Elizabeth Lane Elementary Asep

NC GS 110-90 · Violation

Name of Operation: Elizabeth Lane Elementary ASEP Facility ID: 60004251 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 2/5/2026 Number Present: 47 Completed Date: 2/5/2026 Age: From 5 To 10 Total Minutes: 129 Time In: 01:06 PM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The last annual compliance visit was conducted on February 10, 2025. The compliance history prior to today’s visit is 91 %. The program currently operates with a four-star license, issued August 3, 2023, earning 7 points in the education component, 3 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point for offering staff benefits package, an infrastructure of parent involvement and having approved enhanced policies. Upon arrival, I was greeted by Zania Barbour, Program Coordinator. I arrived prior to the children’s arrival and was provided with notebooks with all the paperwork I needed to review. The current Public-School Off-Site Verification Form for Staff Records, Children's Record and Transportation was signed and on file with each current staff listed and all current children enrolled listed for after school. I reviewed the current Staff and Training Worksheet. Each group leader is current with their Health and Safety Training, First Aid and CPR. All staff at this site have their CBC qualification letter and BSAC. A new staff member hired in November, 2025 will complete BSAC training in March , 2026. The Recognizing and Responding to Child Maltreatment certificate on file for the new staff member was over a year old. A violation was cited. I monitored ABCMS and found in compliance. I reviewed the current ASEP bulletin board inside the cafeteria and observed all information required to be posted. Current activity plans were reviewed, and 5-7 interest centers for each group were set up. The teacher directed activity plans were observed on each cart and were completed and posted before the children arrived. The menu was posted and current. It was reported that one (1) child currently has emergency medication. I monitored the paperwork and medication and found in compliance. As children arrived, they placed their belongings down and attendance was taken. Attendance was monitored and found in compliance. The children were taken by groups to use the restroom and to wash hands. During the visit, children were observed in the indoor learning environment, eating snacks and participating in learning center and homework. Supervision and staff/child ratios in compliance. Nurturing and caring tones were observed as the staff interacted with the children. The following violation was cited: Violation Number Comment Rule 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One new staff member hired 11/17/2025 completed the training 1/7/2022. .1102(g) Compliance Statement: 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 19 ,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 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. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov Technical Assistance DCDEE Website I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Staff and Training Worksheet We discussed that the license number on your staff and training worksheet is incorrect. You can find your license number on your permit and at the top of each visit summary. We discussed that the worksheet is specific with date requirements which will be helpful for you to follow in order to maintain compliance. The license number, CBC Qualifying Letter dates, the orientation date and the health and safety training dates were corrected and initialed by you on the worksheet today. We discussed that current Health and Safety Training certificates specific to Moodle should be placed behind your CMS Health and Safety training log for review by the division. All other trainings will be logged on the On-Going Training Log with the certificates located behind the log, just as you have completed. Understanding the New QRIS We discussed that CMS has determined that ASEP programs may complete Pathway 1.You signed the QRIS Pathway Form at the last visit and a copy was left with you. You shared the Staff CQI form with me. We will monitor these requirements once we apply for your new rated license. I suggest placing the forms in each Associates notebook. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization. NCRLAP Training We discussed that you can prepare for SACCERS by visiting the NC rate License Assessment Project (NCRLAP) website here: https://www.ncrlap.org/. There are training and resources available to assist you. MOODLE Trainings DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.EddinsSmith@dhhs.nc.gov or 980-748-6270. 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 .2203 · Violation

Name of Operation: Elizabeth Lane Elementary ASEP Facility ID: 60004251 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/27/2025 Number Present: 46 Completed Date: 10/27/2025 Age: From 5 To 10 Total Minutes: 120 Time In: 01:50 PM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The last annual compliance visit was conducted on February 10, 2025. The compliance history prior to today’s visit is 89%. The program currently operates with a four-star license, issued August 3, 2023, earning 7 points in the education component, 3 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point for offering staff benefits package, an infrastructure of parent involvement and having approved enhanced policies. The following items were monitored: supervision, staff/child ratio, CPR, First Aid, BSAC training, criminal background qualifying letters, EMC plan, administering medication, storage of hazardous products/medications, general safety, discipline, adequate/approved space, program records, license posted and permit restrictions. Upon arrival, I checked into the school’s main office. Zania Barbour, Site Coordinator, greeted me. I explained the purpose of the visit. Ms. Barbour and I were able to meet prior to the children’s arrival. I reviewed DCDEE notebook and found staff, children’s and transportation off site verification forms in compliance A fire drill was conducted on September 22, 2025. A shelter in place drill was conducted on August 26, 2025. The Staff and Training Worksheet was received today however; I did not use the worksheet for today’s visit. I reviewed each associate’s notebook and found staff with current criminal background checks and completed BSAC training. I reviewed on-going and health and safety training and found in compliance. One substitute did not have a current CPR/FA certification on file. She stated her certification is expired and she was scheduled to take the course today and forgot to attend. A violation was cited. I reviewed the portal and found the ABCMS roster. One substitute was not on the ABCMS Roster. Please see Technical Assistance. The children use the cafeteria as their primary space. Activity areas with sufficient materials in good repair were accessible to children today. I observed children arriving beginning at 2:40 pm. At 2:41 pm Groups 1 and 3 were combined. The ratio was 1:21. At 2:45 pm, Groups 1 and 3 were still combined. The ratio was 1:32. A violation was cited. At 2:51 the program was in compliance when one (1) substitute arrived. Staff were observed supervising and interacting with the children in a caring and nurturing manner. I observed children participating in arrival procedures, transitions, routines and snack. Snack consisted of a choice of apples and/or oranges and milk. There are no children currently enrolled requiring emergency medication. The following violations were cited today: Violation Number Comment Rule 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 (1) substitute stated she did not have current First Aid certification.A certification card was not on file for review. .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 (1) substitute stated she did not have current CPR certification. A certification card was not on file for review. .1102(d) 1756 Enhanced staff/child ratios and group sizes were not met. In Cafeteria, children were observed arriving at 2:40 pm. At 2:41 pm Groups 1 and 3 were combined. The ratio was 1:21. At 2:45 pm, Groups 1 and 3 were still combined. The ratio was 1:32. 10A NCAC 09 .2818 Compliance Statement: 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 November 10,2025 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. A follow-up visit will be conducted to monitor staff child ratio. 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. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov 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. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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. Technical Assistance Staff/Child Ratio Please review all requirements for staff child ratio. Ratio should be in compliance at all times as outlined here: 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS. A follow-up visit will be conducted to monitor for compliance with staff child ratio. Administrative Action Repeat violations may result in an administrative action and possible written waning outlined as follows: 10A NCAC 09 .2203 WRITTEN WARNINGS A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: (a) supervision of children; (b) discipline, nurture, or care of children; (c) staff/child ratio; (d) group size; (e) licensed capacity; (f) permit restriction; (g) CPR training; (h) First Aid training; (i) ITS-SIDS training; and (j) criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. You can download the rules and general statutes form our website. I suggest you keep the most current rules on your desktop for easy reference. Understanding the New QRIS We discussed that CMS has determined that ASEP programs will complete Pathway 1. We reviewed section .3200 regarding Pathway 1, and you signed the QRIS Pathway Form. A copy was left with you. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. NCRLAP Training We discussed that you can prepare for SACERS-u by visiting the NC rate License Assessment Project (NCRLAP) website here: https://www.ncrlap.org/. There are training and resources available to assist you HERE: https://www.ncrlap.org/Resources/Training/Register/ MOODLE Trainings DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Staff and Training Worksheets We reviewed the staff and training worksheet on file together. We discussed that the expiration date should be listed for CPR/FA training and that the orientation date should be documented for both time requirements, the first two weeks and the first six weeks. Please retain all documentation of initial orientation and maltreatment. We discussed you will update the staff and training worksheet and have on file for your Annual Compliance Visit review. I was able to review all of the items needed for today’s visit using the notebooks. Training Documentation We discussed organizing the training certificates behind the On-Going Training under the training tab. The Health and Safety certificates should be organized behind the Health and Safety Training log and behind the health and safety training log. A current CPR/First Aid certification must be on file for all staff for review. ABCMS Roster Please have all substitutes link to your ABCMS Roster or if linked at another facility provide the primary facility ID # for review. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .2818 · Violation

Name of Operation: Elizabeth Lane Elementary ASEP Facility ID: 60004251 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/27/2025 Number Present: 46 Completed Date: 10/27/2025 Age: From 5 To 10 Total Minutes: 120 Time In: 01:50 PM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The last annual compliance visit was conducted on February 10, 2025. The compliance history prior to today’s visit is 89%. The program currently operates with a four-star license, issued August 3, 2023, earning 7 points in the education component, 3 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point for offering staff benefits package, an infrastructure of parent involvement and having approved enhanced policies. The following items were monitored: supervision, staff/child ratio, CPR, First Aid, BSAC training, criminal background qualifying letters, EMC plan, administering medication, storage of hazardous products/medications, general safety, discipline, adequate/approved space, program records, license posted and permit restrictions. Upon arrival, I checked into the school’s main office. Zania Barbour, Site Coordinator, greeted me. I explained the purpose of the visit. Ms. Barbour and I were able to meet prior to the children’s arrival. I reviewed DCDEE notebook and found staff, children’s and transportation off site verification forms in compliance A fire drill was conducted on September 22, 2025. A shelter in place drill was conducted on August 26, 2025. The Staff and Training Worksheet was received today however; I did not use the worksheet for today’s visit. I reviewed each associate’s notebook and found staff with current criminal background checks and completed BSAC training. I reviewed on-going and health and safety training and found in compliance. One substitute did not have a current CPR/FA certification on file. She stated her certification is expired and she was scheduled to take the course today and forgot to attend. A violation was cited. I reviewed the portal and found the ABCMS roster. One substitute was not on the ABCMS Roster. Please see Technical Assistance. The children use the cafeteria as their primary space. Activity areas with sufficient materials in good repair were accessible to children today. I observed children arriving beginning at 2:40 pm. At 2:41 pm Groups 1 and 3 were combined. The ratio was 1:21. At 2:45 pm, Groups 1 and 3 were still combined. The ratio was 1:32. A violation was cited. At 2:51 the program was in compliance when one (1) substitute arrived. Staff were observed supervising and interacting with the children in a caring and nurturing manner. I observed children participating in arrival procedures, transitions, routines and snack. Snack consisted of a choice of apples and/or oranges and milk. There are no children currently enrolled requiring emergency medication. The following violations were cited today: Violation Number Comment Rule 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 (1) substitute stated she did not have current First Aid certification.A certification card was not on file for review. .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 (1) substitute stated she did not have current CPR certification. A certification card was not on file for review. .1102(d) 1756 Enhanced staff/child ratios and group sizes were not met. In Cafeteria, children were observed arriving at 2:40 pm. At 2:41 pm Groups 1 and 3 were combined. The ratio was 1:21. At 2:45 pm, Groups 1 and 3 were still combined. The ratio was 1:32. 10A NCAC 09 .2818 Compliance Statement: 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 November 10,2025 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. A follow-up visit will be conducted to monitor staff child ratio. 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. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov 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. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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. Technical Assistance Staff/Child Ratio Please review all requirements for staff child ratio. Ratio should be in compliance at all times as outlined here: 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS. A follow-up visit will be conducted to monitor for compliance with staff child ratio. Administrative Action Repeat violations may result in an administrative action and possible written waning outlined as follows: 10A NCAC 09 .2203 WRITTEN WARNINGS A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: (a) supervision of children; (b) discipline, nurture, or care of children; (c) staff/child ratio; (d) group size; (e) licensed capacity; (f) permit restriction; (g) CPR training; (h) First Aid training; (i) ITS-SIDS training; and (j) criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. You can download the rules and general statutes form our website. I suggest you keep the most current rules on your desktop for easy reference. Understanding the New QRIS We discussed that CMS has determined that ASEP programs will complete Pathway 1. We reviewed section .3200 regarding Pathway 1, and you signed the QRIS Pathway Form. A copy was left with you. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. NCRLAP Training We discussed that you can prepare for SACERS-u by visiting the NC rate License Assessment Project (NCRLAP) website here: https://www.ncrlap.org/. There are training and resources available to assist you HERE: https://www.ncrlap.org/Resources/Training/Register/ MOODLE Trainings DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Staff and Training Worksheets We reviewed the staff and training worksheet on file together. We discussed that the expiration date should be listed for CPR/FA training and that the orientation date should be documented for both time requirements, the first two weeks and the first six weeks. Please retain all documentation of initial orientation and maltreatment. We discussed you will update the staff and training worksheet and have on file for your Annual Compliance Visit review. I was able to review all of the items needed for today’s visit using the notebooks. Training Documentation We discussed organizing the training certificates behind the On-Going Training under the training tab. The Health and Safety certificates should be organized behind the Health and Safety Training log and behind the health and safety training log. A current CPR/First Aid certification must be on file for all staff for review. ABCMS Roster Please have all substitutes link to your ABCMS Roster or if linked at another facility provide the primary facility ID # for review. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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. 110-105 · Violation

Name of Operation: Elizabeth Lane Elementary ASEP Facility ID: 60004251 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/27/2025 Number Present: 46 Completed Date: 10/27/2025 Age: From 5 To 10 Total Minutes: 120 Time In: 01:50 PM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The last annual compliance visit was conducted on February 10, 2025. The compliance history prior to today’s visit is 89%. The program currently operates with a four-star license, issued August 3, 2023, earning 7 points in the education component, 3 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point for offering staff benefits package, an infrastructure of parent involvement and having approved enhanced policies. The following items were monitored: supervision, staff/child ratio, CPR, First Aid, BSAC training, criminal background qualifying letters, EMC plan, administering medication, storage of hazardous products/medications, general safety, discipline, adequate/approved space, program records, license posted and permit restrictions. Upon arrival, I checked into the school’s main office. Zania Barbour, Site Coordinator, greeted me. I explained the purpose of the visit. Ms. Barbour and I were able to meet prior to the children’s arrival. I reviewed DCDEE notebook and found staff, children’s and transportation off site verification forms in compliance A fire drill was conducted on September 22, 2025. A shelter in place drill was conducted on August 26, 2025. The Staff and Training Worksheet was received today however; I did not use the worksheet for today’s visit. I reviewed each associate’s notebook and found staff with current criminal background checks and completed BSAC training. I reviewed on-going and health and safety training and found in compliance. One substitute did not have a current CPR/FA certification on file. She stated her certification is expired and she was scheduled to take the course today and forgot to attend. A violation was cited. I reviewed the portal and found the ABCMS roster. One substitute was not on the ABCMS Roster. Please see Technical Assistance. The children use the cafeteria as their primary space. Activity areas with sufficient materials in good repair were accessible to children today. I observed children arriving beginning at 2:40 pm. At 2:41 pm Groups 1 and 3 were combined. The ratio was 1:21. At 2:45 pm, Groups 1 and 3 were still combined. The ratio was 1:32. A violation was cited. At 2:51 the program was in compliance when one (1) substitute arrived. Staff were observed supervising and interacting with the children in a caring and nurturing manner. I observed children participating in arrival procedures, transitions, routines and snack. Snack consisted of a choice of apples and/or oranges and milk. There are no children currently enrolled requiring emergency medication. The following violations were cited today: Violation Number Comment Rule 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 (1) substitute stated she did not have current First Aid certification.A certification card was not on file for review. .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 (1) substitute stated she did not have current CPR certification. A certification card was not on file for review. .1102(d) 1756 Enhanced staff/child ratios and group sizes were not met. In Cafeteria, children were observed arriving at 2:40 pm. At 2:41 pm Groups 1 and 3 were combined. The ratio was 1:21. At 2:45 pm, Groups 1 and 3 were still combined. The ratio was 1:32. 10A NCAC 09 .2818 Compliance Statement: 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 November 10,2025 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. A follow-up visit will be conducted to monitor staff child ratio. 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. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov 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. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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. Technical Assistance Staff/Child Ratio Please review all requirements for staff child ratio. Ratio should be in compliance at all times as outlined here: 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS. A follow-up visit will be conducted to monitor for compliance with staff child ratio. Administrative Action Repeat violations may result in an administrative action and possible written waning outlined as follows: 10A NCAC 09 .2203 WRITTEN WARNINGS A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: (a) supervision of children; (b) discipline, nurture, or care of children; (c) staff/child ratio; (d) group size; (e) licensed capacity; (f) permit restriction; (g) CPR training; (h) First Aid training; (i) ITS-SIDS training; and (j) criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. You can download the rules and general statutes form our website. I suggest you keep the most current rules on your desktop for easy reference. Understanding the New QRIS We discussed that CMS has determined that ASEP programs will complete Pathway 1. We reviewed section .3200 regarding Pathway 1, and you signed the QRIS Pathway Form. A copy was left with you. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. NCRLAP Training We discussed that you can prepare for SACERS-u by visiting the NC rate License Assessment Project (NCRLAP) website here: https://www.ncrlap.org/. There are training and resources available to assist you HERE: https://www.ncrlap.org/Resources/Training/Register/ MOODLE Trainings DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Staff and Training Worksheets We reviewed the staff and training worksheet on file together. We discussed that the expiration date should be listed for CPR/FA training and that the orientation date should be documented for both time requirements, the first two weeks and the first six weeks. Please retain all documentation of initial orientation and maltreatment. We discussed you will update the staff and training worksheet and have on file for your Annual Compliance Visit review. I was able to review all of the items needed for today’s visit using the notebooks. Training Documentation We discussed organizing the training certificates behind the On-Going Training under the training tab. The Health and Safety certificates should be organized behind the Health and Safety Training log and behind the health and safety training log. A current CPR/First Aid certification must be on file for all staff for review. ABCMS Roster Please have all substitutes link to your ABCMS Roster or if linked at another facility provide the primary facility ID # for review. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: Elizabeth Lane Elementary ASEP Facility ID: 60004251 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/27/2025 Number Present: 46 Completed Date: 10/27/2025 Age: From 5 To 10 Total Minutes: 120 Time In: 01:50 PM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The last annual compliance visit was conducted on February 10, 2025. The compliance history prior to today’s visit is 89%. The program currently operates with a four-star license, issued August 3, 2023, earning 7 points in the education component, 3 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point for offering staff benefits package, an infrastructure of parent involvement and having approved enhanced policies. The following items were monitored: supervision, staff/child ratio, CPR, First Aid, BSAC training, criminal background qualifying letters, EMC plan, administering medication, storage of hazardous products/medications, general safety, discipline, adequate/approved space, program records, license posted and permit restrictions. Upon arrival, I checked into the school’s main office. Zania Barbour, Site Coordinator, greeted me. I explained the purpose of the visit. Ms. Barbour and I were able to meet prior to the children’s arrival. I reviewed DCDEE notebook and found staff, children’s and transportation off site verification forms in compliance A fire drill was conducted on September 22, 2025. A shelter in place drill was conducted on August 26, 2025. The Staff and Training Worksheet was received today however; I did not use the worksheet for today’s visit. I reviewed each associate’s notebook and found staff with current criminal background checks and completed BSAC training. I reviewed on-going and health and safety training and found in compliance. One substitute did not have a current CPR/FA certification on file. She stated her certification is expired and she was scheduled to take the course today and forgot to attend. A violation was cited. I reviewed the portal and found the ABCMS roster. One substitute was not on the ABCMS Roster. Please see Technical Assistance. The children use the cafeteria as their primary space. Activity areas with sufficient materials in good repair were accessible to children today. I observed children arriving beginning at 2:40 pm. At 2:41 pm Groups 1 and 3 were combined. The ratio was 1:21. At 2:45 pm, Groups 1 and 3 were still combined. The ratio was 1:32. A violation was cited. At 2:51 the program was in compliance when one (1) substitute arrived. Staff were observed supervising and interacting with the children in a caring and nurturing manner. I observed children participating in arrival procedures, transitions, routines and snack. Snack consisted of a choice of apples and/or oranges and milk. There are no children currently enrolled requiring emergency medication. The following violations were cited today: Violation Number Comment Rule 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 (1) substitute stated she did not have current First Aid certification.A certification card was not on file for review. .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 (1) substitute stated she did not have current CPR certification. A certification card was not on file for review. .1102(d) 1756 Enhanced staff/child ratios and group sizes were not met. In Cafeteria, children were observed arriving at 2:40 pm. At 2:41 pm Groups 1 and 3 were combined. The ratio was 1:21. At 2:45 pm, Groups 1 and 3 were still combined. The ratio was 1:32. 10A NCAC 09 .2818 Compliance Statement: 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 November 10,2025 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. A follow-up visit will be conducted to monitor staff child ratio. 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. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov 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. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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. Technical Assistance Staff/Child Ratio Please review all requirements for staff child ratio. Ratio should be in compliance at all times as outlined here: 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS. A follow-up visit will be conducted to monitor for compliance with staff child ratio. Administrative Action Repeat violations may result in an administrative action and possible written waning outlined as follows: 10A NCAC 09 .2203 WRITTEN WARNINGS A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: (a) supervision of children; (b) discipline, nurture, or care of children; (c) staff/child ratio; (d) group size; (e) licensed capacity; (f) permit restriction; (g) CPR training; (h) First Aid training; (i) ITS-SIDS training; and (j) criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. You can download the rules and general statutes form our website. I suggest you keep the most current rules on your desktop for easy reference. Understanding the New QRIS We discussed that CMS has determined that ASEP programs will complete Pathway 1. We reviewed section .3200 regarding Pathway 1, and you signed the QRIS Pathway Form. A copy was left with you. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. NCRLAP Training We discussed that you can prepare for SACERS-u by visiting the NC rate License Assessment Project (NCRLAP) website here: https://www.ncrlap.org/. There are training and resources available to assist you HERE: https://www.ncrlap.org/Resources/Training/Register/ MOODLE Trainings DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Staff and Training Worksheets We reviewed the staff and training worksheet on file together. We discussed that the expiration date should be listed for CPR/FA training and that the orientation date should be documented for both time requirements, the first two weeks and the first six weeks. Please retain all documentation of initial orientation and maltreatment. We discussed you will update the staff and training worksheet and have on file for your Annual Compliance Visit review. I was able to review all of the items needed for today’s visit using the notebooks. Training Documentation We discussed organizing the training certificates behind the On-Going Training under the training tab. The Health and Safety certificates should be organized behind the Health and Safety Training log and behind the health and safety training log. A current CPR/First Aid certification must be on file for all staff for review. ABCMS Roster Please have all substitutes link to your ABCMS Roster or if linked at another facility provide the primary facility ID # for review. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: Elizabeth Lane Elementary ASEP Facility ID: 60004251 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/27/2025 Number Present: 46 Completed Date: 10/27/2025 Age: From 5 To 10 Total Minutes: 120 Time In: 01:50 PM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The last annual compliance visit was conducted on February 10, 2025. The compliance history prior to today’s visit is 89%. The program currently operates with a four-star license, issued August 3, 2023, earning 7 points in the education component, 3 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point for offering staff benefits package, an infrastructure of parent involvement and having approved enhanced policies. The following items were monitored: supervision, staff/child ratio, CPR, First Aid, BSAC training, criminal background qualifying letters, EMC plan, administering medication, storage of hazardous products/medications, general safety, discipline, adequate/approved space, program records, license posted and permit restrictions. Upon arrival, I checked into the school’s main office. Zania Barbour, Site Coordinator, greeted me. I explained the purpose of the visit. Ms. Barbour and I were able to meet prior to the children’s arrival. I reviewed DCDEE notebook and found staff, children’s and transportation off site verification forms in compliance A fire drill was conducted on September 22, 2025. A shelter in place drill was conducted on August 26, 2025. The Staff and Training Worksheet was received today however; I did not use the worksheet for today’s visit. I reviewed each associate’s notebook and found staff with current criminal background checks and completed BSAC training. I reviewed on-going and health and safety training and found in compliance. One substitute did not have a current CPR/FA certification on file. She stated her certification is expired and she was scheduled to take the course today and forgot to attend. A violation was cited. I reviewed the portal and found the ABCMS roster. One substitute was not on the ABCMS Roster. Please see Technical Assistance. The children use the cafeteria as their primary space. Activity areas with sufficient materials in good repair were accessible to children today. I observed children arriving beginning at 2:40 pm. At 2:41 pm Groups 1 and 3 were combined. The ratio was 1:21. At 2:45 pm, Groups 1 and 3 were still combined. The ratio was 1:32. A violation was cited. At 2:51 the program was in compliance when one (1) substitute arrived. Staff were observed supervising and interacting with the children in a caring and nurturing manner. I observed children participating in arrival procedures, transitions, routines and snack. Snack consisted of a choice of apples and/or oranges and milk. There are no children currently enrolled requiring emergency medication. The following violations were cited today: Violation Number Comment Rule 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 (1) substitute stated she did not have current First Aid certification.A certification card was not on file for review. .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 (1) substitute stated she did not have current CPR certification. A certification card was not on file for review. .1102(d) 1756 Enhanced staff/child ratios and group sizes were not met. In Cafeteria, children were observed arriving at 2:40 pm. At 2:41 pm Groups 1 and 3 were combined. The ratio was 1:21. At 2:45 pm, Groups 1 and 3 were still combined. The ratio was 1:32. 10A NCAC 09 .2818 Compliance Statement: 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 November 10,2025 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. A follow-up visit will be conducted to monitor staff child ratio. 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. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov 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. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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. Technical Assistance Staff/Child Ratio Please review all requirements for staff child ratio. Ratio should be in compliance at all times as outlined here: 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS. A follow-up visit will be conducted to monitor for compliance with staff child ratio. Administrative Action Repeat violations may result in an administrative action and possible written waning outlined as follows: 10A NCAC 09 .2203 WRITTEN WARNINGS A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: (a) supervision of children; (b) discipline, nurture, or care of children; (c) staff/child ratio; (d) group size; (e) licensed capacity; (f) permit restriction; (g) CPR training; (h) First Aid training; (i) ITS-SIDS training; and (j) criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. You can download the rules and general statutes form our website. I suggest you keep the most current rules on your desktop for easy reference. Understanding the New QRIS We discussed that CMS has determined that ASEP programs will complete Pathway 1. We reviewed section .3200 regarding Pathway 1, and you signed the QRIS Pathway Form. A copy was left with you. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. NCRLAP Training We discussed that you can prepare for SACERS-u by visiting the NC rate License Assessment Project (NCRLAP) website here: https://www.ncrlap.org/. There are training and resources available to assist you HERE: https://www.ncrlap.org/Resources/Training/Register/ MOODLE Trainings DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Staff and Training Worksheets We reviewed the staff and training worksheet on file together. We discussed that the expiration date should be listed for CPR/FA training and that the orientation date should be documented for both time requirements, the first two weeks and the first six weeks. Please retain all documentation of initial orientation and maltreatment. We discussed you will update the staff and training worksheet and have on file for your Annual Compliance Visit review. I was able to review all of the items needed for today’s visit using the notebooks. Training Documentation We discussed organizing the training certificates behind the On-Going Training under the training tab. The Health and Safety certificates should be organized behind the Health and Safety Training log and behind the health and safety training log. A current CPR/First Aid certification must be on file for all staff for review. ABCMS Roster Please have all substitutes link to your ABCMS Roster or if linked at another facility provide the primary facility ID # for review. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: Elizabeth Lane Elementary ASEP Facility ID: 60004251 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 2/10/2025 Number Present: 41 Completed Date: 2/10/2025 Age: From 5 To 10 Total Minutes: 155 Time In: 02:05 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The last annual compliance visit was conducted on February 20, 2024. The program currently operates with a four-star license, issued August 3, 2023, earning 7 points in the education component, 3 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point for offering staff benefits package, an infrastructure of parent involvement and having approved enhanced policies. Upon arrival, I was greeted by David Gentry, Site Coordinator. Mr. Gentry was on site to substitute for Zania Barbour, Program Coordinator. Ms. Barbour is out due to illness. Mr. Gentry assisted me with the visit until Leigh Bishop, Administrator arrived on site. I arrived prior to the children’s arrival and was provided notebooks with all the paperwork I needed to review during the annual compliance visit. The current Public-School Off-Site Verification Form for Staff Records, Children's Record and Transportation was signed and on file with each current staff listed and all current children enrolled listed for after school. I reviewed the current Staff and Training Worksheet. Each group leader is current with their Health and Safety Training, First Aid and CPR. All staff at this site have their CBC qualification letter and BSAC. Mr. Gentry and one substitute, D. Kressner, did not have a file on site for review and were not on the worksheet. I checked ABCMS and found Mr. Gentry qualified. Ms. Bishop stated she would contact CMS HR to obtain the letter. I could not find a current qualifying letter for Dina Kressner, substitute on file. One substitute, S. Timko, had a file on site for review, however the training records were not complete and certificates were not available for review. Program records were monitored. The emergency drill log was reviewed and found meeting compliance. The last fire drill was conducted on January 17, 2025. The last shelter-in-place drill was conducted on December 20, 2024. The shelter in place log did not have a documented drill at least every three months. There was not a shelter-in-place drill documented for August and the September drill was documented September 3, 2024.The playground inspections were reviewed and found in compliance. The incident log was reviewed and found in compliance. The last sanitation inspection was completed October 1, 2024, with a Superior classification. The last fire inspection was conducted on January 8, 2025. Cleaning supplies were monitored, and a violation was cited. General safety requirements were monitored and found meeting compliance. I reviewed the current ASEP bulletin board inside the cafeteria and observed all information required to be posted. Current activity plans were reviewed, and 5-7 interest centers for each group were set up. The teacher directed activity plans were observed on each cart and were completed and posted before the children arrived. The menu was posted and current. It was reported that no children currently have emergency medication. As children arrived, they placed their belongings down and attendance was taken. Attendance was monitored and found in compliance. The children were taken by groups to use the restroom and to wash hands. During the visit, children were observed in the indoor learning environment, eating snacks and participating in learning center and homework. Supervision and staff/child ratios in compliance. Nurturing and caring tones were observed as the staff interacted with the children. It was reported that the children play on the black top outside the cafeteria. I observed the area during bus rider dismissal and found in compliance. I observed children playing dodge ball in the gym and found the area in compliance. The following violations were cited: Violation Number Comment Rule 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. Lysol disinfectant wipes and Super Sorb was observed on a cart accessible to children. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. One staff, D. Kressner does not have a CBC letter. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Two (2) substitute staff on site did not have a file available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. One Substitute, Dina Kressner, did not have a qualifying letter on file to review. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was not conducted initially in August, 2024 and then every three months. Drills were conducted 9/3/2024 and 12/20/2024. conducted 12/20/2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One substitute staff did not have a training certificate on file for review. .1102(g) Compliance Statement: 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 24,2025 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 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. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov Technical Assistance: Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. We discussed substitutes maintaining a personnel file for review to take from site to site. We discussed updating the health and safety and on-going training forms for all substitutes. We discussed that Ms. Kressner should be able to provide a qualifying letter DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. You can find the most Summary of Law dated September 2023 to print and post. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. 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. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in 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. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Leigh Bishop, Administrator. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.EddinsSmith@dhhs.nc.gov or 980-748-6270. 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. 110-91 · Violation

Name of Operation: Elizabeth Lane Elementary ASEP Facility ID: 60004251 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 2/10/2025 Number Present: 41 Completed Date: 2/10/2025 Age: From 5 To 10 Total Minutes: 155 Time In: 02:05 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The last annual compliance visit was conducted on February 20, 2024. The program currently operates with a four-star license, issued August 3, 2023, earning 7 points in the education component, 3 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point for offering staff benefits package, an infrastructure of parent involvement and having approved enhanced policies. Upon arrival, I was greeted by David Gentry, Site Coordinator. Mr. Gentry was on site to substitute for Zania Barbour, Program Coordinator. Ms. Barbour is out due to illness. Mr. Gentry assisted me with the visit until Leigh Bishop, Administrator arrived on site. I arrived prior to the children’s arrival and was provided notebooks with all the paperwork I needed to review during the annual compliance visit. The current Public-School Off-Site Verification Form for Staff Records, Children's Record and Transportation was signed and on file with each current staff listed and all current children enrolled listed for after school. I reviewed the current Staff and Training Worksheet. Each group leader is current with their Health and Safety Training, First Aid and CPR. All staff at this site have their CBC qualification letter and BSAC. Mr. Gentry and one substitute, D. Kressner, did not have a file on site for review and were not on the worksheet. I checked ABCMS and found Mr. Gentry qualified. Ms. Bishop stated she would contact CMS HR to obtain the letter. I could not find a current qualifying letter for Dina Kressner, substitute on file. One substitute, S. Timko, had a file on site for review, however the training records were not complete and certificates were not available for review. Program records were monitored. The emergency drill log was reviewed and found meeting compliance. The last fire drill was conducted on January 17, 2025. The last shelter-in-place drill was conducted on December 20, 2024. The shelter in place log did not have a documented drill at least every three months. There was not a shelter-in-place drill documented for August and the September drill was documented September 3, 2024.The playground inspections were reviewed and found in compliance. The incident log was reviewed and found in compliance. The last sanitation inspection was completed October 1, 2024, with a Superior classification. The last fire inspection was conducted on January 8, 2025. Cleaning supplies were monitored, and a violation was cited. General safety requirements were monitored and found meeting compliance. I reviewed the current ASEP bulletin board inside the cafeteria and observed all information required to be posted. Current activity plans were reviewed, and 5-7 interest centers for each group were set up. The teacher directed activity plans were observed on each cart and were completed and posted before the children arrived. The menu was posted and current. It was reported that no children currently have emergency medication. As children arrived, they placed their belongings down and attendance was taken. Attendance was monitored and found in compliance. The children were taken by groups to use the restroom and to wash hands. During the visit, children were observed in the indoor learning environment, eating snacks and participating in learning center and homework. Supervision and staff/child ratios in compliance. Nurturing and caring tones were observed as the staff interacted with the children. It was reported that the children play on the black top outside the cafeteria. I observed the area during bus rider dismissal and found in compliance. I observed children playing dodge ball in the gym and found the area in compliance. The following violations were cited: Violation Number Comment Rule 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. Lysol disinfectant wipes and Super Sorb was observed on a cart accessible to children. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. One staff, D. Kressner does not have a CBC letter. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Two (2) substitute staff on site did not have a file available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. One Substitute, Dina Kressner, did not have a qualifying letter on file to review. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was not conducted initially in August, 2024 and then every three months. Drills were conducted 9/3/2024 and 12/20/2024. conducted 12/20/2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One substitute staff did not have a training certificate on file for review. .1102(g) Compliance Statement: 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 24,2025 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 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. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov Technical Assistance: Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. We discussed substitutes maintaining a personnel file for review to take from site to site. We discussed updating the health and safety and on-going training forms for all substitutes. We discussed that Ms. Kressner should be able to provide a qualifying letter DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. You can find the most Summary of Law dated September 2023 to print and post. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. 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. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in 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. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Leigh Bishop, Administrator. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.EddinsSmith@dhhs.nc.gov or 980-748-6270. 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: Elizabeth Lane Elementary ASEP Facility ID: 60004251 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 2/10/2025 Number Present: 41 Completed Date: 2/10/2025 Age: From 5 To 10 Total Minutes: 155 Time In: 02:05 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The last annual compliance visit was conducted on February 20, 2024. The program currently operates with a four-star license, issued August 3, 2023, earning 7 points in the education component, 3 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point for offering staff benefits package, an infrastructure of parent involvement and having approved enhanced policies. Upon arrival, I was greeted by David Gentry, Site Coordinator. Mr. Gentry was on site to substitute for Zania Barbour, Program Coordinator. Ms. Barbour is out due to illness. Mr. Gentry assisted me with the visit until Leigh Bishop, Administrator arrived on site. I arrived prior to the children’s arrival and was provided notebooks with all the paperwork I needed to review during the annual compliance visit. The current Public-School Off-Site Verification Form for Staff Records, Children's Record and Transportation was signed and on file with each current staff listed and all current children enrolled listed for after school. I reviewed the current Staff and Training Worksheet. Each group leader is current with their Health and Safety Training, First Aid and CPR. All staff at this site have their CBC qualification letter and BSAC. Mr. Gentry and one substitute, D. Kressner, did not have a file on site for review and were not on the worksheet. I checked ABCMS and found Mr. Gentry qualified. Ms. Bishop stated she would contact CMS HR to obtain the letter. I could not find a current qualifying letter for Dina Kressner, substitute on file. One substitute, S. Timko, had a file on site for review, however the training records were not complete and certificates were not available for review. Program records were monitored. The emergency drill log was reviewed and found meeting compliance. The last fire drill was conducted on January 17, 2025. The last shelter-in-place drill was conducted on December 20, 2024. The shelter in place log did not have a documented drill at least every three months. There was not a shelter-in-place drill documented for August and the September drill was documented September 3, 2024.The playground inspections were reviewed and found in compliance. The incident log was reviewed and found in compliance. The last sanitation inspection was completed October 1, 2024, with a Superior classification. The last fire inspection was conducted on January 8, 2025. Cleaning supplies were monitored, and a violation was cited. General safety requirements were monitored and found meeting compliance. I reviewed the current ASEP bulletin board inside the cafeteria and observed all information required to be posted. Current activity plans were reviewed, and 5-7 interest centers for each group were set up. The teacher directed activity plans were observed on each cart and were completed and posted before the children arrived. The menu was posted and current. It was reported that no children currently have emergency medication. As children arrived, they placed their belongings down and attendance was taken. Attendance was monitored and found in compliance. The children were taken by groups to use the restroom and to wash hands. During the visit, children were observed in the indoor learning environment, eating snacks and participating in learning center and homework. Supervision and staff/child ratios in compliance. Nurturing and caring tones were observed as the staff interacted with the children. It was reported that the children play on the black top outside the cafeteria. I observed the area during bus rider dismissal and found in compliance. I observed children playing dodge ball in the gym and found the area in compliance. The following violations were cited: Violation Number Comment Rule 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. Lysol disinfectant wipes and Super Sorb was observed on a cart accessible to children. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. One staff, D. Kressner does not have a CBC letter. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Two (2) substitute staff on site did not have a file available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. One Substitute, Dina Kressner, did not have a qualifying letter on file to review. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was not conducted initially in August, 2024 and then every three months. Drills were conducted 9/3/2024 and 12/20/2024. conducted 12/20/2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One substitute staff did not have a training certificate on file for review. .1102(g) Compliance Statement: 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 24,2025 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 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. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov Technical Assistance: Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. We discussed substitutes maintaining a personnel file for review to take from site to site. We discussed updating the health and safety and on-going training forms for all substitutes. We discussed that Ms. Kressner should be able to provide a qualifying letter DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. You can find the most Summary of Law dated September 2023 to print and post. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. 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. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in 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. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Leigh Bishop, Administrator. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.EddinsSmith@dhhs.nc.gov or 980-748-6270. 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 .2818 · Violation

Name of Operation: Elizabeth Lane Elementary ASEP Facility ID: 60004251 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 9/23/2024 Number Present: 45 Completed Date: 9/23/2024 Age: From 5 To 10 Total Minutes: 115 Time In: 01:50 PM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates a Four Star Rated License with an effective date of August 3, 2023. The program’s compliance history before today’s visit was 96%. Upon arrival, I checked into the school’s main office. Program Coordinator, Z. Barbour, assisted me with today’s visit. The cafeteria is used as the primary space for the program. Activity areas were set in the cafeteria. Activity areas included writing, reading, science, math, homework activities, manipulatives, and art. Upon arrival of the children, there were three groups with two staff members and a total of forty-five children. Group one had a total of twelve children present. The children were five and six years of age. Group two had a total of seventeen children present and group three a total of sixteen children present. The children were seven to ten years of age. The groups were kept separate in areas of the cafeteria and participated in personal care routines, homework activities and snack. Snack consisted of 1% low-fat milk and a mixed fruit cup. The Program Coordinator stated that the facility was in the process of hiring a permanent staff member and the today’s substitute is also a Teacher’s Assistant at another school and would be arriving approximately 3:15PM. The substitute arrived at approximately 3:17PM. The following items were monitored: supervision, staff/child ratio, CPR, First Aid, BSAC training, Playground Safety training, criminal background qualifying letters, EMC plan, administering medication, storage of hazardous products/medications, general safety, discipline, adequate/approved space, program records, license posted and permit restrictions. There have been no new staff hired since the last annual compliance visit conducted on January 20, 2024. Files were reviewed today to confirm staff, including the substitute were current with First Aid, CPR, and criminal background checks. The last fire drill was conducted on August 28, 2024, and a shelter-in-place drill on September 2, 2024. Outdoor safety checks were also monitored a wend found to be in compliance. There was one violation observed today. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. There was a total of forty-five children present with two staff members from 2:45PM to 3:17PM. The children were five years to ten years of age. 10A NCAC 09 .2818 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 violations documented may impact the compliance history score. The violation documented must be corrected immediately. On or before October 7, 2024, 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 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. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov -A conversation was held with the Program Coordinator regarding staff/child ratios. She stated the After-School Enrichment Program is in the process of hiring a permanent staff and until then she would have to rely on substitutes. The children’s dismissal time from school to the after-school program is 2:45PM. Staff must be in place at dismissal time to ensure staff/child ratios are in compliance. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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

NC GS 110-90 · Violation

Name of Operation: Elizabeth Lane Elementary ASEP Facility ID: 60004251 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 9/23/2024 Number Present: 45 Completed Date: 9/23/2024 Age: From 5 To 10 Total Minutes: 115 Time In: 01:50 PM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates a Four Star Rated License with an effective date of August 3, 2023. The program’s compliance history before today’s visit was 96%. Upon arrival, I checked into the school’s main office. Program Coordinator, Z. Barbour, assisted me with today’s visit. The cafeteria is used as the primary space for the program. Activity areas were set in the cafeteria. Activity areas included writing, reading, science, math, homework activities, manipulatives, and art. Upon arrival of the children, there were three groups with two staff members and a total of forty-five children. Group one had a total of twelve children present. The children were five and six years of age. Group two had a total of seventeen children present and group three a total of sixteen children present. The children were seven to ten years of age. The groups were kept separate in areas of the cafeteria and participated in personal care routines, homework activities and snack. Snack consisted of 1% low-fat milk and a mixed fruit cup. The Program Coordinator stated that the facility was in the process of hiring a permanent staff member and the today’s substitute is also a Teacher’s Assistant at another school and would be arriving approximately 3:15PM. The substitute arrived at approximately 3:17PM. The following items were monitored: supervision, staff/child ratio, CPR, First Aid, BSAC training, Playground Safety training, criminal background qualifying letters, EMC plan, administering medication, storage of hazardous products/medications, general safety, discipline, adequate/approved space, program records, license posted and permit restrictions. There have been no new staff hired since the last annual compliance visit conducted on January 20, 2024. Files were reviewed today to confirm staff, including the substitute were current with First Aid, CPR, and criminal background checks. The last fire drill was conducted on August 28, 2024, and a shelter-in-place drill on September 2, 2024. Outdoor safety checks were also monitored a wend found to be in compliance. There was one violation observed today. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. There was a total of forty-five children present with two staff members from 2:45PM to 3:17PM. The children were five years to ten years of age. 10A NCAC 09 .2818 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 violations documented may impact the compliance history score. The violation documented must be corrected immediately. On or before October 7, 2024, 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 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. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov -A conversation was held with the Program Coordinator regarding staff/child ratios. She stated the After-School Enrichment Program is in the process of hiring a permanent staff and until then she would have to rely on substitutes. The children’s dismissal time from school to the after-school program is 2:45PM. Staff must be in place at dismissal time to ensure staff/child ratios are in compliance. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .0605 · Violation

Name of Operation: Elizabeth Lane Elementary ASEP Facility ID: 60004251 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 47 Completed Date: 2/20/2024 Age: From 5 To 10 Total Minutes: 115 Time In: 01:50 PM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Z. Barbour, Program Coordinator assisted me with the visit. Your program currently operates with a four-star license, issued August 3, 2023, earning 7 points in the education component, 3 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point for offering staff benefits package, an infrastructure of parent involvement and having approved enhanced policies. The sanitation inspection was completed November 8, 2023, with a “Superior” classification. The last fire inspection was conducted January 10, 2024. The last fire drill was conducted on January 30, 2024. A shelter-in-place and lockdown drills were conducted on December 5, 2023. During the visit, children were observed in the indoor learning environment and supervision and staff/child ratios were found to be in compliance. The cafeteria is used as the children’s primary space. Activities areas include books, math, writing, global world studies, and science. The Children were observed participating in arrival procedures, personal care routines, and snack. Snack consisted of mozzarella string cheese, graham crackers and a choice of 100% apple juice or 1% low-fat milk. Staff members were supervising and interacting with the children in a caring and nurturing manner. Public School Off-Site Records Verification forms for staff and children for the 2023-2024 school year was reviewed today. There were two violations cited and one corrected today. Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Verification was not on file that a playground inspection was completed for December 2023. .0605(q) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Verification was not on file that two staff members had completed health and safety training within five years of previously completing the training. .1103(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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations was corrected. 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. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided. A conversation was held with the Program Coordinator regarding monthly playground inspections. A suggestion was made to have a staff member complete the inspections in her absence since the staff member has also completed playground safety training. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Health and Safety training in required topic areas is required within the first year of employment and every five years thereafter. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .1102 · Violation

Name of Operation: Elizabeth Lane Elementary ASEP Facility ID: 60004251 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 47 Completed Date: 2/20/2024 Age: From 5 To 10 Total Minutes: 115 Time In: 01:50 PM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Z. Barbour, Program Coordinator assisted me with the visit. Your program currently operates with a four-star license, issued August 3, 2023, earning 7 points in the education component, 3 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point for offering staff benefits package, an infrastructure of parent involvement and having approved enhanced policies. The sanitation inspection was completed November 8, 2023, with a “Superior” classification. The last fire inspection was conducted January 10, 2024. The last fire drill was conducted on January 30, 2024. A shelter-in-place and lockdown drills were conducted on December 5, 2023. During the visit, children were observed in the indoor learning environment and supervision and staff/child ratios were found to be in compliance. The cafeteria is used as the children’s primary space. Activities areas include books, math, writing, global world studies, and science. The Children were observed participating in arrival procedures, personal care routines, and snack. Snack consisted of mozzarella string cheese, graham crackers and a choice of 100% apple juice or 1% low-fat milk. Staff members were supervising and interacting with the children in a caring and nurturing manner. Public School Off-Site Records Verification forms for staff and children for the 2023-2024 school year was reviewed today. There were two violations cited and one corrected today. Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Verification was not on file that a playground inspection was completed for December 2023. .0605(q) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Verification was not on file that two staff members had completed health and safety training within five years of previously completing the training. .1103(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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations was corrected. 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. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided. A conversation was held with the Program Coordinator regarding monthly playground inspections. A suggestion was made to have a staff member complete the inspections in her absence since the staff member has also completed playground safety training. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Health and Safety training in required topic areas is required within the first year of employment and every five years thereafter. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .1103 · Violation

Name of Operation: Elizabeth Lane Elementary ASEP Facility ID: 60004251 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 47 Completed Date: 2/20/2024 Age: From 5 To 10 Total Minutes: 115 Time In: 01:50 PM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Z. Barbour, Program Coordinator assisted me with the visit. Your program currently operates with a four-star license, issued August 3, 2023, earning 7 points in the education component, 3 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point for offering staff benefits package, an infrastructure of parent involvement and having approved enhanced policies. The sanitation inspection was completed November 8, 2023, with a “Superior” classification. The last fire inspection was conducted January 10, 2024. The last fire drill was conducted on January 30, 2024. A shelter-in-place and lockdown drills were conducted on December 5, 2023. During the visit, children were observed in the indoor learning environment and supervision and staff/child ratios were found to be in compliance. The cafeteria is used as the children’s primary space. Activities areas include books, math, writing, global world studies, and science. The Children were observed participating in arrival procedures, personal care routines, and snack. Snack consisted of mozzarella string cheese, graham crackers and a choice of 100% apple juice or 1% low-fat milk. Staff members were supervising and interacting with the children in a caring and nurturing manner. Public School Off-Site Records Verification forms for staff and children for the 2023-2024 school year was reviewed today. There were two violations cited and one corrected today. Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Verification was not on file that a playground inspection was completed for December 2023. .0605(q) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Verification was not on file that two staff members had completed health and safety training within five years of previously completing the training. .1103(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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations was corrected. 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. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided. A conversation was held with the Program Coordinator regarding monthly playground inspections. A suggestion was made to have a staff member complete the inspections in her absence since the staff member has also completed playground safety training. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Health and Safety training in required topic areas is required within the first year of employment and every five years thereafter. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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

NC GS 110-90 · Violation

Name of Operation: Elizabeth Lane Elementary ASEP Facility ID: 60004251 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 47 Completed Date: 2/20/2024 Age: From 5 To 10 Total Minutes: 115 Time In: 01:50 PM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Z. Barbour, Program Coordinator assisted me with the visit. Your program currently operates with a four-star license, issued August 3, 2023, earning 7 points in the education component, 3 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point for offering staff benefits package, an infrastructure of parent involvement and having approved enhanced policies. The sanitation inspection was completed November 8, 2023, with a “Superior” classification. The last fire inspection was conducted January 10, 2024. The last fire drill was conducted on January 30, 2024. A shelter-in-place and lockdown drills were conducted on December 5, 2023. During the visit, children were observed in the indoor learning environment and supervision and staff/child ratios were found to be in compliance. The cafeteria is used as the children’s primary space. Activities areas include books, math, writing, global world studies, and science. The Children were observed participating in arrival procedures, personal care routines, and snack. Snack consisted of mozzarella string cheese, graham crackers and a choice of 100% apple juice or 1% low-fat milk. Staff members were supervising and interacting with the children in a caring and nurturing manner. Public School Off-Site Records Verification forms for staff and children for the 2023-2024 school year was reviewed today. There were two violations cited and one corrected today. Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Verification was not on file that a playground inspection was completed for December 2023. .0605(q) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Verification was not on file that two staff members had completed health and safety training within five years of previously completing the training. .1103(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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations was corrected. 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. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided. A conversation was held with the Program Coordinator regarding monthly playground inspections. A suggestion was made to have a staff member complete the inspections in her absence since the staff member has also completed playground safety training. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Health and Safety training in required topic areas is required within the first year of employment and every five years thereafter. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .0901 · Violation

Name of Operation: Elizabeth Lane Elementary ASEP Facility ID: 60004251 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 40 Completed Date: 11/8/2023 Age: From 5 To 10 Total Minutes: 105 Time In: 01:35 PM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates a Four Star Rated License with an effective date of August 3, 2023. The program’s compliance history before today’s visit was 98%. The license was posted, and the restrictions were in compliance. Upon arrival, I checked into the school’s main office. The Site Coordinator was not present today therefore, another staff member, V. Thomas, met me in the office and escorted me to the cafeteria. The cafeteria is used as the primary space for the program. L. Bishop, CMS Afterschool Administrator arrived approximately 45 minutes after my arrival. The following items were monitored during today’s visit, supervision, staff/child ratio, first aid, CPR, special training, criminal background checks, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed participating in arrival procedures, transitions and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. There have been no new staff hired since the last visit on May 8, 2023. First Aid, CPR, criminal background checks and BSAC for existing staff was monitored and confirmed in compliance. A Fire inspection has not occurred since the last visit and remains current. An Environmental Health Specialist conducted an inspection during the visit today. The facility received two demerits and a “Superior” classification. One violation was observed today. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated for October 2, 2023-November 3, 2023. 10A NCAC 09 .0901(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 documented must be corrected immediately. On or before November 22, 2023 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: Kaye Dunlap, Child Care Consultant 3109 Wyntree Court Matthews, NC 28104 Kaye.Dunlap@dhhs.nc.gov The Administrator was reminded that the facility’s unannounced annual compliance visit will be conducted in February 2024. 10A NCAC 09 .0901 General Nutrition Requirements- requires that a current menu be posted where it can be easily seen by parents and food preparation staff. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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

NC GS 110-90 · Violation

Name of Operation: Elizabeth Lane Elementary ASEP Facility ID: 60004251 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 40 Completed Date: 11/8/2023 Age: From 5 To 10 Total Minutes: 105 Time In: 01:35 PM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates a Four Star Rated License with an effective date of August 3, 2023. The program’s compliance history before today’s visit was 98%. The license was posted, and the restrictions were in compliance. Upon arrival, I checked into the school’s main office. The Site Coordinator was not present today therefore, another staff member, V. Thomas, met me in the office and escorted me to the cafeteria. The cafeteria is used as the primary space for the program. L. Bishop, CMS Afterschool Administrator arrived approximately 45 minutes after my arrival. The following items were monitored during today’s visit, supervision, staff/child ratio, first aid, CPR, special training, criminal background checks, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed participating in arrival procedures, transitions and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. There have been no new staff hired since the last visit on May 8, 2023. First Aid, CPR, criminal background checks and BSAC for existing staff was monitored and confirmed in compliance. A Fire inspection has not occurred since the last visit and remains current. An Environmental Health Specialist conducted an inspection during the visit today. The facility received two demerits and a “Superior” classification. One violation was observed today. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated for October 2, 2023-November 3, 2023. 10A NCAC 09 .0901(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 documented must be corrected immediately. On or before November 22, 2023 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: Kaye Dunlap, Child Care Consultant 3109 Wyntree Court Matthews, NC 28104 Kaye.Dunlap@dhhs.nc.gov The Administrator was reminded that the facility’s unannounced annual compliance visit will be conducted in February 2024. 10A NCAC 09 .0901 General Nutrition Requirements- requires that a current menu be posted where it can be easily seen by parents and food preparation staff. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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