10A NCAC 09 .0601 · Violation

Name of Operation: PRECIOUS CHILD ACADEMY II Facility ID: 60001324 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 13 Completed Date: 12/9/2024 Age: From 1 To 4 Total Minutes: 270 Time In: 11:40 AM Time Out: 04:10 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 compliance of applicable child care requirements during the annual compliance visit. The 18-month compliance history prior to today's visit was 91%. Cureton Miller Associates Inc. is listed as current-active with the Secretary of State. A checklist was used to monitor the facility. Upon my arrival, I was greeted by Phyllis King, Office Assistant. I explained the purpose of my visit. Ms. Karen Shaw, Director, assisted me with the walkthrough today. I monitored three classroom, two outdoor play areas and the kitchen today. In the classroom serving infants and toddlers I observed children sleeping. All children are over twelve months. One child aged two is enrolled in the class. The child has a current IEP on file and is developmentally suited for this age group. I reviewed the current activity plan, current feeding schedules, and daily attendance, which all met compliance. The infant safe sleep policy was observed posted on the bulletin board in the classroom. All bottles were labeled and dated and the thermometer in the refrigerator read 45 degrees. A drawer containing plastic baggies and small foam stickers was observed unlocked. Plastic bags were observed stored accessible to children less than five feet off the ground. There are no children with emergency medications currently enrolled. One child enrolled currently has diaper cream. I observed Aquaphor diaper cream which expired 10/2024. The permission to administer medication was on file and in compliance. In the classroom serving two-year-old and preschool children I observed torn books and one with a clear plastic cover which was torn and accessible to children. The teacher for that class removed the book immediately. I observed plastic bags lower than five feet accessible to children and small paper pieces in the writing center posing a choking hazard in the room serving two-year-old children. In the classroom serving preschool children I observed a bookshelf with edges torn exposing the wood. I monitored two outdoor play areas and cited several violations on the outdoor play areas. It was raining today, and the children were not on the play area. One outlet on the preschool playground was observed uncovered. I observed standing water in several areas and in bins on the toddler play area. I observed the fence around one of the HVAC units unlocked. I observed one section of fence with a hole in it around the other HVAC unit posing an entrapment hazard. There were several safety hazards observed on stationary equipment, items on the play areas and one tree stump with sharp protrusions next to the HVAC on the toddler play area. Please see description of the violations section in the Visit Summary and review the technical assistance. Supervision and staff/child ratio were maintained throughout the facility. Staff were nurturing and caring throughout the visit. The menu was posted in each classroom and in compliance. Cleaning supplies were observed stored properly. I monitored the kitchen and found it clean and in compliance. All food observed was stored properly and had current expiration dates. I reviewed program records and found them meeting compliance. Information required to be posted was observed posted on the bulletin board as you enter the building and on bulletin boards in each classroom. Daily attendance was monitored and found meeting compliance. Playground inspections and the incident log were monitored and found in compliance. The last fire inspection was conducted on 7-11-2024. The monthly fire drill log and emergency drill log was reviewed and found meeting compliance. The last sanitation inspection was conducted on 5-24-2024 with a superior rating. The EPR plan is dated 2-21-2024. I reviewed a sample of children's files and found no violations. I reviewed staff records. You had completed the staff and training worksheets. I filled in any information missing and calculated ongoing required training based on my review of the staff's files. All files were found meeting compliance. The following violations were cited during today's visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The green slide on the toddler playground has a crack next to the platform. The platform has several missing boards. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical outlet was uncovered on the preschool playground. 10A NCAC 09 .0604(c) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The fence around the HVAC unit closest to the door on the toddler playground was unlocked. The fence around the HVAC unit closest to the parking lot has a large hole allowing children access the area. .0604 (m) 843 A drug or medicine was administered after its expiration date. Aquaphor diaper cream in Space 1B expired 10/2024. 10A NCAC 09 .0803(1)(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member needed 2.5 training hours by 12.8.2024. .1103(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch depth under the swing on the preschool playground measured 3" deep and did not meet the required mulch depth. .0605(k)(1-4) 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 December 23, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 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: Small Parts and Plastic Bags: We discussed removing all plastic bags or storing them higher that five feet from areas serving children two and under. I suggested you purchase a choking tube for classrooms serving infants, toddlers and twos to be able to test small parts for safety. Outdoor Play Areas: We discussed walking through the outdoor play areas to address the violations cited. In addition, I suggest you remove the wooden table from the preschool play area and the rusted chair from the toddler play area. Before playing outside check empty any bins and/or play equipment of standing water. Blinds: The broken blinds in the infant room are inaccessible to children as long as the cribs are pulled away from them when sleeping and pushed against them when the children are not in the cribs. I would recommend changing the broken blind in the infant room. Evacuation Crib: Please check specification sheet for your cribs to make sure the wheels meet evacuation requirements. 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. We discussed updating provider forms so you are using the most current forms available. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) 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. 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 .0604 · Violation

Name of Operation: PRECIOUS CHILD ACADEMY II Facility ID: 60001324 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 13 Completed Date: 12/9/2024 Age: From 1 To 4 Total Minutes: 270 Time In: 11:40 AM Time Out: 04:10 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 compliance of applicable child care requirements during the annual compliance visit. The 18-month compliance history prior to today's visit was 91%. Cureton Miller Associates Inc. is listed as current-active with the Secretary of State. A checklist was used to monitor the facility. Upon my arrival, I was greeted by Phyllis King, Office Assistant. I explained the purpose of my visit. Ms. Karen Shaw, Director, assisted me with the walkthrough today. I monitored three classroom, two outdoor play areas and the kitchen today. In the classroom serving infants and toddlers I observed children sleeping. All children are over twelve months. One child aged two is enrolled in the class. The child has a current IEP on file and is developmentally suited for this age group. I reviewed the current activity plan, current feeding schedules, and daily attendance, which all met compliance. The infant safe sleep policy was observed posted on the bulletin board in the classroom. All bottles were labeled and dated and the thermometer in the refrigerator read 45 degrees. A drawer containing plastic baggies and small foam stickers was observed unlocked. Plastic bags were observed stored accessible to children less than five feet off the ground. There are no children with emergency medications currently enrolled. One child enrolled currently has diaper cream. I observed Aquaphor diaper cream which expired 10/2024. The permission to administer medication was on file and in compliance. In the classroom serving two-year-old and preschool children I observed torn books and one with a clear plastic cover which was torn and accessible to children. The teacher for that class removed the book immediately. I observed plastic bags lower than five feet accessible to children and small paper pieces in the writing center posing a choking hazard in the room serving two-year-old children. In the classroom serving preschool children I observed a bookshelf with edges torn exposing the wood. I monitored two outdoor play areas and cited several violations on the outdoor play areas. It was raining today, and the children were not on the play area. One outlet on the preschool playground was observed uncovered. I observed standing water in several areas and in bins on the toddler play area. I observed the fence around one of the HVAC units unlocked. I observed one section of fence with a hole in it around the other HVAC unit posing an entrapment hazard. There were several safety hazards observed on stationary equipment, items on the play areas and one tree stump with sharp protrusions next to the HVAC on the toddler play area. Please see description of the violations section in the Visit Summary and review the technical assistance. Supervision and staff/child ratio were maintained throughout the facility. Staff were nurturing and caring throughout the visit. The menu was posted in each classroom and in compliance. Cleaning supplies were observed stored properly. I monitored the kitchen and found it clean and in compliance. All food observed was stored properly and had current expiration dates. I reviewed program records and found them meeting compliance. Information required to be posted was observed posted on the bulletin board as you enter the building and on bulletin boards in each classroom. Daily attendance was monitored and found meeting compliance. Playground inspections and the incident log were monitored and found in compliance. The last fire inspection was conducted on 7-11-2024. The monthly fire drill log and emergency drill log was reviewed and found meeting compliance. The last sanitation inspection was conducted on 5-24-2024 with a superior rating. The EPR plan is dated 2-21-2024. I reviewed a sample of children's files and found no violations. I reviewed staff records. You had completed the staff and training worksheets. I filled in any information missing and calculated ongoing required training based on my review of the staff's files. All files were found meeting compliance. The following violations were cited during today's visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The green slide on the toddler playground has a crack next to the platform. The platform has several missing boards. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical outlet was uncovered on the preschool playground. 10A NCAC 09 .0604(c) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The fence around the HVAC unit closest to the door on the toddler playground was unlocked. The fence around the HVAC unit closest to the parking lot has a large hole allowing children access the area. .0604 (m) 843 A drug or medicine was administered after its expiration date. Aquaphor diaper cream in Space 1B expired 10/2024. 10A NCAC 09 .0803(1)(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member needed 2.5 training hours by 12.8.2024. .1103(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch depth under the swing on the preschool playground measured 3" deep and did not meet the required mulch depth. .0605(k)(1-4) 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 December 23, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 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: Small Parts and Plastic Bags: We discussed removing all plastic bags or storing them higher that five feet from areas serving children two and under. I suggested you purchase a choking tube for classrooms serving infants, toddlers and twos to be able to test small parts for safety. Outdoor Play Areas: We discussed walking through the outdoor play areas to address the violations cited. In addition, I suggest you remove the wooden table from the preschool play area and the rusted chair from the toddler play area. Before playing outside check empty any bins and/or play equipment of standing water. Blinds: The broken blinds in the infant room are inaccessible to children as long as the cribs are pulled away from them when sleeping and pushed against them when the children are not in the cribs. I would recommend changing the broken blind in the infant room. Evacuation Crib: Please check specification sheet for your cribs to make sure the wheels meet evacuation requirements. 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. We discussed updating provider forms so you are using the most current forms available. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) 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. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: PRECIOUS CHILD ACADEMY II Facility ID: 60001324 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 13 Completed Date: 12/9/2024 Age: From 1 To 4 Total Minutes: 270 Time In: 11:40 AM Time Out: 04:10 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 compliance of applicable child care requirements during the annual compliance visit. The 18-month compliance history prior to today's visit was 91%. Cureton Miller Associates Inc. is listed as current-active with the Secretary of State. A checklist was used to monitor the facility. Upon my arrival, I was greeted by Phyllis King, Office Assistant. I explained the purpose of my visit. Ms. Karen Shaw, Director, assisted me with the walkthrough today. I monitored three classroom, two outdoor play areas and the kitchen today. In the classroom serving infants and toddlers I observed children sleeping. All children are over twelve months. One child aged two is enrolled in the class. The child has a current IEP on file and is developmentally suited for this age group. I reviewed the current activity plan, current feeding schedules, and daily attendance, which all met compliance. The infant safe sleep policy was observed posted on the bulletin board in the classroom. All bottles were labeled and dated and the thermometer in the refrigerator read 45 degrees. A drawer containing plastic baggies and small foam stickers was observed unlocked. Plastic bags were observed stored accessible to children less than five feet off the ground. There are no children with emergency medications currently enrolled. One child enrolled currently has diaper cream. I observed Aquaphor diaper cream which expired 10/2024. The permission to administer medication was on file and in compliance. In the classroom serving two-year-old and preschool children I observed torn books and one with a clear plastic cover which was torn and accessible to children. The teacher for that class removed the book immediately. I observed plastic bags lower than five feet accessible to children and small paper pieces in the writing center posing a choking hazard in the room serving two-year-old children. In the classroom serving preschool children I observed a bookshelf with edges torn exposing the wood. I monitored two outdoor play areas and cited several violations on the outdoor play areas. It was raining today, and the children were not on the play area. One outlet on the preschool playground was observed uncovered. I observed standing water in several areas and in bins on the toddler play area. I observed the fence around one of the HVAC units unlocked. I observed one section of fence with a hole in it around the other HVAC unit posing an entrapment hazard. There were several safety hazards observed on stationary equipment, items on the play areas and one tree stump with sharp protrusions next to the HVAC on the toddler play area. Please see description of the violations section in the Visit Summary and review the technical assistance. Supervision and staff/child ratio were maintained throughout the facility. Staff were nurturing and caring throughout the visit. The menu was posted in each classroom and in compliance. Cleaning supplies were observed stored properly. I monitored the kitchen and found it clean and in compliance. All food observed was stored properly and had current expiration dates. I reviewed program records and found them meeting compliance. Information required to be posted was observed posted on the bulletin board as you enter the building and on bulletin boards in each classroom. Daily attendance was monitored and found meeting compliance. Playground inspections and the incident log were monitored and found in compliance. The last fire inspection was conducted on 7-11-2024. The monthly fire drill log and emergency drill log was reviewed and found meeting compliance. The last sanitation inspection was conducted on 5-24-2024 with a superior rating. The EPR plan is dated 2-21-2024. I reviewed a sample of children's files and found no violations. I reviewed staff records. You had completed the staff and training worksheets. I filled in any information missing and calculated ongoing required training based on my review of the staff's files. All files were found meeting compliance. The following violations were cited during today's visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The green slide on the toddler playground has a crack next to the platform. The platform has several missing boards. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical outlet was uncovered on the preschool playground. 10A NCAC 09 .0604(c) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The fence around the HVAC unit closest to the door on the toddler playground was unlocked. The fence around the HVAC unit closest to the parking lot has a large hole allowing children access the area. .0604 (m) 843 A drug or medicine was administered after its expiration date. Aquaphor diaper cream in Space 1B expired 10/2024. 10A NCAC 09 .0803(1)(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member needed 2.5 training hours by 12.8.2024. .1103(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch depth under the swing on the preschool playground measured 3" deep and did not meet the required mulch depth. .0605(k)(1-4) 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 December 23, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 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: Small Parts and Plastic Bags: We discussed removing all plastic bags or storing them higher that five feet from areas serving children two and under. I suggested you purchase a choking tube for classrooms serving infants, toddlers and twos to be able to test small parts for safety. Outdoor Play Areas: We discussed walking through the outdoor play areas to address the violations cited. In addition, I suggest you remove the wooden table from the preschool play area and the rusted chair from the toddler play area. Before playing outside check empty any bins and/or play equipment of standing water. Blinds: The broken blinds in the infant room are inaccessible to children as long as the cribs are pulled away from them when sleeping and pushed against them when the children are not in the cribs. I would recommend changing the broken blind in the infant room. Evacuation Crib: Please check specification sheet for your cribs to make sure the wheels meet evacuation requirements. 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. We discussed updating provider forms so you are using the most current forms available. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) 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. 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: PRECIOUS CHILD ACADEMY II Facility ID: 60001324 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 13 Completed Date: 12/9/2024 Age: From 1 To 4 Total Minutes: 270 Time In: 11:40 AM Time Out: 04:10 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 compliance of applicable child care requirements during the annual compliance visit. The 18-month compliance history prior to today's visit was 91%. Cureton Miller Associates Inc. is listed as current-active with the Secretary of State. A checklist was used to monitor the facility. Upon my arrival, I was greeted by Phyllis King, Office Assistant. I explained the purpose of my visit. Ms. Karen Shaw, Director, assisted me with the walkthrough today. I monitored three classroom, two outdoor play areas and the kitchen today. In the classroom serving infants and toddlers I observed children sleeping. All children are over twelve months. One child aged two is enrolled in the class. The child has a current IEP on file and is developmentally suited for this age group. I reviewed the current activity plan, current feeding schedules, and daily attendance, which all met compliance. The infant safe sleep policy was observed posted on the bulletin board in the classroom. All bottles were labeled and dated and the thermometer in the refrigerator read 45 degrees. A drawer containing plastic baggies and small foam stickers was observed unlocked. Plastic bags were observed stored accessible to children less than five feet off the ground. There are no children with emergency medications currently enrolled. One child enrolled currently has diaper cream. I observed Aquaphor diaper cream which expired 10/2024. The permission to administer medication was on file and in compliance. In the classroom serving two-year-old and preschool children I observed torn books and one with a clear plastic cover which was torn and accessible to children. The teacher for that class removed the book immediately. I observed plastic bags lower than five feet accessible to children and small paper pieces in the writing center posing a choking hazard in the room serving two-year-old children. In the classroom serving preschool children I observed a bookshelf with edges torn exposing the wood. I monitored two outdoor play areas and cited several violations on the outdoor play areas. It was raining today, and the children were not on the play area. One outlet on the preschool playground was observed uncovered. I observed standing water in several areas and in bins on the toddler play area. I observed the fence around one of the HVAC units unlocked. I observed one section of fence with a hole in it around the other HVAC unit posing an entrapment hazard. There were several safety hazards observed on stationary equipment, items on the play areas and one tree stump with sharp protrusions next to the HVAC on the toddler play area. Please see description of the violations section in the Visit Summary and review the technical assistance. Supervision and staff/child ratio were maintained throughout the facility. Staff were nurturing and caring throughout the visit. The menu was posted in each classroom and in compliance. Cleaning supplies were observed stored properly. I monitored the kitchen and found it clean and in compliance. All food observed was stored properly and had current expiration dates. I reviewed program records and found them meeting compliance. Information required to be posted was observed posted on the bulletin board as you enter the building and on bulletin boards in each classroom. Daily attendance was monitored and found meeting compliance. Playground inspections and the incident log were monitored and found in compliance. The last fire inspection was conducted on 7-11-2024. The monthly fire drill log and emergency drill log was reviewed and found meeting compliance. The last sanitation inspection was conducted on 5-24-2024 with a superior rating. The EPR plan is dated 2-21-2024. I reviewed a sample of children's files and found no violations. I reviewed staff records. You had completed the staff and training worksheets. I filled in any information missing and calculated ongoing required training based on my review of the staff's files. All files were found meeting compliance. The following violations were cited during today's visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The green slide on the toddler playground has a crack next to the platform. The platform has several missing boards. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical outlet was uncovered on the preschool playground. 10A NCAC 09 .0604(c) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The fence around the HVAC unit closest to the door on the toddler playground was unlocked. The fence around the HVAC unit closest to the parking lot has a large hole allowing children access the area. .0604 (m) 843 A drug or medicine was administered after its expiration date. Aquaphor diaper cream in Space 1B expired 10/2024. 10A NCAC 09 .0803(1)(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member needed 2.5 training hours by 12.8.2024. .1103(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch depth under the swing on the preschool playground measured 3" deep and did not meet the required mulch depth. .0605(k)(1-4) 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 December 23, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 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: Small Parts and Plastic Bags: We discussed removing all plastic bags or storing them higher that five feet from areas serving children two and under. I suggested you purchase a choking tube for classrooms serving infants, toddlers and twos to be able to test small parts for safety. Outdoor Play Areas: We discussed walking through the outdoor play areas to address the violations cited. In addition, I suggest you remove the wooden table from the preschool play area and the rusted chair from the toddler play area. Before playing outside check empty any bins and/or play equipment of standing water. Blinds: The broken blinds in the infant room are inaccessible to children as long as the cribs are pulled away from them when sleeping and pushed against them when the children are not in the cribs. I would recommend changing the broken blind in the infant room. Evacuation Crib: Please check specification sheet for your cribs to make sure the wheels meet evacuation requirements. 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. We discussed updating provider forms so you are using the most current forms available. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) 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. 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: PRECIOUS CHILD ACADEMY II Facility ID: 60001324 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 13 Completed Date: 12/9/2024 Age: From 1 To 4 Total Minutes: 270 Time In: 11:40 AM Time Out: 04:10 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 compliance of applicable child care requirements during the annual compliance visit. The 18-month compliance history prior to today's visit was 91%. Cureton Miller Associates Inc. is listed as current-active with the Secretary of State. A checklist was used to monitor the facility. Upon my arrival, I was greeted by Phyllis King, Office Assistant. I explained the purpose of my visit. Ms. Karen Shaw, Director, assisted me with the walkthrough today. I monitored three classroom, two outdoor play areas and the kitchen today. In the classroom serving infants and toddlers I observed children sleeping. All children are over twelve months. One child aged two is enrolled in the class. The child has a current IEP on file and is developmentally suited for this age group. I reviewed the current activity plan, current feeding schedules, and daily attendance, which all met compliance. The infant safe sleep policy was observed posted on the bulletin board in the classroom. All bottles were labeled and dated and the thermometer in the refrigerator read 45 degrees. A drawer containing plastic baggies and small foam stickers was observed unlocked. Plastic bags were observed stored accessible to children less than five feet off the ground. There are no children with emergency medications currently enrolled. One child enrolled currently has diaper cream. I observed Aquaphor diaper cream which expired 10/2024. The permission to administer medication was on file and in compliance. In the classroom serving two-year-old and preschool children I observed torn books and one with a clear plastic cover which was torn and accessible to children. The teacher for that class removed the book immediately. I observed plastic bags lower than five feet accessible to children and small paper pieces in the writing center posing a choking hazard in the room serving two-year-old children. In the classroom serving preschool children I observed a bookshelf with edges torn exposing the wood. I monitored two outdoor play areas and cited several violations on the outdoor play areas. It was raining today, and the children were not on the play area. One outlet on the preschool playground was observed uncovered. I observed standing water in several areas and in bins on the toddler play area. I observed the fence around one of the HVAC units unlocked. I observed one section of fence with a hole in it around the other HVAC unit posing an entrapment hazard. There were several safety hazards observed on stationary equipment, items on the play areas and one tree stump with sharp protrusions next to the HVAC on the toddler play area. Please see description of the violations section in the Visit Summary and review the technical assistance. Supervision and staff/child ratio were maintained throughout the facility. Staff were nurturing and caring throughout the visit. The menu was posted in each classroom and in compliance. Cleaning supplies were observed stored properly. I monitored the kitchen and found it clean and in compliance. All food observed was stored properly and had current expiration dates. I reviewed program records and found them meeting compliance. Information required to be posted was observed posted on the bulletin board as you enter the building and on bulletin boards in each classroom. Daily attendance was monitored and found meeting compliance. Playground inspections and the incident log were monitored and found in compliance. The last fire inspection was conducted on 7-11-2024. The monthly fire drill log and emergency drill log was reviewed and found meeting compliance. The last sanitation inspection was conducted on 5-24-2024 with a superior rating. The EPR plan is dated 2-21-2024. I reviewed a sample of children's files and found no violations. I reviewed staff records. You had completed the staff and training worksheets. I filled in any information missing and calculated ongoing required training based on my review of the staff's files. All files were found meeting compliance. The following violations were cited during today's visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The green slide on the toddler playground has a crack next to the platform. The platform has several missing boards. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical outlet was uncovered on the preschool playground. 10A NCAC 09 .0604(c) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The fence around the HVAC unit closest to the door on the toddler playground was unlocked. The fence around the HVAC unit closest to the parking lot has a large hole allowing children access the area. .0604 (m) 843 A drug or medicine was administered after its expiration date. Aquaphor diaper cream in Space 1B expired 10/2024. 10A NCAC 09 .0803(1)(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member needed 2.5 training hours by 12.8.2024. .1103(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch depth under the swing on the preschool playground measured 3" deep and did not meet the required mulch depth. .0605(k)(1-4) 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 December 23, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 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: Small Parts and Plastic Bags: We discussed removing all plastic bags or storing them higher that five feet from areas serving children two and under. I suggested you purchase a choking tube for classrooms serving infants, toddlers and twos to be able to test small parts for safety. Outdoor Play Areas: We discussed walking through the outdoor play areas to address the violations cited. In addition, I suggest you remove the wooden table from the preschool play area and the rusted chair from the toddler play area. Before playing outside check empty any bins and/or play equipment of standing water. Blinds: The broken blinds in the infant room are inaccessible to children as long as the cribs are pulled away from them when sleeping and pushed against them when the children are not in the cribs. I would recommend changing the broken blind in the infant room. Evacuation Crib: Please check specification sheet for your cribs to make sure the wheels meet evacuation requirements. 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. We discussed updating provider forms so you are using the most current forms available. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) 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. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: PRECIOUS CHILD ACADEMY II Facility ID: 60001324 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 8 Completed Date: 7/11/2024 Age: From 0 To 3 Total Minutes: 105 Time In: 11:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. The 18 month compliance history, prior to today's visit was 93%. I met with the administrator, Marilyn Feaster, while conducted a visit in the building next door. I explained that a routine unannounced visit would be conducted and she allowed me to complete the walkthrough alone. During the walkthrough I observed three groups. Space 1B had two children present ranging age of 9 months to 29 months. I asked the staff why the two year olds on roll had not been moved to Space 5 and she stated that children are moved in August. I explained that infants are not able to be in the same group with 2 year olds all day long, only the 1st and last hour of each day, or if you have in writing from a physician that certifies that the developmental age of the child makes this placement appropriate. While in this space I observed bottles labeled and dated properly, the current activity plan was posted, current feeding schedules were reviewed, and visual safe sleep documentation was reviewed, all were found meeting compliance. Space 4 and 5 were also observed. Space 5 was observed eating lunch, which followed the current menu and daily schedule posted. One seat cushion in the book area was observed in poor repair, the staff repaired it during the visit and stated she could exchange the cushion with another one from a sister school. Children in Space 4 were observed eating lunch as well with the staff seated with the children and talking about their day. Two ceiling tiles above the sink in space 4 were observed stained. I was informed that a roof repairman has been contacted and new tiles have been purchased, one the roof is repaired, the ceiling tiles would be replaced. You are expecting the repairs next week. No children enrolled required medication to be administered. Supervision was observed meeting compliance. Enhanced staff/child ratios were observed meeting compliance in Space 4 and 5. No discipline issues were observed. Program records were reviewed. The monthly emergency drill log, incident report, monthly playground inspection, required posted information were all reviewed and found meeting compliance. The last sanitation inspection was conducted on 5/24/24. The last fire inspection passed was completed on 6/7/23. You have had two inspections conducted this year on 5/31/24 and 6/3/24, however the facility did not pass inspection. You are anticipating reinspection this week. You provided the current staff and training worksheet, no new staff have been hired since the annual compliance visit. The staff and training worksheet was complete and staff files were found meeting compliance. The following violations were observed during today's visit: Each group was observed in approved/adequate space and the current license was observed posted. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection the facility passed was conducted on 6/7/23. You had an inspection on 5/31/24 and 6/3/24 but have not passed the inspection. 10A NCAC 09 .0304(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Two ceiling tiles, in Space 4 over the sink, were observed stained. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. I observed a seat cushion in the book center of Space 5 that was torn, exposing the foam interior. G.S. 110-91(6); .0601(b) 1756 Enhanced staff/child ratios and group sizes were not met. Currently Space 1B has four children enrolled ranging in age of 9 months to 29 months. Today the infant was present and the two year old was present. 10A NCAC 09 .2818 Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Marilyn Feaster, Administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before July 15, 2024. I will be conducting a follow up visit to monitor corrections in the near future. Technical Assistance was provided on the following: Fire Inspection: I encourage you have all meetings, and inspections needed to pass your fire inspection completed at least 2 months prior to renewal so you are ready and able to pass the fire inspection annually on time, maintaining compliance. Staff/Child Ratio: Of the two 29 month olds enrolled in the infant/toddler room, you stated one does have some developmental delays, but you do not have anything in writing that states that room is the best fit for him, while in your care. You stated you can move them to the next classroom and move three year old to the next room to make space for children entering the two's room. Ceiling Tiles: I encourage you keep extra tiles on hand and replace them when they are observed in poor repair. You have contacted a roof repair man and are expecting those repairs to occur next week and will replace the tiles as soon as the roof has been repaired. If you have any questions please contact me: Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 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 .2818 · Violation

Name of Operation: PRECIOUS CHILD ACADEMY II Facility ID: 60001324 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 8 Completed Date: 7/11/2024 Age: From 0 To 3 Total Minutes: 105 Time In: 11:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. The 18 month compliance history, prior to today's visit was 93%. I met with the administrator, Marilyn Feaster, while conducted a visit in the building next door. I explained that a routine unannounced visit would be conducted and she allowed me to complete the walkthrough alone. During the walkthrough I observed three groups. Space 1B had two children present ranging age of 9 months to 29 months. I asked the staff why the two year olds on roll had not been moved to Space 5 and she stated that children are moved in August. I explained that infants are not able to be in the same group with 2 year olds all day long, only the 1st and last hour of each day, or if you have in writing from a physician that certifies that the developmental age of the child makes this placement appropriate. While in this space I observed bottles labeled and dated properly, the current activity plan was posted, current feeding schedules were reviewed, and visual safe sleep documentation was reviewed, all were found meeting compliance. Space 4 and 5 were also observed. Space 5 was observed eating lunch, which followed the current menu and daily schedule posted. One seat cushion in the book area was observed in poor repair, the staff repaired it during the visit and stated she could exchange the cushion with another one from a sister school. Children in Space 4 were observed eating lunch as well with the staff seated with the children and talking about their day. Two ceiling tiles above the sink in space 4 were observed stained. I was informed that a roof repairman has been contacted and new tiles have been purchased, one the roof is repaired, the ceiling tiles would be replaced. You are expecting the repairs next week. No children enrolled required medication to be administered. Supervision was observed meeting compliance. Enhanced staff/child ratios were observed meeting compliance in Space 4 and 5. No discipline issues were observed. Program records were reviewed. The monthly emergency drill log, incident report, monthly playground inspection, required posted information were all reviewed and found meeting compliance. The last sanitation inspection was conducted on 5/24/24. The last fire inspection passed was completed on 6/7/23. You have had two inspections conducted this year on 5/31/24 and 6/3/24, however the facility did not pass inspection. You are anticipating reinspection this week. You provided the current staff and training worksheet, no new staff have been hired since the annual compliance visit. The staff and training worksheet was complete and staff files were found meeting compliance. The following violations were observed during today's visit: Each group was observed in approved/adequate space and the current license was observed posted. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection the facility passed was conducted on 6/7/23. You had an inspection on 5/31/24 and 6/3/24 but have not passed the inspection. 10A NCAC 09 .0304(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Two ceiling tiles, in Space 4 over the sink, were observed stained. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. I observed a seat cushion in the book center of Space 5 that was torn, exposing the foam interior. G.S. 110-91(6); .0601(b) 1756 Enhanced staff/child ratios and group sizes were not met. Currently Space 1B has four children enrolled ranging in age of 9 months to 29 months. Today the infant was present and the two year old was present. 10A NCAC 09 .2818 Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Marilyn Feaster, Administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before July 15, 2024. I will be conducting a follow up visit to monitor corrections in the near future. Technical Assistance was provided on the following: Fire Inspection: I encourage you have all meetings, and inspections needed to pass your fire inspection completed at least 2 months prior to renewal so you are ready and able to pass the fire inspection annually on time, maintaining compliance. Staff/Child Ratio: Of the two 29 month olds enrolled in the infant/toddler room, you stated one does have some developmental delays, but you do not have anything in writing that states that room is the best fit for him, while in your care. You stated you can move them to the next classroom and move three year old to the next room to make space for children entering the two's room. Ceiling Tiles: I encourage you keep extra tiles on hand and replace them when they are observed in poor repair. You have contacted a roof repair man and are expecting those repairs to occur next week and will replace the tiles as soon as the roof has been repaired. If you have any questions please contact me: Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 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: PRECIOUS CHILD ACADEMY II Facility ID: 60001324 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 8 Completed Date: 7/11/2024 Age: From 0 To 3 Total Minutes: 105 Time In: 11:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. The 18 month compliance history, prior to today's visit was 93%. I met with the administrator, Marilyn Feaster, while conducted a visit in the building next door. I explained that a routine unannounced visit would be conducted and she allowed me to complete the walkthrough alone. During the walkthrough I observed three groups. Space 1B had two children present ranging age of 9 months to 29 months. I asked the staff why the two year olds on roll had not been moved to Space 5 and she stated that children are moved in August. I explained that infants are not able to be in the same group with 2 year olds all day long, only the 1st and last hour of each day, or if you have in writing from a physician that certifies that the developmental age of the child makes this placement appropriate. While in this space I observed bottles labeled and dated properly, the current activity plan was posted, current feeding schedules were reviewed, and visual safe sleep documentation was reviewed, all were found meeting compliance. Space 4 and 5 were also observed. Space 5 was observed eating lunch, which followed the current menu and daily schedule posted. One seat cushion in the book area was observed in poor repair, the staff repaired it during the visit and stated she could exchange the cushion with another one from a sister school. Children in Space 4 were observed eating lunch as well with the staff seated with the children and talking about their day. Two ceiling tiles above the sink in space 4 were observed stained. I was informed that a roof repairman has been contacted and new tiles have been purchased, one the roof is repaired, the ceiling tiles would be replaced. You are expecting the repairs next week. No children enrolled required medication to be administered. Supervision was observed meeting compliance. Enhanced staff/child ratios were observed meeting compliance in Space 4 and 5. No discipline issues were observed. Program records were reviewed. The monthly emergency drill log, incident report, monthly playground inspection, required posted information were all reviewed and found meeting compliance. The last sanitation inspection was conducted on 5/24/24. The last fire inspection passed was completed on 6/7/23. You have had two inspections conducted this year on 5/31/24 and 6/3/24, however the facility did not pass inspection. You are anticipating reinspection this week. You provided the current staff and training worksheet, no new staff have been hired since the annual compliance visit. The staff and training worksheet was complete and staff files were found meeting compliance. The following violations were observed during today's visit: Each group was observed in approved/adequate space and the current license was observed posted. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection the facility passed was conducted on 6/7/23. You had an inspection on 5/31/24 and 6/3/24 but have not passed the inspection. 10A NCAC 09 .0304(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Two ceiling tiles, in Space 4 over the sink, were observed stained. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. I observed a seat cushion in the book center of Space 5 that was torn, exposing the foam interior. G.S. 110-91(6); .0601(b) 1756 Enhanced staff/child ratios and group sizes were not met. Currently Space 1B has four children enrolled ranging in age of 9 months to 29 months. Today the infant was present and the two year old was present. 10A NCAC 09 .2818 Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Marilyn Feaster, Administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before July 15, 2024. I will be conducting a follow up visit to monitor corrections in the near future. Technical Assistance was provided on the following: Fire Inspection: I encourage you have all meetings, and inspections needed to pass your fire inspection completed at least 2 months prior to renewal so you are ready and able to pass the fire inspection annually on time, maintaining compliance. Staff/Child Ratio: Of the two 29 month olds enrolled in the infant/toddler room, you stated one does have some developmental delays, but you do not have anything in writing that states that room is the best fit for him, while in your care. You stated you can move them to the next classroom and move three year old to the next room to make space for children entering the two's room. Ceiling Tiles: I encourage you keep extra tiles on hand and replace them when they are observed in poor repair. You have contacted a roof repair man and are expecting those repairs to occur next week and will replace the tiles as soon as the roof has been repaired. If you have any questions please contact me: Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: PRECIOUS CHILD ACADEMY II Facility ID: 60001324 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 1/10/2024 Number Present: 14 Completed Date: 1/10/2024 Age: From 0 To 4 Total Minutes: 255 Time In: 10:30 AM Time Out: 02:45 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 compliance of applicable child care requirements during the annual compliance visit. A checklist was used to monitor the facility. Upon my arrival, the administrator explained that she needed to cover for the cook so I completed the walkthrough by myself. I reviewed my findings with you, Karen Shaw, Administrator, after the walkthrough. Due to the severe weather that occurred yesterday, maintenance was cleaning the playgrounds today so they were not accessible for outdoor play today. The monthly playground inspections were reviewed and found meeting compliance. Before going inside the facility I looked at the playgrounds. The severe weather left a lot of standing water and tree leave/twig debris. No damage to the outdoor gross motor equipment occurred. While monitoring the indoor space I observed in the three classrooms during active play. While in the infant/toddler room, one staff was present with three children. Two toddlers were moving about the indoor space playing with material. The teacher was changing a diaper as I arrived. She then washed hands, prepared a bottle and fed an infant. Children were tended to in a nurturing manner. I reviewed the current activity plan, infant safe sleep checks, current feeding schedules, and daily attendance, which all met compliance. The infant safe sleep policy was observed posted on the bulletin board in the classroom. Medications were monitored. Several diaper creams were left for children no longer in attendance. Creams were also left for staff no longer employed. One child has an asthma device and medication but no asthma action plan, or permission to administer and the medication is not identifiable, it did not come in it's original container with the pharmacy label. While monitoring the classrooms serving two's and preschool children, I observed active center play. Staff were engaged with the children, nurturing tones were heard as staff spoke with children. The current activity plan was reviewed and found meeting compliance. Material and equipment was observed in good repair. I did observed ceiling tiles with water stains in Space 4 and in both children's restrooms. Supervision and staff/child ratio was maintained throughout the facility. The menu posted was last weeks menu, this weeks was posted during the visit. lunch offered followed today's menu and met compliance. Cleaning supplies were observed stored properly. Outlets not in use were observed covered. No other hazards were observed today. You do not offer transportation. I reviewed a sample of children's files. The child with the asthma medication does not have medical action plan on file for his asthma condition. He has a medical action plan for a milk allergy, he is served a milk substitute the parent provide and you informed me the parent stated he doesn't need the medication on site. But this is not other information on file indicating his medical action plan regarding is milk allergy has changed and is medication for the milk allergy is not needed on site. I reviewed staff records. You had completed the staff and training worksheets, I filled in any information missing based on my review of the staff's files. All files were found meeting compliance. I reviewed program records and found them meeting compliance. Information required to be posted was observed posted on the bulletin board as you enter the building and on bulletin boards in each classroom. Daily attendance was monitored and found meeting compliance. You have not had any incidents recently, but provided the log to review. The last fire inspection was conducted on 6-7-23. The monthly fire drill log and emergency drill log was reviewed and found meeting compliance. The last sanitation inspection was conducted on 12-6-23 with a superior rating. The following violations were cited during today's visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu was not posted for this week. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. Three ceiling tiles were observed water stained, one over the handwashing sink in space 4, one in the bathroom behind space 4 and one in the bathroom behind space 2. 15A NCAC 18A .2825(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Prescribed asthma medication was observed in Space 1B locked in a cabinet, written permission to administer was not on site. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One child's prescribed medication, in Space 1B, for asthma was not identifiable, it was not in the original container, , did not have a pharmacy label and did not have the child's name. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. I observed diaper creams observed locked in cabinets, the staff stated they belonged to children and staff that no longer enrolled or employed at the center and it had been more than 72 hours. .0803(12) 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. One child enrolled with asthma medication and device to administer the medication on site did not have a medical action plan regarding his asthma condition. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child has a medical action plan on premise regarding a milk allergy, but his medication is not on premise. It was reported the parent keeps the medication at home and she provides a milk substitute and the medical action plan is no longer valid, but there is nothing in writing indicating that change. .0801(b) Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Karen Shaw, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before January 24, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Medications: I reviewed 10A NCAC 09 .0803(2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; (b) if pharmaceutical samples, shall be stored in the manufacturer's original packaging, shall be labeled with the child's name, and shall be accompanied by written instructions specifying: (i) the child's name; (ii) the names of the medication; (iii) the amount and frequency of dosage; (iv) the signature of the prescribing physician or other health professional; and (v) the date the instructions were signed by the physician or other health professional; (c) shall be administered only to the child for whom they were prescribed; and (d) shall be administered according to the prescription, using amount and frequency of dosage specified on the label. I encourage you to review the entire section of 10A NCAC 09 .0803 regarding administering medications. Medical Action Plans: Information regarding medical action plans can be found in 10A NCAC 09 .0801(b). There are many samples on the DCDEE website, under provider documents. When you are made aware of a child's medical condition you should check the website and print off an action plan for the parent to complete or have their pediatrician complete. Ensure you have clear instruction, correct medication and permission to administer in order to care for the child properly while in your care. Medical action plans must be updated annually and when changes are made. Daily Checks: I encourage each morning conduct a quick walkthrough to ensure the center is ready for care, noting anything thing that needs repaired or make any adjustments, such as posting current menus, changing out ceiling tiles, etc. You may want to come up with a daily, weekly opening/closing checklist. Rated License Reassessment: You are in cohort 1, you are currently in the preparation year until June 30, 2024. Your assessment year runs from July 1, 2024 to June 30, 2025. You may request the environmental rating scales at any time. If you do so during the prep year you have the choice of moving forward with the reassessment or holding the score and using them during the reassessment year should you choose. Contact when you are ready to apply. NCRLAP.org has useful information, additional note regarding the ITERS-R and ECERS-R. You may also want to contact CCRI, Inc. If you have any questions please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 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: PRECIOUS CHILD ACADEMY II Facility ID: 60001324 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 1/10/2024 Number Present: 14 Completed Date: 1/10/2024 Age: From 0 To 4 Total Minutes: 255 Time In: 10:30 AM Time Out: 02:45 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 compliance of applicable child care requirements during the annual compliance visit. A checklist was used to monitor the facility. Upon my arrival, the administrator explained that she needed to cover for the cook so I completed the walkthrough by myself. I reviewed my findings with you, Karen Shaw, Administrator, after the walkthrough. Due to the severe weather that occurred yesterday, maintenance was cleaning the playgrounds today so they were not accessible for outdoor play today. The monthly playground inspections were reviewed and found meeting compliance. Before going inside the facility I looked at the playgrounds. The severe weather left a lot of standing water and tree leave/twig debris. No damage to the outdoor gross motor equipment occurred. While monitoring the indoor space I observed in the three classrooms during active play. While in the infant/toddler room, one staff was present with three children. Two toddlers were moving about the indoor space playing with material. The teacher was changing a diaper as I arrived. She then washed hands, prepared a bottle and fed an infant. Children were tended to in a nurturing manner. I reviewed the current activity plan, infant safe sleep checks, current feeding schedules, and daily attendance, which all met compliance. The infant safe sleep policy was observed posted on the bulletin board in the classroom. Medications were monitored. Several diaper creams were left for children no longer in attendance. Creams were also left for staff no longer employed. One child has an asthma device and medication but no asthma action plan, or permission to administer and the medication is not identifiable, it did not come in it's original container with the pharmacy label. While monitoring the classrooms serving two's and preschool children, I observed active center play. Staff were engaged with the children, nurturing tones were heard as staff spoke with children. The current activity plan was reviewed and found meeting compliance. Material and equipment was observed in good repair. I did observed ceiling tiles with water stains in Space 4 and in both children's restrooms. Supervision and staff/child ratio was maintained throughout the facility. The menu posted was last weeks menu, this weeks was posted during the visit. lunch offered followed today's menu and met compliance. Cleaning supplies were observed stored properly. Outlets not in use were observed covered. No other hazards were observed today. You do not offer transportation. I reviewed a sample of children's files. The child with the asthma medication does not have medical action plan on file for his asthma condition. He has a medical action plan for a milk allergy, he is served a milk substitute the parent provide and you informed me the parent stated he doesn't need the medication on site. But this is not other information on file indicating his medical action plan regarding is milk allergy has changed and is medication for the milk allergy is not needed on site. I reviewed staff records. You had completed the staff and training worksheets, I filled in any information missing based on my review of the staff's files. All files were found meeting compliance. I reviewed program records and found them meeting compliance. Information required to be posted was observed posted on the bulletin board as you enter the building and on bulletin boards in each classroom. Daily attendance was monitored and found meeting compliance. You have not had any incidents recently, but provided the log to review. The last fire inspection was conducted on 6-7-23. The monthly fire drill log and emergency drill log was reviewed and found meeting compliance. The last sanitation inspection was conducted on 12-6-23 with a superior rating. The following violations were cited during today's visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu was not posted for this week. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. Three ceiling tiles were observed water stained, one over the handwashing sink in space 4, one in the bathroom behind space 4 and one in the bathroom behind space 2. 15A NCAC 18A .2825(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Prescribed asthma medication was observed in Space 1B locked in a cabinet, written permission to administer was not on site. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One child's prescribed medication, in Space 1B, for asthma was not identifiable, it was not in the original container, , did not have a pharmacy label and did not have the child's name. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. I observed diaper creams observed locked in cabinets, the staff stated they belonged to children and staff that no longer enrolled or employed at the center and it had been more than 72 hours. .0803(12) 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. One child enrolled with asthma medication and device to administer the medication on site did not have a medical action plan regarding his asthma condition. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child has a medical action plan on premise regarding a milk allergy, but his medication is not on premise. It was reported the parent keeps the medication at home and she provides a milk substitute and the medical action plan is no longer valid, but there is nothing in writing indicating that change. .0801(b) Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Karen Shaw, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before January 24, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Medications: I reviewed 10A NCAC 09 .0803(2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; (b) if pharmaceutical samples, shall be stored in the manufacturer's original packaging, shall be labeled with the child's name, and shall be accompanied by written instructions specifying: (i) the child's name; (ii) the names of the medication; (iii) the amount and frequency of dosage; (iv) the signature of the prescribing physician or other health professional; and (v) the date the instructions were signed by the physician or other health professional; (c) shall be administered only to the child for whom they were prescribed; and (d) shall be administered according to the prescription, using amount and frequency of dosage specified on the label. I encourage you to review the entire section of 10A NCAC 09 .0803 regarding administering medications. Medical Action Plans: Information regarding medical action plans can be found in 10A NCAC 09 .0801(b). There are many samples on the DCDEE website, under provider documents. When you are made aware of a child's medical condition you should check the website and print off an action plan for the parent to complete or have their pediatrician complete. Ensure you have clear instruction, correct medication and permission to administer in order to care for the child properly while in your care. Medical action plans must be updated annually and when changes are made. Daily Checks: I encourage each morning conduct a quick walkthrough to ensure the center is ready for care, noting anything thing that needs repaired or make any adjustments, such as posting current menus, changing out ceiling tiles, etc. You may want to come up with a daily, weekly opening/closing checklist. Rated License Reassessment: You are in cohort 1, you are currently in the preparation year until June 30, 2024. Your assessment year runs from July 1, 2024 to June 30, 2025. You may request the environmental rating scales at any time. If you do so during the prep year you have the choice of moving forward with the reassessment or holding the score and using them during the reassessment year should you choose. Contact when you are ready to apply. NCRLAP.org has useful information, additional note regarding the ITERS-R and ECERS-R. You may also want to contact CCRI, Inc. If you have any questions please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 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: PRECIOUS CHILD ACADEMY II Facility ID: 60001324 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 1/10/2024 Number Present: 14 Completed Date: 1/10/2024 Age: From 0 To 4 Total Minutes: 255 Time In: 10:30 AM Time Out: 02:45 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 compliance of applicable child care requirements during the annual compliance visit. A checklist was used to monitor the facility. Upon my arrival, the administrator explained that she needed to cover for the cook so I completed the walkthrough by myself. I reviewed my findings with you, Karen Shaw, Administrator, after the walkthrough. Due to the severe weather that occurred yesterday, maintenance was cleaning the playgrounds today so they were not accessible for outdoor play today. The monthly playground inspections were reviewed and found meeting compliance. Before going inside the facility I looked at the playgrounds. The severe weather left a lot of standing water and tree leave/twig debris. No damage to the outdoor gross motor equipment occurred. While monitoring the indoor space I observed in the three classrooms during active play. While in the infant/toddler room, one staff was present with three children. Two toddlers were moving about the indoor space playing with material. The teacher was changing a diaper as I arrived. She then washed hands, prepared a bottle and fed an infant. Children were tended to in a nurturing manner. I reviewed the current activity plan, infant safe sleep checks, current feeding schedules, and daily attendance, which all met compliance. The infant safe sleep policy was observed posted on the bulletin board in the classroom. Medications were monitored. Several diaper creams were left for children no longer in attendance. Creams were also left for staff no longer employed. One child has an asthma device and medication but no asthma action plan, or permission to administer and the medication is not identifiable, it did not come in it's original container with the pharmacy label. While monitoring the classrooms serving two's and preschool children, I observed active center play. Staff were engaged with the children, nurturing tones were heard as staff spoke with children. The current activity plan was reviewed and found meeting compliance. Material and equipment was observed in good repair. I did observed ceiling tiles with water stains in Space 4 and in both children's restrooms. Supervision and staff/child ratio was maintained throughout the facility. The menu posted was last weeks menu, this weeks was posted during the visit. lunch offered followed today's menu and met compliance. Cleaning supplies were observed stored properly. Outlets not in use were observed covered. No other hazards were observed today. You do not offer transportation. I reviewed a sample of children's files. The child with the asthma medication does not have medical action plan on file for his asthma condition. He has a medical action plan for a milk allergy, he is served a milk substitute the parent provide and you informed me the parent stated he doesn't need the medication on site. But this is not other information on file indicating his medical action plan regarding is milk allergy has changed and is medication for the milk allergy is not needed on site. I reviewed staff records. You had completed the staff and training worksheets, I filled in any information missing based on my review of the staff's files. All files were found meeting compliance. I reviewed program records and found them meeting compliance. Information required to be posted was observed posted on the bulletin board as you enter the building and on bulletin boards in each classroom. Daily attendance was monitored and found meeting compliance. You have not had any incidents recently, but provided the log to review. The last fire inspection was conducted on 6-7-23. The monthly fire drill log and emergency drill log was reviewed and found meeting compliance. The last sanitation inspection was conducted on 12-6-23 with a superior rating. The following violations were cited during today's visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu was not posted for this week. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. Three ceiling tiles were observed water stained, one over the handwashing sink in space 4, one in the bathroom behind space 4 and one in the bathroom behind space 2. 15A NCAC 18A .2825(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Prescribed asthma medication was observed in Space 1B locked in a cabinet, written permission to administer was not on site. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One child's prescribed medication, in Space 1B, for asthma was not identifiable, it was not in the original container, , did not have a pharmacy label and did not have the child's name. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. I observed diaper creams observed locked in cabinets, the staff stated they belonged to children and staff that no longer enrolled or employed at the center and it had been more than 72 hours. .0803(12) 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. One child enrolled with asthma medication and device to administer the medication on site did not have a medical action plan regarding his asthma condition. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child has a medical action plan on premise regarding a milk allergy, but his medication is not on premise. It was reported the parent keeps the medication at home and she provides a milk substitute and the medical action plan is no longer valid, but there is nothing in writing indicating that change. .0801(b) Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Karen Shaw, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before January 24, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Medications: I reviewed 10A NCAC 09 .0803(2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; (b) if pharmaceutical samples, shall be stored in the manufacturer's original packaging, shall be labeled with the child's name, and shall be accompanied by written instructions specifying: (i) the child's name; (ii) the names of the medication; (iii) the amount and frequency of dosage; (iv) the signature of the prescribing physician or other health professional; and (v) the date the instructions were signed by the physician or other health professional; (c) shall be administered only to the child for whom they were prescribed; and (d) shall be administered according to the prescription, using amount and frequency of dosage specified on the label. I encourage you to review the entire section of 10A NCAC 09 .0803 regarding administering medications. Medical Action Plans: Information regarding medical action plans can be found in 10A NCAC 09 .0801(b). There are many samples on the DCDEE website, under provider documents. When you are made aware of a child's medical condition you should check the website and print off an action plan for the parent to complete or have their pediatrician complete. Ensure you have clear instruction, correct medication and permission to administer in order to care for the child properly while in your care. Medical action plans must be updated annually and when changes are made. Daily Checks: I encourage each morning conduct a quick walkthrough to ensure the center is ready for care, noting anything thing that needs repaired or make any adjustments, such as posting current menus, changing out ceiling tiles, etc. You may want to come up with a daily, weekly opening/closing checklist. Rated License Reassessment: You are in cohort 1, you are currently in the preparation year until June 30, 2024. Your assessment year runs from July 1, 2024 to June 30, 2025. You may request the environmental rating scales at any time. If you do so during the prep year you have the choice of moving forward with the reassessment or holding the score and using them during the reassessment year should you choose. Contact when you are ready to apply. NCRLAP.org has useful information, additional note regarding the ITERS-R and ECERS-R. You may also want to contact CCRI, Inc. If you have any questions please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 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