as of 2/24. .1102(d) 1314 Emergency information did not name child's health care professional. One enrolled on 1/2/24 did not have a health care professional listed. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had a medical assessment dated 5/14/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had an immunization record on file dated 5/29/24. This is past 30 day timeframe. 10A NCAC 09 .0302(d)(2) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. A Step 2 clubhouse climber was in the gym. Online manufacture’s information stated this is for outdoor use only. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last dated annual review was 7/5/23 for existing staff. This exceeds the required timeframe. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff employed on 4/23/24 reviewed and signed the policy today. .0608(d)(1-4) The violations documented must be corrected immediately. On or before July 25, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. As discussed, violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75%. The center's compliance history was at 85% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: #1048 & 1049- All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. For existing staff, schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. One staff employed on 1/12/22 had expired CPR/FA as of 2/24. #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two permissions to administer sunscreen forms expired on 7/6/24 and 7/10/24. The topical ointments (sunscreens) were not returned to parents. We reminded you to check all medications and topical ointments at least monthly to ensure compliance is met. #1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available.0601(b). A step 2 clubhouse climber was in the gym. Online manufacture’s information stated this is for outdoor use only. We suggested this piece of equipment be moved to the playground. #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last dated annual review was dated 7/5/23 for existing staff. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last dated annual review was 7/5/23 for existing staff. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaires for existing staff was completed on 7/5/23. This exceeds the required frame. We suggested you review annually during a staff meeting. #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information Form was reviewed on 7/5/23. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #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. One staff employed on 4/23/24 had a medical report dated 4/25/24 on file. We reminded you to have a medical report on file for all staff before the first day of employment. #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 they were free of active TB and/or TB test or screening was older than 12 months. One staff employed on 7/1/24 had a TB test dated 9/9/17 and one staff employed on 4/23/24 had a TB test on file dated 6/21/24. We reminded you that all staff must have a current TB test, less than one year old, on file before beginning work. #1874 All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) . We reminded you that all staff must review and sign the policy before the first day they care for children. #1321 Medical exam or health assessment was not on file before or within 30 days of admission. One child enrolled on 4/8/24 had a medical assessment dated 5/14/24. We reviewed the requirement regarding the 30 day requirement for children’s medical assessments. #1314 Emergency information did not name child’s health care professional. One enrolled on 1/2/24 did not have a health care professional listed. We suggested you reviewed all forma t the time of enrollemnt. #114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Four (4) children enrolled on 9/11/23, 4/8/24, 6/3/24, 4/22/24 did not have documentation of having received a copy of the summary of the NC Child Care Law. #1323 Each child was not immunized as per Article 6 of Chapter 130A, and an immunization record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had an immunization record on file dated 5/29/24. This is past 30 day timeframe. We suggested you obtain a copy of the immunization record at the time of enrollment. Consultation: We reviewed childcare requirement 10A NCAC 09.0604(q) regarding use of Styrofoam plates. We discussed that incident reports must be filed in the individual children’s files. We looked at your small gym space to consider whether the space could be divided into two smaller rooms. Based on the configuration of the space and only one direct exit, this space would not be appropriate to be divided. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me 828-782-0858 or Gail Dula Child Care Consultant P O Box 1598 Morganton Nc 28655 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 .0701 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 69 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 12:30 PM Time In: 01:30 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. The purpose of the visit was reviewed with you, Hannah Ingle, director. Beth Archer, Child Care Consultant accompanied me on the visit. You accompanied us on a walkthrough of the facility. Kylee Roland, classroom manager, also accompanied us on the walkthrough. A checklist was used to note the requirements I monitored today. Your program currently operates with a GS -110 status. The Secretary of State website was checked on July 10, 2024, and your organization Nebo Crossing Inc. is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The children in care were observed during outdoor gross motor play, free play activities, lunch, nap, and departure. Infants were observed during tummy time, free play/floor play, and while being held. A sample of nine (9) children’s files were reviewed with four violations. Five (5) new staff files were reviewed. Two (2) existing staff files were also reviewed with seven (7) violati0ons documented. The last monthly fire drill was practiced on June 18, 2024. The last lockdown/shelter-in place drill was practiced on June 25, 2024. The last playground inspection was conducted June7, 2024. Medication: One violation was documented regarding medication. The most recent lead water testing results were completed October 5, 2021. Lead testing must be completed every three years. Lead testing must be completed on or before October 2021. The most recent sanitation inspection for your facility was conducted on November 9, 2023. A superior sanitation classification was issued with ten (10) demerits. The most recent fire inspection for your facility was conducted on May 9, 2024. The facility was approved for day time care Fifteen (15) violations were observed and documented during today’s visit. The violations were discussed with you during the visit Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Four (4) children enrolled on 9/11/23, 4/8/24, 6/3/24, 4/22/24 did not have documentation of having received a copy of the the summary of the NC Child Care Law. GS 110-102 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two permissions to administer sunscreen forms expired on 7/6/24 and 7/10/24. The topical ointments (sunscreens) were not returned to parents or discarded. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last dated annual review was dated 7/5/23 for existing staff. This exceeds the required timeframe. 10A NCAC 09 .0802(a) 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. One staff employed on 4/23/24 had a medical report dated 4/25/24 on file. 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. One staff employed on 7/1/24 had a TB test dated 9/9/17 and one staff employed on 4/23/24 had a TB test on file dated 6/21/24. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaires for existing staff was completed on 7/5/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information Form was reviewed on 7/5/23. This exceeds the required timeframe. .0701(a) 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 employed on 1/12/22 had expired First Aid training as of 2/24. .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 employed on 1/12/22 had expired CPR training as of 2/24. .1102(d) 1314 Emergency information did not name child's health care professional. One enrolled on 1/2/24 did not have a health care professional listed. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had a medical assessment dated 5/14/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had an immunization record on file dated 5/29/24. This is past 30 day timeframe. 10A NCAC 09 .0302(d)(2) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. A Step 2 clubhouse climber was in the gym. Online manufacture’s information stated this is for outdoor use only. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last dated annual review was 7/5/23 for existing staff. This exceeds the required timeframe. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff employed on 4/23/24 reviewed and signed the policy today. .0608(d)(1-4) The violations documented must be corrected immediately. On or before July 25, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. As discussed, violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75%. The center's compliance history was at 85% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: #1048 & 1049- All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. For existing staff, schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. One staff employed on 1/12/22 had expired CPR/FA as of 2/24. #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two permissions to administer sunscreen forms expired on 7/6/24 and 7/10/24. The topical ointments (sunscreens) were not returned to parents. We reminded you to check all medications and topical ointments at least monthly to ensure compliance is met. #1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available.0601(b). A step 2 clubhouse climber was in the gym. Online manufacture’s information stated this is for outdoor use only. We suggested this piece of equipment be moved to the playground. #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last dated annual review was dated 7/5/23 for existing staff. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last dated annual review was 7/5/23 for existing staff. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaires for existing staff was completed on 7/5/23. This exceeds the required frame. We suggested you review annually during a staff meeting. #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information Form was reviewed on 7/5/23. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #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. One staff employed on 4/23/24 had a medical report dated 4/25/24 on file. We reminded you to have a medical report on file for all staff before the first day of employment. #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 they were free of active TB and/or TB test or screening was older than 12 months. One staff employed on 7/1/24 had a TB test dated 9/9/17 and one staff employed on 4/23/24 had a TB test on file dated 6/21/24. We reminded you that all staff must have a current TB test, less than one year old, on file before beginning work. #1874 All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) . We reminded you that all staff must review and sign the policy before the first day they care for children. #1321 Medical exam or health assessment was not on file before or within 30 days of admission. One child enrolled on 4/8/24 had a medical assessment dated 5/14/24. We reviewed the requirement regarding the 30 day requirement for children’s medical assessments. #1314 Emergency information did not name child’s health care professional. One enrolled on 1/2/24 did not have a health care professional listed. We suggested you reviewed all forma t the time of enrollemnt. #114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Four (4) children enrolled on 9/11/23, 4/8/24, 6/3/24, 4/22/24 did not have documentation of having received a copy of the summary of the NC Child Care Law. #1323 Each child was not immunized as per Article 6 of Chapter 130A, and an immunization record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had an immunization record on file dated 5/29/24. This is past 30 day timeframe. We suggested you obtain a copy of the immunization record at the time of enrollment. Consultation: We reviewed childcare requirement 10A NCAC 09.0604(q) regarding use of Styrofoam plates. We discussed that incident reports must be filed in the individual children’s files. We looked at your small gym space to consider whether the space could be divided into two smaller rooms. Based on the configuration of the space and only one direct exit, this space would not be appropriate to be divided. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me 828-782-0858 or Gail Dula Child Care Consultant P O Box 1598 Morganton Nc 28655 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: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 69 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 12:30 PM Time In: 01:30 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. The purpose of the visit was reviewed with you, Hannah Ingle, director. Beth Archer, Child Care Consultant accompanied me on the visit. You accompanied us on a walkthrough of the facility. Kylee Roland, classroom manager, also accompanied us on the walkthrough. A checklist was used to note the requirements I monitored today. Your program currently operates with a GS -110 status. The Secretary of State website was checked on July 10, 2024, and your organization Nebo Crossing Inc. is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The children in care were observed during outdoor gross motor play, free play activities, lunch, nap, and departure. Infants were observed during tummy time, free play/floor play, and while being held. A sample of nine (9) children’s files were reviewed with four violations. Five (5) new staff files were reviewed. Two (2) existing staff files were also reviewed with seven (7) violati0ons documented. The last monthly fire drill was practiced on June 18, 2024. The last lockdown/shelter-in place drill was practiced on June 25, 2024. The last playground inspection was conducted June7, 2024. Medication: One violation was documented regarding medication. The most recent lead water testing results were completed October 5, 2021. Lead testing must be completed every three years. Lead testing must be completed on or before October 2021. The most recent sanitation inspection for your facility was conducted on November 9, 2023. A superior sanitation classification was issued with ten (10) demerits. The most recent fire inspection for your facility was conducted on May 9, 2024. The facility was approved for day time care Fifteen (15) violations were observed and documented during today’s visit. The violations were discussed with you during the visit Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Four (4) children enrolled on 9/11/23, 4/8/24, 6/3/24, 4/22/24 did not have documentation of having received a copy of the the summary of the NC Child Care Law. GS 110-102 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two permissions to administer sunscreen forms expired on 7/6/24 and 7/10/24. The topical ointments (sunscreens) were not returned to parents or discarded. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last dated annual review was dated 7/5/23 for existing staff. This exceeds the required timeframe. 10A NCAC 09 .0802(a) 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. One staff employed on 4/23/24 had a medical report dated 4/25/24 on file. 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. One staff employed on 7/1/24 had a TB test dated 9/9/17 and one staff employed on 4/23/24 had a TB test on file dated 6/21/24. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaires for existing staff was completed on 7/5/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information Form was reviewed on 7/5/23. This exceeds the required timeframe. .0701(a) 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 employed on 1/12/22 had expired First Aid training as of 2/24. .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 employed on 1/12/22 had expired CPR training as of 2/24. .1102(d) 1314 Emergency information did not name child's health care professional. One enrolled on 1/2/24 did not have a health care professional listed. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had a medical assessment dated 5/14/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had an immunization record on file dated 5/29/24. This is past 30 day timeframe. 10A NCAC 09 .0302(d)(2) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. A Step 2 clubhouse climber was in the gym. Online manufacture’s information stated this is for outdoor use only. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last dated annual review was 7/5/23 for existing staff. This exceeds the required timeframe. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff employed on 4/23/24 reviewed and signed the policy today. .0608(d)(1-4) The violations documented must be corrected immediately. On or before July 25, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. As discussed, violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75%. The center's compliance history was at 85% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: #1048 & 1049- All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. For existing staff, schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. One staff employed on 1/12/22 had expired CPR/FA as of 2/24. #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two permissions to administer sunscreen forms expired on 7/6/24 and 7/10/24. The topical ointments (sunscreens) were not returned to parents. We reminded you to check all medications and topical ointments at least monthly to ensure compliance is met. #1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available.0601(b). A step 2 clubhouse climber was in the gym. Online manufacture’s information stated this is for outdoor use only. We suggested this piece of equipment be moved to the playground. #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last dated annual review was dated 7/5/23 for existing staff. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last dated annual review was 7/5/23 for existing staff. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaires for existing staff was completed on 7/5/23. This exceeds the required frame. We suggested you review annually during a staff meeting. #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information Form was reviewed on 7/5/23. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #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. One staff employed on 4/23/24 had a medical report dated 4/25/24 on file. We reminded you to have a medical report on file for all staff before the first day of employment. #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 they were free of active TB and/or TB test or screening was older than 12 months. One staff employed on 7/1/24 had a TB test dated 9/9/17 and one staff employed on 4/23/24 had a TB test on file dated 6/21/24. We reminded you that all staff must have a current TB test, less than one year old, on file before beginning work. #1874 All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) . We reminded you that all staff must review and sign the policy before the first day they care for children. #1321 Medical exam or health assessment was not on file before or within 30 days of admission. One child enrolled on 4/8/24 had a medical assessment dated 5/14/24. We reviewed the requirement regarding the 30 day requirement for children’s medical assessments. #1314 Emergency information did not name child’s health care professional. One enrolled on 1/2/24 did not have a health care professional listed. We suggested you reviewed all forma t the time of enrollemnt. #114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Four (4) children enrolled on 9/11/23, 4/8/24, 6/3/24, 4/22/24 did not have documentation of having received a copy of the summary of the NC Child Care Law. #1323 Each child was not immunized as per Article 6 of Chapter 130A, and an immunization record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had an immunization record on file dated 5/29/24. This is past 30 day timeframe. We suggested you obtain a copy of the immunization record at the time of enrollment. Consultation: We reviewed childcare requirement 10A NCAC 09.0604(q) regarding use of Styrofoam plates. We discussed that incident reports must be filed in the individual children’s files. We looked at your small gym space to consider whether the space could be divided into two smaller rooms. Based on the configuration of the space and only one direct exit, this space would not be appropriate to be divided. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me 828-782-0858 or Gail Dula Child Care Consultant P O Box 1598 Morganton Nc 28655 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 09.0304 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 69 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 12:30 PM Time In: 01:30 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. The purpose of the visit was reviewed with you, Hannah Ingle, director. Beth Archer, Child Care Consultant accompanied me on the visit. You accompanied us on a walkthrough of the facility. Kylee Roland, classroom manager, also accompanied us on the walkthrough. A checklist was used to note the requirements I monitored today. Your program currently operates with a GS -110 status. The Secretary of State website was checked on July 10, 2024, and your organization Nebo Crossing Inc. is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The children in care were observed during outdoor gross motor play, free play activities, lunch, nap, and departure. Infants were observed during tummy time, free play/floor play, and while being held. A sample of nine (9) children’s files were reviewed with four violations. Five (5) new staff files were reviewed. Two (2) existing staff files were also reviewed with seven (7) violati0ons documented. The last monthly fire drill was practiced on June 18, 2024. The last lockdown/shelter-in place drill was practiced on June 25, 2024. The last playground inspection was conducted June7, 2024. Medication: One violation was documented regarding medication. The most recent lead water testing results were completed October 5, 2021. Lead testing must be completed every three years. Lead testing must be completed on or before October 2021. The most recent sanitation inspection for your facility was conducted on November 9, 2023. A superior sanitation classification was issued with ten (10) demerits. The most recent fire inspection for your facility was conducted on May 9, 2024. The facility was approved for day time care Fifteen (15) violations were observed and documented during today’s visit. The violations were discussed with you during the visit Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Four (4) children enrolled on 9/11/23, 4/8/24, 6/3/24, 4/22/24 did not have documentation of having received a copy of the the summary of the NC Child Care Law. GS 110-102 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two permissions to administer sunscreen forms expired on 7/6/24 and 7/10/24. The topical ointments (sunscreens) were not returned to parents or discarded. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last dated annual review was dated 7/5/23 for existing staff. This exceeds the required timeframe. 10A NCAC 09 .0802(a) 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. One staff employed on 4/23/24 had a medical report dated 4/25/24 on file. 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. One staff employed on 7/1/24 had a TB test dated 9/9/17 and one staff employed on 4/23/24 had a TB test on file dated 6/21/24. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaires for existing staff was completed on 7/5/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information Form was reviewed on 7/5/23. This exceeds the required timeframe. .0701(a) 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 employed on 1/12/22 had expired First Aid training as of 2/24. .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 employed on 1/12/22 had expired CPR training as of 2/24. .1102(d) 1314 Emergency information did not name child's health care professional. One enrolled on 1/2/24 did not have a health care professional listed. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had a medical assessment dated 5/14/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had an immunization record on file dated 5/29/24. This is past 30 day timeframe. 10A NCAC 09 .0302(d)(2) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. A Step 2 clubhouse climber was in the gym. Online manufacture’s information stated this is for outdoor use only. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last dated annual review was 7/5/23 for existing staff. This exceeds the required timeframe. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff employed on 4/23/24 reviewed and signed the policy today. .0608(d)(1-4) The violations documented must be corrected immediately. On or before July 25, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. As discussed, violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75%. The center's compliance history was at 85% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: #1048 & 1049- All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. For existing staff, schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. One staff employed on 1/12/22 had expired CPR/FA as of 2/24. #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two permissions to administer sunscreen forms expired on 7/6/24 and 7/10/24. The topical ointments (sunscreens) were not returned to parents. We reminded you to check all medications and topical ointments at least monthly to ensure compliance is met. #1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available.0601(b). A step 2 clubhouse climber was in the gym. Online manufacture’s information stated this is for outdoor use only. We suggested this piece of equipment be moved to the playground. #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last dated annual review was dated 7/5/23 for existing staff. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last dated annual review was 7/5/23 for existing staff. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaires for existing staff was completed on 7/5/23. This exceeds the required frame. We suggested you review annually during a staff meeting. #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information Form was reviewed on 7/5/23. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #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. One staff employed on 4/23/24 had a medical report dated 4/25/24 on file. We reminded you to have a medical report on file for all staff before the first day of employment. #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 they were free of active TB and/or TB test or screening was older than 12 months. One staff employed on 7/1/24 had a TB test dated 9/9/17 and one staff employed on 4/23/24 had a TB test on file dated 6/21/24. We reminded you that all staff must have a current TB test, less than one year old, on file before beginning work. #1874 All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) . We reminded you that all staff must review and sign the policy before the first day they care for children. #1321 Medical exam or health assessment was not on file before or within 30 days of admission. One child enrolled on 4/8/24 had a medical assessment dated 5/14/24. We reviewed the requirement regarding the 30 day requirement for children’s medical assessments. #1314 Emergency information did not name child’s health care professional. One enrolled on 1/2/24 did not have a health care professional listed. We suggested you reviewed all forma t the time of enrollemnt. #114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Four (4) children enrolled on 9/11/23, 4/8/24, 6/3/24, 4/22/24 did not have documentation of having received a copy of the summary of the NC Child Care Law. #1323 Each child was not immunized as per Article 6 of Chapter 130A, and an immunization record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had an immunization record on file dated 5/29/24. This is past 30 day timeframe. We suggested you obtain a copy of the immunization record at the time of enrollment. Consultation: We reviewed childcare requirement 10A NCAC 09.0604(q) regarding use of Styrofoam plates. We discussed that incident reports must be filed in the individual children’s files. We looked at your small gym space to consider whether the space could be divided into two smaller rooms. Based on the configuration of the space and only one direct exit, this space would not be appropriate to be divided. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me 828-782-0858 or Gail Dula Child Care Consultant P O Box 1598 Morganton Nc 28655 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0604 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 69 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 12:30 PM Time In: 01:30 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. The purpose of the visit was reviewed with you, Hannah Ingle, director. Beth Archer, Child Care Consultant accompanied me on the visit. You accompanied us on a walkthrough of the facility. Kylee Roland, classroom manager, also accompanied us on the walkthrough. A checklist was used to note the requirements I monitored today. Your program currently operates with a GS -110 status. The Secretary of State website was checked on July 10, 2024, and your organization Nebo Crossing Inc. is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The children in care were observed during outdoor gross motor play, free play activities, lunch, nap, and departure. Infants were observed during tummy time, free play/floor play, and while being held. A sample of nine (9) children’s files were reviewed with four violations. Five (5) new staff files were reviewed. Two (2) existing staff files were also reviewed with seven (7) violati0ons documented. The last monthly fire drill was practiced on June 18, 2024. The last lockdown/shelter-in place drill was practiced on June 25, 2024. The last playground inspection was conducted June7, 2024. Medication: One violation was documented regarding medication. The most recent lead water testing results were completed October 5, 2021. Lead testing must be completed every three years. Lead testing must be completed on or before October 2021. The most recent sanitation inspection for your facility was conducted on November 9, 2023. A superior sanitation classification was issued with ten (10) demerits. The most recent fire inspection for your facility was conducted on May 9, 2024. The facility was approved for day time care Fifteen (15) violations were observed and documented during today’s visit. The violations were discussed with you during the visit Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Four (4) children enrolled on 9/11/23, 4/8/24, 6/3/24, 4/22/24 did not have documentation of having received a copy of the the summary of the NC Child Care Law. GS 110-102 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two permissions to administer sunscreen forms expired on 7/6/24 and 7/10/24. The topical ointments (sunscreens) were not returned to parents or discarded. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last dated annual review was dated 7/5/23 for existing staff. This exceeds the required timeframe. 10A NCAC 09 .0802(a) 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. One staff employed on 4/23/24 had a medical report dated 4/25/24 on file. 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. One staff employed on 7/1/24 had a TB test dated 9/9/17 and one staff employed on 4/23/24 had a TB test on file dated 6/21/24. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaires for existing staff was completed on 7/5/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information Form was reviewed on 7/5/23. This exceeds the required timeframe. .0701(a) 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 employed on 1/12/22 had expired First Aid training as of 2/24. .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 employed on 1/12/22 had expired CPR training as of 2/24. .1102(d) 1314 Emergency information did not name child's health care professional. One enrolled on 1/2/24 did not have a health care professional listed. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had a medical assessment dated 5/14/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had an immunization record on file dated 5/29/24. This is past 30 day timeframe. 10A NCAC 09 .0302(d)(2) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. A Step 2 clubhouse climber was in the gym. Online manufacture’s information stated this is for outdoor use only. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last dated annual review was 7/5/23 for existing staff. This exceeds the required timeframe. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff employed on 4/23/24 reviewed and signed the policy today. .0608(d)(1-4) The violations documented must be corrected immediately. On or before July 25, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. As discussed, violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75%. The center's compliance history was at 85% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: #1048 & 1049- All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. For existing staff, schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. One staff employed on 1/12/22 had expired CPR/FA as of 2/24. #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two permissions to administer sunscreen forms expired on 7/6/24 and 7/10/24. The topical ointments (sunscreens) were not returned to parents. We reminded you to check all medications and topical ointments at least monthly to ensure compliance is met. #1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available.0601(b). A step 2 clubhouse climber was in the gym. Online manufacture’s information stated this is for outdoor use only. We suggested this piece of equipment be moved to the playground. #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last dated annual review was dated 7/5/23 for existing staff. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last dated annual review was 7/5/23 for existing staff. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaires for existing staff was completed on 7/5/23. This exceeds the required frame. We suggested you review annually during a staff meeting. #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information Form was reviewed on 7/5/23. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #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. One staff employed on 4/23/24 had a medical report dated 4/25/24 on file. We reminded you to have a medical report on file for all staff before the first day of employment. #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 they were free of active TB and/or TB test or screening was older than 12 months. One staff employed on 7/1/24 had a TB test dated 9/9/17 and one staff employed on 4/23/24 had a TB test on file dated 6/21/24. We reminded you that all staff must have a current TB test, less than one year old, on file before beginning work. #1874 All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) . We reminded you that all staff must review and sign the policy before the first day they care for children. #1321 Medical exam or health assessment was not on file before or within 30 days of admission. One child enrolled on 4/8/24 had a medical assessment dated 5/14/24. We reviewed the requirement regarding the 30 day requirement for children’s medical assessments. #1314 Emergency information did not name child’s health care professional. One enrolled on 1/2/24 did not have a health care professional listed. We suggested you reviewed all forma t the time of enrollemnt. #114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Four (4) children enrolled on 9/11/23, 4/8/24, 6/3/24, 4/22/24 did not have documentation of having received a copy of the summary of the NC Child Care Law. #1323 Each child was not immunized as per Article 6 of Chapter 130A, and an immunization record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had an immunization record on file dated 5/29/24. This is past 30 day timeframe. We suggested you obtain a copy of the immunization record at the time of enrollment. Consultation: We reviewed childcare requirement 10A NCAC 09.0604(q) regarding use of Styrofoam plates. We discussed that incident reports must be filed in the individual children’s files. We looked at your small gym space to consider whether the space could be divided into two smaller rooms. Based on the configuration of the space and only one direct exit, this space would not be appropriate to be divided. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me 828-782-0858 or Gail Dula Child Care Consultant P O Box 1598 Morganton Nc 28655 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 110-102 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 69 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 12:30 PM Time In: 01:30 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. The purpose of the visit was reviewed with you, Hannah Ingle, director. Beth Archer, Child Care Consultant accompanied me on the visit. You accompanied us on a walkthrough of the facility. Kylee Roland, classroom manager, also accompanied us on the walkthrough. A checklist was used to note the requirements I monitored today. Your program currently operates with a GS -110 status. The Secretary of State website was checked on July 10, 2024, and your organization Nebo Crossing Inc. is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The children in care were observed during outdoor gross motor play, free play activities, lunch, nap, and departure. Infants were observed during tummy time, free play/floor play, and while being held. A sample of nine (9) children’s files were reviewed with four violations. Five (5) new staff files were reviewed. Two (2) existing staff files were also reviewed with seven (7) violati0ons documented. The last monthly fire drill was practiced on June 18, 2024. The last lockdown/shelter-in place drill was practiced on June 25, 2024. The last playground inspection was conducted June7, 2024. Medication: One violation was documented regarding medication. The most recent lead water testing results were completed October 5, 2021. Lead testing must be completed every three years. Lead testing must be completed on or before October 2021. The most recent sanitation inspection for your facility was conducted on November 9, 2023. A superior sanitation classification was issued with ten (10) demerits. The most recent fire inspection for your facility was conducted on May 9, 2024. The facility was approved for day time care Fifteen (15) violations were observed and documented during today’s visit. The violations were discussed with you during the visit Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Four (4) children enrolled on 9/11/23, 4/8/24, 6/3/24, 4/22/24 did not have documentation of having received a copy of the the summary of the NC Child Care Law. GS 110-102 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two permissions to administer sunscreen forms expired on 7/6/24 and 7/10/24. The topical ointments (sunscreens) were not returned to parents or discarded. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last dated annual review was dated 7/5/23 for existing staff. This exceeds the required timeframe. 10A NCAC 09 .0802(a) 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. One staff employed on 4/23/24 had a medical report dated 4/25/24 on file. 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. One staff employed on 7/1/24 had a TB test dated 9/9/17 and one staff employed on 4/23/24 had a TB test on file dated 6/21/24. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaires for existing staff was completed on 7/5/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information Form was reviewed on 7/5/23. This exceeds the required timeframe. .0701(a) 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 employed on 1/12/22 had expired First Aid training as of 2/24. .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 employed on 1/12/22 had expired CPR training as of 2/24. .1102(d) 1314 Emergency information did not name child's health care professional. One enrolled on 1/2/24 did not have a health care professional listed. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had a medical assessment dated 5/14/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had an immunization record on file dated 5/29/24. This is past 30 day timeframe. 10A NCAC 09 .0302(d)(2) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. A Step 2 clubhouse climber was in the gym. Online manufacture’s information stated this is for outdoor use only. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last dated annual review was 7/5/23 for existing staff. This exceeds the required timeframe. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff employed on 4/23/24 reviewed and signed the policy today. .0608(d)(1-4) The violations documented must be corrected immediately. On or before July 25, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. As discussed, violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75%. The center's compliance history was at 85% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: #1048 & 1049- All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. For existing staff, schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. One staff employed on 1/12/22 had expired CPR/FA as of 2/24. #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two permissions to administer sunscreen forms expired on 7/6/24 and 7/10/24. The topical ointments (sunscreens) were not returned to parents. We reminded you to check all medications and topical ointments at least monthly to ensure compliance is met. #1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available.0601(b). A step 2 clubhouse climber was in the gym. Online manufacture’s information stated this is for outdoor use only. We suggested this piece of equipment be moved to the playground. #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last dated annual review was dated 7/5/23 for existing staff. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last dated annual review was 7/5/23 for existing staff. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaires for existing staff was completed on 7/5/23. This exceeds the required frame. We suggested you review annually during a staff meeting. #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information Form was reviewed on 7/5/23. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #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. One staff employed on 4/23/24 had a medical report dated 4/25/24 on file. We reminded you to have a medical report on file for all staff before the first day of employment. #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 they were free of active TB and/or TB test or screening was older than 12 months. One staff employed on 7/1/24 had a TB test dated 9/9/17 and one staff employed on 4/23/24 had a TB test on file dated 6/21/24. We reminded you that all staff must have a current TB test, less than one year old, on file before beginning work. #1874 All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) . We reminded you that all staff must review and sign the policy before the first day they care for children. #1321 Medical exam or health assessment was not on file before or within 30 days of admission. One child enrolled on 4/8/24 had a medical assessment dated 5/14/24. We reviewed the requirement regarding the 30 day requirement for children’s medical assessments. #1314 Emergency information did not name child’s health care professional. One enrolled on 1/2/24 did not have a health care professional listed. We suggested you reviewed all forma t the time of enrollemnt. #114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Four (4) children enrolled on 9/11/23, 4/8/24, 6/3/24, 4/22/24 did not have documentation of having received a copy of the summary of the NC Child Care Law. #1323 Each child was not immunized as per Article 6 of Chapter 130A, and an immunization record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had an immunization record on file dated 5/29/24. This is past 30 day timeframe. We suggested you obtain a copy of the immunization record at the time of enrollment. Consultation: We reviewed childcare requirement 10A NCAC 09.0604(q) regarding use of Styrofoam plates. We discussed that incident reports must be filed in the individual children’s files. We looked at your small gym space to consider whether the space could be divided into two smaller rooms. Based on the configuration of the space and only one direct exit, this space would not be appropriate to be divided. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me 828-782-0858 or Gail Dula Child Care Consultant P O Box 1598 Morganton Nc 28655 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

GS110-91 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 69 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 12:30 PM Time In: 01:30 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. The purpose of the visit was reviewed with you, Hannah Ingle, director. Beth Archer, Child Care Consultant accompanied me on the visit. You accompanied us on a walkthrough of the facility. Kylee Roland, classroom manager, also accompanied us on the walkthrough. A checklist was used to note the requirements I monitored today. Your program currently operates with a GS -110 status. The Secretary of State website was checked on July 10, 2024, and your organization Nebo Crossing Inc. is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The children in care were observed during outdoor gross motor play, free play activities, lunch, nap, and departure. Infants were observed during tummy time, free play/floor play, and while being held. A sample of nine (9) children’s files were reviewed with four violations. Five (5) new staff files were reviewed. Two (2) existing staff files were also reviewed with seven (7) violati0ons documented. The last monthly fire drill was practiced on June 18, 2024. The last lockdown/shelter-in place drill was practiced on June 25, 2024. The last playground inspection was conducted June7, 2024. Medication: One violation was documented regarding medication. The most recent lead water testing results were completed October 5, 2021. Lead testing must be completed every three years. Lead testing must be completed on or before October 2021. The most recent sanitation inspection for your facility was conducted on November 9, 2023. A superior sanitation classification was issued with ten (10) demerits. The most recent fire inspection for your facility was conducted on May 9, 2024. The facility was approved for day time care Fifteen (15) violations were observed and documented during today’s visit. The violations were discussed with you during the visit Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Four (4) children enrolled on 9/11/23, 4/8/24, 6/3/24, 4/22/24 did not have documentation of having received a copy of the the summary of the NC Child Care Law. GS 110-102 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two permissions to administer sunscreen forms expired on 7/6/24 and 7/10/24. The topical ointments (sunscreens) were not returned to parents or discarded. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last dated annual review was dated 7/5/23 for existing staff. This exceeds the required timeframe. 10A NCAC 09 .0802(a) 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. One staff employed on 4/23/24 had a medical report dated 4/25/24 on file. 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. One staff employed on 7/1/24 had a TB test dated 9/9/17 and one staff employed on 4/23/24 had a TB test on file dated 6/21/24. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaires for existing staff was completed on 7/5/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information Form was reviewed on 7/5/23. This exceeds the required timeframe. .0701(a) 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 employed on 1/12/22 had expired First Aid training as of 2/24. .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 employed on 1/12/22 had expired CPR training as of 2/24. .1102(d) 1314 Emergency information did not name child's health care professional. One enrolled on 1/2/24 did not have a health care professional listed. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had a medical assessment dated 5/14/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had an immunization record on file dated 5/29/24. This is past 30 day timeframe. 10A NCAC 09 .0302(d)(2) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. A Step 2 clubhouse climber was in the gym. Online manufacture’s information stated this is for outdoor use only. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last dated annual review was 7/5/23 for existing staff. This exceeds the required timeframe. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff employed on 4/23/24 reviewed and signed the policy today. .0608(d)(1-4) The violations documented must be corrected immediately. On or before July 25, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. As discussed, violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75%. The center's compliance history was at 85% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: #1048 & 1049- All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. For existing staff, schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. One staff employed on 1/12/22 had expired CPR/FA as of 2/24. #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two permissions to administer sunscreen forms expired on 7/6/24 and 7/10/24. The topical ointments (sunscreens) were not returned to parents. We reminded you to check all medications and topical ointments at least monthly to ensure compliance is met. #1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available.0601(b). A step 2 clubhouse climber was in the gym. Online manufacture’s information stated this is for outdoor use only. We suggested this piece of equipment be moved to the playground. #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last dated annual review was dated 7/5/23 for existing staff. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last dated annual review was 7/5/23 for existing staff. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaires for existing staff was completed on 7/5/23. This exceeds the required frame. We suggested you review annually during a staff meeting. #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information Form was reviewed on 7/5/23. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #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. One staff employed on 4/23/24 had a medical report dated 4/25/24 on file. We reminded you to have a medical report on file for all staff before the first day of employment. #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 they were free of active TB and/or TB test or screening was older than 12 months. One staff employed on 7/1/24 had a TB test dated 9/9/17 and one staff employed on 4/23/24 had a TB test on file dated 6/21/24. We reminded you that all staff must have a current TB test, less than one year old, on file before beginning work. #1874 All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) . We reminded you that all staff must review and sign the policy before the first day they care for children. #1321 Medical exam or health assessment was not on file before or within 30 days of admission. One child enrolled on 4/8/24 had a medical assessment dated 5/14/24. We reviewed the requirement regarding the 30 day requirement for children’s medical assessments. #1314 Emergency information did not name child’s health care professional. One enrolled on 1/2/24 did not have a health care professional listed. We suggested you reviewed all forma t the time of enrollemnt. #114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Four (4) children enrolled on 9/11/23, 4/8/24, 6/3/24, 4/22/24 did not have documentation of having received a copy of the summary of the NC Child Care Law. #1323 Each child was not immunized as per Article 6 of Chapter 130A, and an immunization record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had an immunization record on file dated 5/29/24. This is past 30 day timeframe. We suggested you obtain a copy of the immunization record at the time of enrollment. Consultation: We reviewed childcare requirement 10A NCAC 09.0604(q) regarding use of Styrofoam plates. We discussed that incident reports must be filed in the individual children’s files. We looked at your small gym space to consider whether the space could be divided into two smaller rooms. Based on the configuration of the space and only one direct exit, this space would not be appropriate to be divided. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me 828-782-0858 or Gail Dula Child Care Consultant P O Box 1598 Morganton Nc 28655 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 69 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 12:30 PM Time In: 01:30 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. The purpose of the visit was reviewed with you, Hannah Ingle, director. Beth Archer, Child Care Consultant accompanied me on the visit. You accompanied us on a walkthrough of the facility. Kylee Roland, classroom manager, also accompanied us on the walkthrough. A checklist was used to note the requirements I monitored today. Your program currently operates with a GS -110 status. The Secretary of State website was checked on July 10, 2024, and your organization Nebo Crossing Inc. is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The children in care were observed during outdoor gross motor play, free play activities, lunch, nap, and departure. Infants were observed during tummy time, free play/floor play, and while being held. A sample of nine (9) children’s files were reviewed with four violations. Five (5) new staff files were reviewed. Two (2) existing staff files were also reviewed with seven (7) violati0ons documented. The last monthly fire drill was practiced on June 18, 2024. The last lockdown/shelter-in place drill was practiced on June 25, 2024. The last playground inspection was conducted June7, 2024. Medication: One violation was documented regarding medication. The most recent lead water testing results were completed October 5, 2021. Lead testing must be completed every three years. Lead testing must be completed on or before October 2021. The most recent sanitation inspection for your facility was conducted on November 9, 2023. A superior sanitation classification was issued with ten (10) demerits. The most recent fire inspection for your facility was conducted on May 9, 2024. The facility was approved for day time care Fifteen (15) violations were observed and documented during today’s visit. The violations were discussed with you during the visit Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Four (4) children enrolled on 9/11/23, 4/8/24, 6/3/24, 4/22/24 did not have documentation of having received a copy of the the summary of the NC Child Care Law. GS 110-102 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two permissions to administer sunscreen forms expired on 7/6/24 and 7/10/24. The topical ointments (sunscreens) were not returned to parents or discarded. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last dated annual review was dated 7/5/23 for existing staff. This exceeds the required timeframe. 10A NCAC 09 .0802(a) 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. One staff employed on 4/23/24 had a medical report dated 4/25/24 on file. 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. One staff employed on 7/1/24 had a TB test dated 9/9/17 and one staff employed on 4/23/24 had a TB test on file dated 6/21/24. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaires for existing staff was completed on 7/5/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information Form was reviewed on 7/5/23. This exceeds the required timeframe. .0701(a) 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 employed on 1/12/22 had expired First Aid training as of 2/24. .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 employed on 1/12/22 had expired CPR training as of 2/24. .1102(d) 1314 Emergency information did not name child's health care professional. One enrolled on 1/2/24 did not have a health care professional listed. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had a medical assessment dated 5/14/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had an immunization record on file dated 5/29/24. This is past 30 day timeframe. 10A NCAC 09 .0302(d)(2) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. A Step 2 clubhouse climber was in the gym. Online manufacture’s information stated this is for outdoor use only. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last dated annual review was 7/5/23 for existing staff. This exceeds the required timeframe. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff employed on 4/23/24 reviewed and signed the policy today. .0608(d)(1-4) The violations documented must be corrected immediately. On or before July 25, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. As discussed, violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75%. The center's compliance history was at 85% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: #1048 & 1049- All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. For existing staff, schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. One staff employed on 1/12/22 had expired CPR/FA as of 2/24. #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two permissions to administer sunscreen forms expired on 7/6/24 and 7/10/24. The topical ointments (sunscreens) were not returned to parents. We reminded you to check all medications and topical ointments at least monthly to ensure compliance is met. #1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available.0601(b). A step 2 clubhouse climber was in the gym. Online manufacture’s information stated this is for outdoor use only. We suggested this piece of equipment be moved to the playground. #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last dated annual review was dated 7/5/23 for existing staff. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last dated annual review was 7/5/23 for existing staff. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaires for existing staff was completed on 7/5/23. This exceeds the required frame. We suggested you review annually during a staff meeting. #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information Form was reviewed on 7/5/23. This exceeds the required timeframe. We suggested you review annually during a staff meeting. #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. One staff employed on 4/23/24 had a medical report dated 4/25/24 on file. We reminded you to have a medical report on file for all staff before the first day of employment. #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 they were free of active TB and/or TB test or screening was older than 12 months. One staff employed on 7/1/24 had a TB test dated 9/9/17 and one staff employed on 4/23/24 had a TB test on file dated 6/21/24. We reminded you that all staff must have a current TB test, less than one year old, on file before beginning work. #1874 All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) . We reminded you that all staff must review and sign the policy before the first day they care for children. #1321 Medical exam or health assessment was not on file before or within 30 days of admission. One child enrolled on 4/8/24 had a medical assessment dated 5/14/24. We reviewed the requirement regarding the 30 day requirement for children’s medical assessments. #1314 Emergency information did not name child’s health care professional. One enrolled on 1/2/24 did not have a health care professional listed. We suggested you reviewed all forma t the time of enrollemnt. #114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Four (4) children enrolled on 9/11/23, 4/8/24, 6/3/24, 4/22/24 did not have documentation of having received a copy of the summary of the NC Child Care Law. #1323 Each child was not immunized as per Article 6 of Chapter 130A, and an immunization record was not on file before or within 30 days after admission. One child enrolled on 4/8/24 had an immunization record on file dated 5/29/24. This is past 30 day timeframe. We suggested you obtain a copy of the immunization record at the time of enrollment. Consultation: We reviewed childcare requirement 10A NCAC 09.0604(q) regarding use of Styrofoam plates. We discussed that incident reports must be filed in the individual children’s files. We looked at your small gym space to consider whether the space could be divided into two smaller rooms. Based on the configuration of the space and only one direct exit, this space would not be appropriate to be divided. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me 828-782-0858 or Gail Dula Child Care Consultant P O Box 1598 Morganton Nc 28655 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 .0901 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 7/17/2023 Number Present: 69 Completed Date: 7/17/2023 Age: From 0 To 5 Total Minutes: 360 Time In: 09:00 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 unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety. The visit was conducted with you, Cassie Ensor, Director. Beth Archer, Child Care Consultant, accompanied me on the visit. The Secretary of State for North Carolina website was viewed before today’s visit and Nebo Crossing Inc. is current and active as of today 7/17/23. The program operated with a GS 110 status. A checklist was used to note requirements monitored during the visit. Eleven spaces were monitored today including two gross motor spaces. Children and staff were observed during free play, bathroom/handwashing, nap and departure. Infants and toddlers were observed while being held, nap and during tummy time/floor play. Staff to child ration were in compliance. Staff interacted in positive ways with the children. A fire inspection was conducted on September 1, 2022. Shelter in place drills and fire drills had been conducted and documented on the DCDEE form. A sanitation inspection was conducted on March 13, 2023, with nine (9) demerits noted on the grade card. Ten (10) children’s files were reviewed with three violations documented and discussed with you. Five (5) staff files were reviewed with you with two violations documented. Seven (7) violations were observed, documented and discussed with you. Violations observed today were discussed with you and documented in the visit summary. A copy of the visit summary will be emailed to you. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The breakfast menu for 7/17/23 only consisted of two components. 10A NCAC 09 .0901(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. 842 in space #5, In space #5, a permission to administer Aquaphor diaper cream form expired on 7/1/23 and in space #10 a permission to administer “thinkbaby” sunscreen expired on 3/8/23. Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. 10A NCAC 09 .0803(1)(a & b) 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. One employee, hired 8/16/21, did not have a signed medical on file until 9/13/22. 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. One employee, hired 8/16/21, had a completed TB test on 1/26/22. .0701(a) 1302 Individual applications were not on file for each child. One child enrolled 6/1/22, did not have application on file. 10A NCAC 09 .0801(a) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One children, enrolled 6/1/22, did not have an immunization record on file until 11/1/22. 10A NCAC 09 .0302(d)(2) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 4/5/21, did not have a signed verification of the shaken baby head trauma policy on file. .0608(b)(1-6) The above uncorrected violations must be brought into compliance immediately. You shall submit a written, signed and dated statement to me at the address below detailing specifically how the above violations was corrected. Send a correction action letter to me by July 31, 2023. Include the facility name, ID# and the title of the person signing the documentation. As discussed, violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Technical assistance: #501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Review all meals and snacks, check the Nutritional guidelines on the DCDEE website under Meal Patterns for Children to ensure that all required components are met. A menu for the week of 7/19/23 through 7/23/23 was posted. Breakfast for 7/19/23 did not list the required number of components #842 Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. In space #5, a permission to administer Aquaphor diaper cream form expired on 7/1/23 and in space #10 a permission to administer “thinkbaby” sunscreen expired on 3/8/23. #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. One employee, hired 8/16/21, did not have a signed medical on file until 9/13/22. #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. One employee, hired 8/16/21, had a completed TB test on 1/26/22. #1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One children, enrolled 6/1/22, did not have an immunization record on file until 11/1/22. #1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 3/1/21 and one child enrolled 4/5/21, did not have a signed verification of the shaken baby head trauma policy on file. Consultation: -we discussed adding gates to outdoor space #1, the covered porch. This space is currently not being used. -we discussed the policy regarding sunscreens -we encouraged you to take training through the Health Care Consultant and Child Care Connections If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at: (828) 782-0858 or Gail Dula P O Box 1598 Morganton NC 28655 Gail.dula@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 7/17/2023 Number Present: 69 Completed Date: 7/17/2023 Age: From 0 To 5 Total Minutes: 360 Time In: 09:00 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 unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety. The visit was conducted with you, Cassie Ensor, Director. Beth Archer, Child Care Consultant, accompanied me on the visit. The Secretary of State for North Carolina website was viewed before today’s visit and Nebo Crossing Inc. is current and active as of today 7/17/23. The program operated with a GS 110 status. A checklist was used to note requirements monitored during the visit. Eleven spaces were monitored today including two gross motor spaces. Children and staff were observed during free play, bathroom/handwashing, nap and departure. Infants and toddlers were observed while being held, nap and during tummy time/floor play. Staff to child ration were in compliance. Staff interacted in positive ways with the children. A fire inspection was conducted on September 1, 2022. Shelter in place drills and fire drills had been conducted and documented on the DCDEE form. A sanitation inspection was conducted on March 13, 2023, with nine (9) demerits noted on the grade card. Ten (10) children’s files were reviewed with three violations documented and discussed with you. Five (5) staff files were reviewed with you with two violations documented. Seven (7) violations were observed, documented and discussed with you. Violations observed today were discussed with you and documented in the visit summary. A copy of the visit summary will be emailed to you. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The breakfast menu for 7/17/23 only consisted of two components. 10A NCAC 09 .0901(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. 842 in space #5, In space #5, a permission to administer Aquaphor diaper cream form expired on 7/1/23 and in space #10 a permission to administer “thinkbaby” sunscreen expired on 3/8/23. Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. 10A NCAC 09 .0803(1)(a & b) 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. One employee, hired 8/16/21, did not have a signed medical on file until 9/13/22. 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. One employee, hired 8/16/21, had a completed TB test on 1/26/22. .0701(a) 1302 Individual applications were not on file for each child. One child enrolled 6/1/22, did not have application on file. 10A NCAC 09 .0801(a) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One children, enrolled 6/1/22, did not have an immunization record on file until 11/1/22. 10A NCAC 09 .0302(d)(2) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 4/5/21, did not have a signed verification of the shaken baby head trauma policy on file. .0608(b)(1-6) The above uncorrected violations must be brought into compliance immediately. You shall submit a written, signed and dated statement to me at the address below detailing specifically how the above violations was corrected. Send a correction action letter to me by July 31, 2023. Include the facility name, ID# and the title of the person signing the documentation. As discussed, violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Technical assistance: #501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Review all meals and snacks, check the Nutritional guidelines on the DCDEE website under Meal Patterns for Children to ensure that all required components are met. A menu for the week of 7/19/23 through 7/23/23 was posted. Breakfast for 7/19/23 did not list the required number of components #842 Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. In space #5, a permission to administer Aquaphor diaper cream form expired on 7/1/23 and in space #10 a permission to administer “thinkbaby” sunscreen expired on 3/8/23. #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. One employee, hired 8/16/21, did not have a signed medical on file until 9/13/22. #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. One employee, hired 8/16/21, had a completed TB test on 1/26/22. #1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One children, enrolled 6/1/22, did not have an immunization record on file until 11/1/22. #1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 3/1/21 and one child enrolled 4/5/21, did not have a signed verification of the shaken baby head trauma policy on file. Consultation: -we discussed adding gates to outdoor space #1, the covered porch. This space is currently not being used. -we discussed the policy regarding sunscreens -we encouraged you to take training through the Health Care Consultant and Child Care Connections If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at: (828) 782-0858 or Gail Dula P O Box 1598 Morganton NC 28655 Gail.dula@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 .0701 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 7/17/2023 Number Present: 69 Completed Date: 7/17/2023 Age: From 0 To 5 Total Minutes: 360 Time In: 09:00 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 unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety. The visit was conducted with you, Cassie Ensor, Director. Beth Archer, Child Care Consultant, accompanied me on the visit. The Secretary of State for North Carolina website was viewed before today’s visit and Nebo Crossing Inc. is current and active as of today 7/17/23. The program operated with a GS 110 status. A checklist was used to note requirements monitored during the visit. Eleven spaces were monitored today including two gross motor spaces. Children and staff were observed during free play, bathroom/handwashing, nap and departure. Infants and toddlers were observed while being held, nap and during tummy time/floor play. Staff to child ration were in compliance. Staff interacted in positive ways with the children. A fire inspection was conducted on September 1, 2022. Shelter in place drills and fire drills had been conducted and documented on the DCDEE form. A sanitation inspection was conducted on March 13, 2023, with nine (9) demerits noted on the grade card. Ten (10) children’s files were reviewed with three violations documented and discussed with you. Five (5) staff files were reviewed with you with two violations documented. Seven (7) violations were observed, documented and discussed with you. Violations observed today were discussed with you and documented in the visit summary. A copy of the visit summary will be emailed to you. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The breakfast menu for 7/17/23 only consisted of two components. 10A NCAC 09 .0901(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. 842 in space #5, In space #5, a permission to administer Aquaphor diaper cream form expired on 7/1/23 and in space #10 a permission to administer “thinkbaby” sunscreen expired on 3/8/23. Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. 10A NCAC 09 .0803(1)(a & b) 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. One employee, hired 8/16/21, did not have a signed medical on file until 9/13/22. 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. One employee, hired 8/16/21, had a completed TB test on 1/26/22. .0701(a) 1302 Individual applications were not on file for each child. One child enrolled 6/1/22, did not have application on file. 10A NCAC 09 .0801(a) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One children, enrolled 6/1/22, did not have an immunization record on file until 11/1/22. 10A NCAC 09 .0302(d)(2) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 4/5/21, did not have a signed verification of the shaken baby head trauma policy on file. .0608(b)(1-6) The above uncorrected violations must be brought into compliance immediately. You shall submit a written, signed and dated statement to me at the address below detailing specifically how the above violations was corrected. Send a correction action letter to me by July 31, 2023. Include the facility name, ID# and the title of the person signing the documentation. As discussed, violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Technical assistance: #501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Review all meals and snacks, check the Nutritional guidelines on the DCDEE website under Meal Patterns for Children to ensure that all required components are met. A menu for the week of 7/19/23 through 7/23/23 was posted. Breakfast for 7/19/23 did not list the required number of components #842 Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. In space #5, a permission to administer Aquaphor diaper cream form expired on 7/1/23 and in space #10 a permission to administer “thinkbaby” sunscreen expired on 3/8/23. #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. One employee, hired 8/16/21, did not have a signed medical on file until 9/13/22. #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. One employee, hired 8/16/21, had a completed TB test on 1/26/22. #1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One children, enrolled 6/1/22, did not have an immunization record on file until 11/1/22. #1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 3/1/21 and one child enrolled 4/5/21, did not have a signed verification of the shaken baby head trauma policy on file. Consultation: -we discussed adding gates to outdoor space #1, the covered porch. This space is currently not being used. -we discussed the policy regarding sunscreens -we encouraged you to take training through the Health Care Consultant and Child Care Connections If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at: (828) 782-0858 or Gail Dula P O Box 1598 Morganton NC 28655 Gail.dula@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 .0801 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 7/17/2023 Number Present: 69 Completed Date: 7/17/2023 Age: From 0 To 5 Total Minutes: 360 Time In: 09:00 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 unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety. The visit was conducted with you, Cassie Ensor, Director. Beth Archer, Child Care Consultant, accompanied me on the visit. The Secretary of State for North Carolina website was viewed before today’s visit and Nebo Crossing Inc. is current and active as of today 7/17/23. The program operated with a GS 110 status. A checklist was used to note requirements monitored during the visit. Eleven spaces were monitored today including two gross motor spaces. Children and staff were observed during free play, bathroom/handwashing, nap and departure. Infants and toddlers were observed while being held, nap and during tummy time/floor play. Staff to child ration were in compliance. Staff interacted in positive ways with the children. A fire inspection was conducted on September 1, 2022. Shelter in place drills and fire drills had been conducted and documented on the DCDEE form. A sanitation inspection was conducted on March 13, 2023, with nine (9) demerits noted on the grade card. Ten (10) children’s files were reviewed with three violations documented and discussed with you. Five (5) staff files were reviewed with you with two violations documented. Seven (7) violations were observed, documented and discussed with you. Violations observed today were discussed with you and documented in the visit summary. A copy of the visit summary will be emailed to you. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The breakfast menu for 7/17/23 only consisted of two components. 10A NCAC 09 .0901(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. 842 in space #5, In space #5, a permission to administer Aquaphor diaper cream form expired on 7/1/23 and in space #10 a permission to administer “thinkbaby” sunscreen expired on 3/8/23. Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. 10A NCAC 09 .0803(1)(a & b) 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. One employee, hired 8/16/21, did not have a signed medical on file until 9/13/22. 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. One employee, hired 8/16/21, had a completed TB test on 1/26/22. .0701(a) 1302 Individual applications were not on file for each child. One child enrolled 6/1/22, did not have application on file. 10A NCAC 09 .0801(a) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One children, enrolled 6/1/22, did not have an immunization record on file until 11/1/22. 10A NCAC 09 .0302(d)(2) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 4/5/21, did not have a signed verification of the shaken baby head trauma policy on file. .0608(b)(1-6) The above uncorrected violations must be brought into compliance immediately. You shall submit a written, signed and dated statement to me at the address below detailing specifically how the above violations was corrected. Send a correction action letter to me by July 31, 2023. Include the facility name, ID# and the title of the person signing the documentation. As discussed, violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Technical assistance: #501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Review all meals and snacks, check the Nutritional guidelines on the DCDEE website under Meal Patterns for Children to ensure that all required components are met. A menu for the week of 7/19/23 through 7/23/23 was posted. Breakfast for 7/19/23 did not list the required number of components #842 Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. In space #5, a permission to administer Aquaphor diaper cream form expired on 7/1/23 and in space #10 a permission to administer “thinkbaby” sunscreen expired on 3/8/23. #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. One employee, hired 8/16/21, did not have a signed medical on file until 9/13/22. #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. One employee, hired 8/16/21, had a completed TB test on 1/26/22. #1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One children, enrolled 6/1/22, did not have an immunization record on file until 11/1/22. #1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 3/1/21 and one child enrolled 4/5/21, did not have a signed verification of the shaken baby head trauma policy on file. Consultation: -we discussed adding gates to outdoor space #1, the covered porch. This space is currently not being used. -we discussed the policy regarding sunscreens -we encouraged you to take training through the Health Care Consultant and Child Care Connections If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at: (828) 782-0858 or Gail Dula P O Box 1598 Morganton NC 28655 Gail.dula@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: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 7/17/2023 Number Present: 69 Completed Date: 7/17/2023 Age: From 0 To 5 Total Minutes: 360 Time In: 09:00 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 unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety. The visit was conducted with you, Cassie Ensor, Director. Beth Archer, Child Care Consultant, accompanied me on the visit. The Secretary of State for North Carolina website was viewed before today’s visit and Nebo Crossing Inc. is current and active as of today 7/17/23. The program operated with a GS 110 status. A checklist was used to note requirements monitored during the visit. Eleven spaces were monitored today including two gross motor spaces. Children and staff were observed during free play, bathroom/handwashing, nap and departure. Infants and toddlers were observed while being held, nap and during tummy time/floor play. Staff to child ration were in compliance. Staff interacted in positive ways with the children. A fire inspection was conducted on September 1, 2022. Shelter in place drills and fire drills had been conducted and documented on the DCDEE form. A sanitation inspection was conducted on March 13, 2023, with nine (9) demerits noted on the grade card. Ten (10) children’s files were reviewed with three violations documented and discussed with you. Five (5) staff files were reviewed with you with two violations documented. Seven (7) violations were observed, documented and discussed with you. Violations observed today were discussed with you and documented in the visit summary. A copy of the visit summary will be emailed to you. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The breakfast menu for 7/17/23 only consisted of two components. 10A NCAC 09 .0901(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. 842 in space #5, In space #5, a permission to administer Aquaphor diaper cream form expired on 7/1/23 and in space #10 a permission to administer “thinkbaby” sunscreen expired on 3/8/23. Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. 10A NCAC 09 .0803(1)(a & b) 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. One employee, hired 8/16/21, did not have a signed medical on file until 9/13/22. 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. One employee, hired 8/16/21, had a completed TB test on 1/26/22. .0701(a) 1302 Individual applications were not on file for each child. One child enrolled 6/1/22, did not have application on file. 10A NCAC 09 .0801(a) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One children, enrolled 6/1/22, did not have an immunization record on file until 11/1/22. 10A NCAC 09 .0302(d)(2) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 4/5/21, did not have a signed verification of the shaken baby head trauma policy on file. .0608(b)(1-6) The above uncorrected violations must be brought into compliance immediately. You shall submit a written, signed and dated statement to me at the address below detailing specifically how the above violations was corrected. Send a correction action letter to me by July 31, 2023. Include the facility name, ID# and the title of the person signing the documentation. As discussed, violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Technical assistance: #501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Review all meals and snacks, check the Nutritional guidelines on the DCDEE website under Meal Patterns for Children to ensure that all required components are met. A menu for the week of 7/19/23 through 7/23/23 was posted. Breakfast for 7/19/23 did not list the required number of components #842 Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. In space #5, a permission to administer Aquaphor diaper cream form expired on 7/1/23 and in space #10 a permission to administer “thinkbaby” sunscreen expired on 3/8/23. #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. One employee, hired 8/16/21, did not have a signed medical on file until 9/13/22. #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. One employee, hired 8/16/21, had a completed TB test on 1/26/22. #1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One children, enrolled 6/1/22, did not have an immunization record on file until 11/1/22. #1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 3/1/21 and one child enrolled 4/5/21, did not have a signed verification of the shaken baby head trauma policy on file. Consultation: -we discussed adding gates to outdoor space #1, the covered porch. This space is currently not being used. -we discussed the policy regarding sunscreens -we encouraged you to take training through the Health Care Consultant and Child Care Connections If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at: (828) 782-0858 or Gail Dula P O Box 1598 Morganton NC 28655 Gail.dula@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: NEBO CROSSING JUNIOR ACADEMY Facility ID: 59000162 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 7/17/2023 Number Present: 69 Completed Date: 7/17/2023 Age: From 0 To 5 Total Minutes: 360 Time In: 09:00 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 unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety. The visit was conducted with you, Cassie Ensor, Director. Beth Archer, Child Care Consultant, accompanied me on the visit. The Secretary of State for North Carolina website was viewed before today’s visit and Nebo Crossing Inc. is current and active as of today 7/17/23. The program operated with a GS 110 status. A checklist was used to note requirements monitored during the visit. Eleven spaces were monitored today including two gross motor spaces. Children and staff were observed during free play, bathroom/handwashing, nap and departure. Infants and toddlers were observed while being held, nap and during tummy time/floor play. Staff to child ration were in compliance. Staff interacted in positive ways with the children. A fire inspection was conducted on September 1, 2022. Shelter in place drills and fire drills had been conducted and documented on the DCDEE form. A sanitation inspection was conducted on March 13, 2023, with nine (9) demerits noted on the grade card. Ten (10) children’s files were reviewed with three violations documented and discussed with you. Five (5) staff files were reviewed with you with two violations documented. Seven (7) violations were observed, documented and discussed with you. Violations observed today were discussed with you and documented in the visit summary. A copy of the visit summary will be emailed to you. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The breakfast menu for 7/17/23 only consisted of two components. 10A NCAC 09 .0901(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. 842 in space #5, In space #5, a permission to administer Aquaphor diaper cream form expired on 7/1/23 and in space #10 a permission to administer “thinkbaby” sunscreen expired on 3/8/23. Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. 10A NCAC 09 .0803(1)(a & b) 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. One employee, hired 8/16/21, did not have a signed medical on file until 9/13/22. 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. One employee, hired 8/16/21, had a completed TB test on 1/26/22. .0701(a) 1302 Individual applications were not on file for each child. One child enrolled 6/1/22, did not have application on file. 10A NCAC 09 .0801(a) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One children, enrolled 6/1/22, did not have an immunization record on file until 11/1/22. 10A NCAC 09 .0302(d)(2) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 4/5/21, did not have a signed verification of the shaken baby head trauma policy on file. .0608(b)(1-6) The above uncorrected violations must be brought into compliance immediately. You shall submit a written, signed and dated statement to me at the address below detailing specifically how the above violations was corrected. Send a correction action letter to me by July 31, 2023. Include the facility name, ID# and the title of the person signing the documentation. As discussed, violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Technical assistance: #501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Review all meals and snacks, check the Nutritional guidelines on the DCDEE website under Meal Patterns for Children to ensure that all required components are met. A menu for the week of 7/19/23 through 7/23/23 was posted. Breakfast for 7/19/23 did not list the required number of components #842 Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. In space #5, a permission to administer Aquaphor diaper cream form expired on 7/1/23 and in space #10 a permission to administer “thinkbaby” sunscreen expired on 3/8/23. #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. One employee, hired 8/16/21, did not have a signed medical on file until 9/13/22. #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. One employee, hired 8/16/21, had a completed TB test on 1/26/22. #1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One children, enrolled 6/1/22, did not have an immunization record on file until 11/1/22. #1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 3/1/21 and one child enrolled 4/5/21, did not have a signed verification of the shaken baby head trauma policy on file. Consultation: -we discussed adding gates to outdoor space #1, the covered porch. This space is currently not being used. -we discussed the policy regarding sunscreens -we encouraged you to take training through the Health Care Consultant and Child Care Connections If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at: (828) 782-0858 or Gail Dula P O Box 1598 Morganton NC 28655 Gail.dula@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