10A NCAC 09 .0701 · Violation

Name of Operation: LA PETITE ACADEMY Facility ID: 92003294 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 94 Completed Date: 4/2/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 09:00 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance with rated license assessment. Upon arrival, I was greeted by a center administrator, Latifah Jacobs, who accompanied me on a walk- through of the indoor and outdoor learning environments. I observed groups of children engaged in free play in their classrooms and outdoors. I also observed infant rest time and meal time and hand washing in a classroom for older children. By the time we had completed the walk-through, the director, Kathleen Barber-Brown had arrived and assisted me with the rest of the visit. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 7/17/18. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. Full rated license assessments will occur based on the program’s Cohort assignment; your program is in Cohort 1, therefore your assessment period would begin on or around July 1, 2024. You had prep year Environment Rating Scales Assessments conducted 3/13/24 and today, we discussed the results of the assessment. During today’s visit, we discussed the center’s indoor space calculations which are based at 35 square feet per child, because there was not enough outdoor space to meet the requirement of 100 square feet per the total licensed capacity. A new rule, 10A NCAC 09 .2809 (a), states, “There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time.” This means that the center now has the option of reducing their indoor square footage to 30 square feet per child. When considering if this change will be beneficial to the center, we discussed the following factors. No class should exceed the number of students permitted in the space. No class should exceed the number of students permitted by the maximum group size, which is determined by the age of the children assigned to the class space. You stated that you would like to discuss these options with your district manager, and you will follow up with me if you wish to make any changes to your license. INSPECTIONS The last sanitation was completed on 9/12/23. The last fire inspection was completed 3/7/24. The last documented fire drill was conducted 3/12/24. The last documented lock down or shelter-in-place drill was conducted 3/6/24. The last documented playground inspection was conducted 3/12/24. MONITORING During this visit a full assessment of Child Care Requirements was conducted. The center does not currently provide transportation or care for school-aged children, therefore, these requirements were not assessed. Staff on-going training was assessed from 5/1/23 – 4/30/24. The following violations were observed and recorded during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. There was one medication in a classroom without an authorization form and another authorization form, for a child's emergency medication had expired in February. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Soiled clothing is stored in plastic bags in the hallway, resulting in the plastic being accessible to children. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member did not have a medical report on file. 10A NCAC 09 .0701(a) 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 staff member did not complete this training within their first 90 days of employment. .1102(g) The above violations must be corrected immediately. By 2/16/24 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it my attention at 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made. COMPLIANCE HISTORY Prior to today’s visit, the compliance history score for the center was 92%. TECHNICAL ASSISTANCE Current medication authorization forms, signed by the parent, must accompany all medications. There was a topical ointment without an authorization form in one classroom and the medication administration form for one child’s emergency medications expired in February 2024. I recommend having parents drop off medications at the front desk so an administrator can review the authorization forms before they are placed in the classroom. Then medication and their accompanying documents should be reviewed periodically. In addition, the allergy care plan is valid for one year, but the medication authorization forms for emergency medications should be renewed every 6 months. In the hallway outside of each classroom is a basket where soiled clothing is kept. Plastic bags are used to store dirty clothes. Plastic and foam should not be accessible for children under 3 years of age. Since the children do walk through the hallway areas, they currently do have access to the plastic bags. Soiled clothing can be stored in locked areas or at least 5 feet above the ground. One staff member’s medical form was not on file. Staff medical reports and the results from tb tests should be on file by the employee’s first day. One staff member has completed the Recognizing and Responding to Suspicions of Child Maltreatment training, but it was not completed within her first 90 days of employment. This training should be completed within an employee’s first 90 days of employment and every 5 years thereafter. . CONSULTATION Child Care facilities are required to test their drinking and cooking water for lead every three years. It may be time to test your program’s water. For information you should contact Clean Water for Carolina Kids. Contact www.cleanwaterforcarolinakids.org for more information. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration into your web browser. Additional information can be found in the RaiseNC newsletter sent on December 7, 2023. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. There is a link to this training on Moodle. I noticed that the soil is eroding on the playground used by the older children. This is resulting in some roots beginning to be exposed and may pose a tripping hazard. Please address this with your facilities manager and develop a plan to prevent these potential hazards. ENVIRONMENT RATING ASSESSMENT The ITERS-R was completed on 3/13/24 and they received a score of 4.27 and 5.23 The ECERS-R was completed on 3/13/24 and they received a score of 5.09. The overall average of scores is 4.86 CONSULTATION Technical assistance is provided for items noted in the Environment Rating Scales that could be a potential violation. ITERS Item 4, Indicators 3.5 and 5.2 There was concern with supervision regarding classroom arrangement, especially if there is only one person present in the classroom. We discussed strategies to reduce the risk of supervision concerns. Item 7, Indicator 3.5 We discussed Meal Pattern requirements. The director has addressed this concern and they now make certain that all meals meet the required meal pattern requirements. Item 8 Indicator 3.2 It was noted that cots were placed 11 – 24 inches apart. Sanitation requires cots or mats to be placed at least 18 inches apart or be separated by a solid, washable barrier. Item 9, Indicator 1.2 Diapers should be changed when needed, rather than on a shift basis. Item 10, Indicators 3.1 and 3.2 Remind staff to remove all mouthed toys to prevent another child from handling the toy until it has been cleaned and sanitized. Review times that staff and children’s handwashing should be completed. Item 11, Indicator 5.1 Care should be taken to avoid spraying sanitizer or disinfectant solution when children are close by. Teachers should lift the children by their torsos to avoid potential injuries to the child’s joints. Item 12, Indicator 3.4 Staff should use redirection and positive interactions with the children, meaning they should refrain from frequently saying no. Instead, they should focus on communicating with the child what they want the child to do. Item 25, Indicator 3.1 and 5.1 Staff should work together to avoid times when both staff members have their backs turned to the group. They should also quickly respond to children when they need assistance. ECERS-R Item 12, Indicator 3.1 Review the times and situations when multi-use sinks should be cleaned and sanitized or disinfected. **It is important to note that changes to any rated license component may result in a change in your star-rated license. If you have any further questions or need any assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: LA PETITE ACADEMY Facility ID: 92003294 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 94 Completed Date: 4/2/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 09:00 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance with rated license assessment. Upon arrival, I was greeted by a center administrator, Latifah Jacobs, who accompanied me on a walk- through of the indoor and outdoor learning environments. I observed groups of children engaged in free play in their classrooms and outdoors. I also observed infant rest time and meal time and hand washing in a classroom for older children. By the time we had completed the walk-through, the director, Kathleen Barber-Brown had arrived and assisted me with the rest of the visit. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 7/17/18. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. Full rated license assessments will occur based on the program’s Cohort assignment; your program is in Cohort 1, therefore your assessment period would begin on or around July 1, 2024. You had prep year Environment Rating Scales Assessments conducted 3/13/24 and today, we discussed the results of the assessment. During today’s visit, we discussed the center’s indoor space calculations which are based at 35 square feet per child, because there was not enough outdoor space to meet the requirement of 100 square feet per the total licensed capacity. A new rule, 10A NCAC 09 .2809 (a), states, “There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time.” This means that the center now has the option of reducing their indoor square footage to 30 square feet per child. When considering if this change will be beneficial to the center, we discussed the following factors. No class should exceed the number of students permitted in the space. No class should exceed the number of students permitted by the maximum group size, which is determined by the age of the children assigned to the class space. You stated that you would like to discuss these options with your district manager, and you will follow up with me if you wish to make any changes to your license. INSPECTIONS The last sanitation was completed on 9/12/23. The last fire inspection was completed 3/7/24. The last documented fire drill was conducted 3/12/24. The last documented lock down or shelter-in-place drill was conducted 3/6/24. The last documented playground inspection was conducted 3/12/24. MONITORING During this visit a full assessment of Child Care Requirements was conducted. The center does not currently provide transportation or care for school-aged children, therefore, these requirements were not assessed. Staff on-going training was assessed from 5/1/23 – 4/30/24. The following violations were observed and recorded during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. There was one medication in a classroom without an authorization form and another authorization form, for a child's emergency medication had expired in February. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Soiled clothing is stored in plastic bags in the hallway, resulting in the plastic being accessible to children. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member did not have a medical report on file. 10A NCAC 09 .0701(a) 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 staff member did not complete this training within their first 90 days of employment. .1102(g) The above violations must be corrected immediately. By 2/16/24 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it my attention at 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made. COMPLIANCE HISTORY Prior to today’s visit, the compliance history score for the center was 92%. TECHNICAL ASSISTANCE Current medication authorization forms, signed by the parent, must accompany all medications. There was a topical ointment without an authorization form in one classroom and the medication administration form for one child’s emergency medications expired in February 2024. I recommend having parents drop off medications at the front desk so an administrator can review the authorization forms before they are placed in the classroom. Then medication and their accompanying documents should be reviewed periodically. In addition, the allergy care plan is valid for one year, but the medication authorization forms for emergency medications should be renewed every 6 months. In the hallway outside of each classroom is a basket where soiled clothing is kept. Plastic bags are used to store dirty clothes. Plastic and foam should not be accessible for children under 3 years of age. Since the children do walk through the hallway areas, they currently do have access to the plastic bags. Soiled clothing can be stored in locked areas or at least 5 feet above the ground. One staff member’s medical form was not on file. Staff medical reports and the results from tb tests should be on file by the employee’s first day. One staff member has completed the Recognizing and Responding to Suspicions of Child Maltreatment training, but it was not completed within her first 90 days of employment. This training should be completed within an employee’s first 90 days of employment and every 5 years thereafter. . CONSULTATION Child Care facilities are required to test their drinking and cooking water for lead every three years. It may be time to test your program’s water. For information you should contact Clean Water for Carolina Kids. Contact www.cleanwaterforcarolinakids.org for more information. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration into your web browser. Additional information can be found in the RaiseNC newsletter sent on December 7, 2023. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. There is a link to this training on Moodle. I noticed that the soil is eroding on the playground used by the older children. This is resulting in some roots beginning to be exposed and may pose a tripping hazard. Please address this with your facilities manager and develop a plan to prevent these potential hazards. ENVIRONMENT RATING ASSESSMENT The ITERS-R was completed on 3/13/24 and they received a score of 4.27 and 5.23 The ECERS-R was completed on 3/13/24 and they received a score of 5.09. The overall average of scores is 4.86 CONSULTATION Technical assistance is provided for items noted in the Environment Rating Scales that could be a potential violation. ITERS Item 4, Indicators 3.5 and 5.2 There was concern with supervision regarding classroom arrangement, especially if there is only one person present in the classroom. We discussed strategies to reduce the risk of supervision concerns. Item 7, Indicator 3.5 We discussed Meal Pattern requirements. The director has addressed this concern and they now make certain that all meals meet the required meal pattern requirements. Item 8 Indicator 3.2 It was noted that cots were placed 11 – 24 inches apart. Sanitation requires cots or mats to be placed at least 18 inches apart or be separated by a solid, washable barrier. Item 9, Indicator 1.2 Diapers should be changed when needed, rather than on a shift basis. Item 10, Indicators 3.1 and 3.2 Remind staff to remove all mouthed toys to prevent another child from handling the toy until it has been cleaned and sanitized. Review times that staff and children’s handwashing should be completed. Item 11, Indicator 5.1 Care should be taken to avoid spraying sanitizer or disinfectant solution when children are close by. Teachers should lift the children by their torsos to avoid potential injuries to the child’s joints. Item 12, Indicator 3.4 Staff should use redirection and positive interactions with the children, meaning they should refrain from frequently saying no. Instead, they should focus on communicating with the child what they want the child to do. Item 25, Indicator 3.1 and 5.1 Staff should work together to avoid times when both staff members have their backs turned to the group. They should also quickly respond to children when they need assistance. ECERS-R Item 12, Indicator 3.1 Review the times and situations when multi-use sinks should be cleaned and sanitized or disinfected. **It is important to note that changes to any rated license component may result in a change in your star-rated license. If you have any further questions or need any assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2809 · Violation

Name of Operation: LA PETITE ACADEMY Facility ID: 92003294 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 94 Completed Date: 4/2/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 09:00 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance with rated license assessment. Upon arrival, I was greeted by a center administrator, Latifah Jacobs, who accompanied me on a walk- through of the indoor and outdoor learning environments. I observed groups of children engaged in free play in their classrooms and outdoors. I also observed infant rest time and meal time and hand washing in a classroom for older children. By the time we had completed the walk-through, the director, Kathleen Barber-Brown had arrived and assisted me with the rest of the visit. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 7/17/18. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. Full rated license assessments will occur based on the program’s Cohort assignment; your program is in Cohort 1, therefore your assessment period would begin on or around July 1, 2024. You had prep year Environment Rating Scales Assessments conducted 3/13/24 and today, we discussed the results of the assessment. During today’s visit, we discussed the center’s indoor space calculations which are based at 35 square feet per child, because there was not enough outdoor space to meet the requirement of 100 square feet per the total licensed capacity. A new rule, 10A NCAC 09 .2809 (a), states, “There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time.” This means that the center now has the option of reducing their indoor square footage to 30 square feet per child. When considering if this change will be beneficial to the center, we discussed the following factors. No class should exceed the number of students permitted in the space. No class should exceed the number of students permitted by the maximum group size, which is determined by the age of the children assigned to the class space. You stated that you would like to discuss these options with your district manager, and you will follow up with me if you wish to make any changes to your license. INSPECTIONS The last sanitation was completed on 9/12/23. The last fire inspection was completed 3/7/24. The last documented fire drill was conducted 3/12/24. The last documented lock down or shelter-in-place drill was conducted 3/6/24. The last documented playground inspection was conducted 3/12/24. MONITORING During this visit a full assessment of Child Care Requirements was conducted. The center does not currently provide transportation or care for school-aged children, therefore, these requirements were not assessed. Staff on-going training was assessed from 5/1/23 – 4/30/24. The following violations were observed and recorded during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. There was one medication in a classroom without an authorization form and another authorization form, for a child's emergency medication had expired in February. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Soiled clothing is stored in plastic bags in the hallway, resulting in the plastic being accessible to children. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member did not have a medical report on file. 10A NCAC 09 .0701(a) 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 staff member did not complete this training within their first 90 days of employment. .1102(g) The above violations must be corrected immediately. By 2/16/24 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it my attention at 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made. COMPLIANCE HISTORY Prior to today’s visit, the compliance history score for the center was 92%. TECHNICAL ASSISTANCE Current medication authorization forms, signed by the parent, must accompany all medications. There was a topical ointment without an authorization form in one classroom and the medication administration form for one child’s emergency medications expired in February 2024. I recommend having parents drop off medications at the front desk so an administrator can review the authorization forms before they are placed in the classroom. Then medication and their accompanying documents should be reviewed periodically. In addition, the allergy care plan is valid for one year, but the medication authorization forms for emergency medications should be renewed every 6 months. In the hallway outside of each classroom is a basket where soiled clothing is kept. Plastic bags are used to store dirty clothes. Plastic and foam should not be accessible for children under 3 years of age. Since the children do walk through the hallway areas, they currently do have access to the plastic bags. Soiled clothing can be stored in locked areas or at least 5 feet above the ground. One staff member’s medical form was not on file. Staff medical reports and the results from tb tests should be on file by the employee’s first day. One staff member has completed the Recognizing and Responding to Suspicions of Child Maltreatment training, but it was not completed within her first 90 days of employment. This training should be completed within an employee’s first 90 days of employment and every 5 years thereafter. . CONSULTATION Child Care facilities are required to test their drinking and cooking water for lead every three years. It may be time to test your program’s water. For information you should contact Clean Water for Carolina Kids. Contact www.cleanwaterforcarolinakids.org for more information. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration into your web browser. Additional information can be found in the RaiseNC newsletter sent on December 7, 2023. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. There is a link to this training on Moodle. I noticed that the soil is eroding on the playground used by the older children. This is resulting in some roots beginning to be exposed and may pose a tripping hazard. Please address this with your facilities manager and develop a plan to prevent these potential hazards. ENVIRONMENT RATING ASSESSMENT The ITERS-R was completed on 3/13/24 and they received a score of 4.27 and 5.23 The ECERS-R was completed on 3/13/24 and they received a score of 5.09. The overall average of scores is 4.86 CONSULTATION Technical assistance is provided for items noted in the Environment Rating Scales that could be a potential violation. ITERS Item 4, Indicators 3.5 and 5.2 There was concern with supervision regarding classroom arrangement, especially if there is only one person present in the classroom. We discussed strategies to reduce the risk of supervision concerns. Item 7, Indicator 3.5 We discussed Meal Pattern requirements. The director has addressed this concern and they now make certain that all meals meet the required meal pattern requirements. Item 8 Indicator 3.2 It was noted that cots were placed 11 – 24 inches apart. Sanitation requires cots or mats to be placed at least 18 inches apart or be separated by a solid, washable barrier. Item 9, Indicator 1.2 Diapers should be changed when needed, rather than on a shift basis. Item 10, Indicators 3.1 and 3.2 Remind staff to remove all mouthed toys to prevent another child from handling the toy until it has been cleaned and sanitized. Review times that staff and children’s handwashing should be completed. Item 11, Indicator 5.1 Care should be taken to avoid spraying sanitizer or disinfectant solution when children are close by. Teachers should lift the children by their torsos to avoid potential injuries to the child’s joints. Item 12, Indicator 3.4 Staff should use redirection and positive interactions with the children, meaning they should refrain from frequently saying no. Instead, they should focus on communicating with the child what they want the child to do. Item 25, Indicator 3.1 and 5.1 Staff should work together to avoid times when both staff members have their backs turned to the group. They should also quickly respond to children when they need assistance. ECERS-R Item 12, Indicator 3.1 Review the times and situations when multi-use sinks should be cleaned and sanitized or disinfected. **It is important to note that changes to any rated license component may result in a change in your star-rated license. If you have any further questions or need any assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: LA PETITE ACADEMY Facility ID: 92003294 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 95 Completed Date: 11/7/2023 Age: From 0 To 7 Total Minutes: 165 Time In: 10:00 AM Time Out: 12:45 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 assess applicable child-care requirements during a routine unannounced visit. The director, Kathleen, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments I observed groups of children engaged in free play in their classrooms or outdoors. I also observed an infant rest time and meal time. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 7/17/18. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. Full rated license assessments will occur based on the program’s Cohort assignment; your program is in Cohort 1, therefore your assessment period would begin on or around July 1, 2024. You should begin preparing and planning for your assessment now if you wish to complete the Environment Rating Scales. We discussed various prep year activities that can help you prepare for your rated license year, such as, completing a prep year assessment, visiting the NCRLAP website for more information about the environment rating scales and contacting local agencies who provide technical assistance. You should also ensure that all staff have registered and have their education assessed in WORKS. It is recommended that you complete this process as part of your onboarding process with new hires and as existing staff members complete additional coursework. INSPECTIONS The last sanitation inspection was conducted 9/12/23. The last fire inspection was conducted 3/16/23. The last documented fire drill was conducted 10/11/23. The last documented shelter-in-place or lockdown drill was conducted 9/7/23. The last documented playground inspection was conducted 10/11/23. The status of the owners, La Petite Academy, Inc., is listed as current and active on the NC Secretary of State website. Limited monitoring of child care requirements was assessed during today’s visit. I reviewed emergency medications, new staff files and confirmed that all staff have current CPR, First Aid, and ITS SIDS certificates, as required. The program does not transport children therefore, these requirements were not assessed. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Roots and a large rock are exposed on the playground used by the younger children. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. The medication authorization form for a child's emergency medication expired in October 2023. 10A NCAC 09 .0803(1)(d) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child's medical action plan expired in August 2023. .0801(b) The above violations must be corrected immediately. By 11/21/23 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it to 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made and additional violations may be added. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 95%. TECHNICAL ASSISTANCE The playground used by the younger children has exposed roots and an exposed rock that poses trip hazards. The outdoor area should be free of tripping hazards. The medication authorization form for a child’s Albatross expired in October. Medication authorization forms for emergency medications should be renewed every 6 months. The medical care plan for a child expired in August 2023. Medical care plans should be updated at least annually and more frequently, if needed. CONSULTATION There are new sanitation requirements effective 7/1/23. I recommend you contact your Environmental Health Specialist or review their website for more information. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. There is a link to this training on Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. The expiration date on staff qualification letters has been extended by two years. New letters reflecting this change will not be sent. However, I will note this change as I make visits to the center. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently to stay updated on rule requirements. Please be safe and continue to follow the guidelines in the Childcare Strong NC Public Health Toolkit, which was last updated on 8/31/22. Also, remember that COVID is still a reportable disease. You should contact the Health Department or a child care health consultant for information about reporting. If you have any questions or need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: LA PETITE ACADEMY Facility ID: 92003294 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 95 Completed Date: 11/7/2023 Age: From 0 To 7 Total Minutes: 165 Time In: 10:00 AM Time Out: 12:45 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 assess applicable child-care requirements during a routine unannounced visit. The director, Kathleen, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments I observed groups of children engaged in free play in their classrooms or outdoors. I also observed an infant rest time and meal time. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 7/17/18. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. Full rated license assessments will occur based on the program’s Cohort assignment; your program is in Cohort 1, therefore your assessment period would begin on or around July 1, 2024. You should begin preparing and planning for your assessment now if you wish to complete the Environment Rating Scales. We discussed various prep year activities that can help you prepare for your rated license year, such as, completing a prep year assessment, visiting the NCRLAP website for more information about the environment rating scales and contacting local agencies who provide technical assistance. You should also ensure that all staff have registered and have their education assessed in WORKS. It is recommended that you complete this process as part of your onboarding process with new hires and as existing staff members complete additional coursework. INSPECTIONS The last sanitation inspection was conducted 9/12/23. The last fire inspection was conducted 3/16/23. The last documented fire drill was conducted 10/11/23. The last documented shelter-in-place or lockdown drill was conducted 9/7/23. The last documented playground inspection was conducted 10/11/23. The status of the owners, La Petite Academy, Inc., is listed as current and active on the NC Secretary of State website. Limited monitoring of child care requirements was assessed during today’s visit. I reviewed emergency medications, new staff files and confirmed that all staff have current CPR, First Aid, and ITS SIDS certificates, as required. The program does not transport children therefore, these requirements were not assessed. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Roots and a large rock are exposed on the playground used by the younger children. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. The medication authorization form for a child's emergency medication expired in October 2023. 10A NCAC 09 .0803(1)(d) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child's medical action plan expired in August 2023. .0801(b) The above violations must be corrected immediately. By 11/21/23 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it to 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made and additional violations may be added. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 95%. TECHNICAL ASSISTANCE The playground used by the younger children has exposed roots and an exposed rock that poses trip hazards. The outdoor area should be free of tripping hazards. The medication authorization form for a child’s Albatross expired in October. Medication authorization forms for emergency medications should be renewed every 6 months. The medical care plan for a child expired in August 2023. Medical care plans should be updated at least annually and more frequently, if needed. CONSULTATION There are new sanitation requirements effective 7/1/23. I recommend you contact your Environmental Health Specialist or review their website for more information. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. There is a link to this training on Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. The expiration date on staff qualification letters has been extended by two years. New letters reflecting this change will not be sent. However, I will note this change as I make visits to the center. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently to stay updated on rule requirements. Please be safe and continue to follow the guidelines in the Childcare Strong NC Public Health Toolkit, which was last updated on 8/31/22. Also, remember that COVID is still a reportable disease. You should contact the Health Department or a child care health consultant for information about reporting. If you have any questions or need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times