10A NCAC 09 .0902 · Violation

Name of Operation: LA PETITE ACADEMY Facility ID: 9255258 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 40 Completed Date: 3/5/2025 Age: From 0 To 4 Total Minutes: 420 Time In: 10:30 AM Time Out: 05:30 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 with child care requirements for an annual compliance assessment. This facility currently operates with a Five (5) Star License that was issued on 12-27-18. The last sanitation inspection was completed on 8-7-24 with an “Superior” classification. The last approved fire inspection was conducted on 4-1-24. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, La Petite Academy, Inc. was listed as “Current-Active.” Today’s visit was conducted with you, Lateefah Pittman, the new center director. You accompanied me as I monitored the six (6) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements indoors using the annual compliance monitoring checklist. There were severe thunderstorms today and the outdoor environment was not monitored. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed at the table coloring with markers and crayons, in circle time where the caregiver was reading a book to the children, engaged in music and movement, interacting in activity centers, and the children were observed completing toileting and handwashing routines. The children slept on mats with linens. The program requirements, along with equipment and furnishings were observed. Compliance with staff records was documented by you. New staff records, along with children’s records were reviewed today. Medication observed on the premises were also monitored. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In spaces #1 and #2 age appropriate books, music toys, pretend play toys, and fine motor toys were not available in a sufficient quantity. .0510 (e ) (1)(A-G) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Feeding schedules for all children under fifteen (15) months old in spaces #1 and #2 were not available and posted. 10A NCAC 09 .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in January nor February 2025. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented emergency drill was on 11-19-2024. .0604(u);.0302(d)(8) The above violations must be corrected immediately and a letter must be sent to me no later than 3-10-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestions that may be beneficial: Developmentally Appropriate Materials: Developmentally appropriate materials are crucial in a child care setting because they allow children to engage in play and learning activities that are tailored to their specific age and developmental stage, promoting optimal learning by preventing frustration from overly complex toys or boredom from overly simple ones, all while also supporting their physical, cognitive, social, and emotional growth through age-appropriate interactions with materials. Take inventory of your materials/toys in each classroom at least weekly to ensure you have the required materials in the correct quantity for each age group. Provide your staff or the designated person with a checklist of the required age appropriate materials for each age group and if materials are lacking, an order for the needed materials can be placed immediately. Fire Drills & Emergency Drills: Conducting fire drills and emergency drills monthly are important because they help familiarize children and staff with emergency procedures. The facility’s personalized strategies for handing emergencies and the children and staff knowing these strategies are crucial to responding quickly. Set a reminder on your electronic calendar and on your phone to remind you to conduct these drills. Infant Feeding Schedule: The feeding schedules completed by parents ensure that infants receive the best possible nutrition and develop a sense of security and predictability. Having clear feeding guidelines from the parent is essential to support the growth and development of each infant. When any child under fifteen (15) months old is enrolled and the parent is filling out paperwork, ensure that the parent completes the feeding schedule. The feeding schedule is posted in the classroom so it can be followed and it must be updated when the infant’s feeding habits change. • Submit your completed Pre-Service Requirements for Administrators form with you District Leader’s signature asap. • A suggestion was made to save the most recent child care requirements in Chapter 9 effective November 1, 2024, to your desktop computer for easy access. As well as, bookmark the Division of Child Development and Early Education on your computer for access to valuable resources like, the criminal background check link, forms and documents, what’s new, etc. • Please connect/link you and your staff in the criminal record check portal asap. Center directors can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. A handout titled Creating Connecting Applications in the Automated Background Check Management System (ABCMS) was provided today that provides instructions for connecting/linking you and your staff. ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. If you need assistance with your NCID, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. If you need assistance please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or email at DCDEE_ABCMS_Provider@dhhs.nc.gov . • It was recommended to post a sign indicating “Emergency Medications” on neon paper to easily identify where the medications are stored. • Your Ready to Go File contained outdated information. Please review your paperwork in the Ready to Go File and remove any children and staff emergency information if they are no longer enrolled or employed. • We discussed that you do not need to complete an outdoor inspection on the DCDEE form daily, documentation is required only once a month. • There were duplicates of paperwork in both the children’s and staff files. Please go through the files and eliminate duplicate paperwork for ease of review. • Remind staff to tuck garbage bags around the trash can lids. • Have staff submit the staff medical report form for the medical file instead of the physical report form from the doctor’s office. • The ink is rubbing off the labels for the bottles. Look at an alternative for labeling so the date is always visible. • The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. Specialists are available with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. A flyer with the challenging behaviors hotline information was provided today. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 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.

NC GS 110-90 · Violation

Name of Operation: LA PETITE ACADEMY Facility ID: 9255258 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 40 Completed Date: 3/5/2025 Age: From 0 To 4 Total Minutes: 420 Time In: 10:30 AM Time Out: 05:30 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 with child care requirements for an annual compliance assessment. This facility currently operates with a Five (5) Star License that was issued on 12-27-18. The last sanitation inspection was completed on 8-7-24 with an “Superior” classification. The last approved fire inspection was conducted on 4-1-24. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, La Petite Academy, Inc. was listed as “Current-Active.” Today’s visit was conducted with you, Lateefah Pittman, the new center director. You accompanied me as I monitored the six (6) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements indoors using the annual compliance monitoring checklist. There were severe thunderstorms today and the outdoor environment was not monitored. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed at the table coloring with markers and crayons, in circle time where the caregiver was reading a book to the children, engaged in music and movement, interacting in activity centers, and the children were observed completing toileting and handwashing routines. The children slept on mats with linens. The program requirements, along with equipment and furnishings were observed. Compliance with staff records was documented by you. New staff records, along with children’s records were reviewed today. Medication observed on the premises were also monitored. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In spaces #1 and #2 age appropriate books, music toys, pretend play toys, and fine motor toys were not available in a sufficient quantity. .0510 (e ) (1)(A-G) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Feeding schedules for all children under fifteen (15) months old in spaces #1 and #2 were not available and posted. 10A NCAC 09 .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in January nor February 2025. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented emergency drill was on 11-19-2024. .0604(u);.0302(d)(8) The above violations must be corrected immediately and a letter must be sent to me no later than 3-10-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestions that may be beneficial: Developmentally Appropriate Materials: Developmentally appropriate materials are crucial in a child care setting because they allow children to engage in play and learning activities that are tailored to their specific age and developmental stage, promoting optimal learning by preventing frustration from overly complex toys or boredom from overly simple ones, all while also supporting their physical, cognitive, social, and emotional growth through age-appropriate interactions with materials. Take inventory of your materials/toys in each classroom at least weekly to ensure you have the required materials in the correct quantity for each age group. Provide your staff or the designated person with a checklist of the required age appropriate materials for each age group and if materials are lacking, an order for the needed materials can be placed immediately. Fire Drills & Emergency Drills: Conducting fire drills and emergency drills monthly are important because they help familiarize children and staff with emergency procedures. The facility’s personalized strategies for handing emergencies and the children and staff knowing these strategies are crucial to responding quickly. Set a reminder on your electronic calendar and on your phone to remind you to conduct these drills. Infant Feeding Schedule: The feeding schedules completed by parents ensure that infants receive the best possible nutrition and develop a sense of security and predictability. Having clear feeding guidelines from the parent is essential to support the growth and development of each infant. When any child under fifteen (15) months old is enrolled and the parent is filling out paperwork, ensure that the parent completes the feeding schedule. The feeding schedule is posted in the classroom so it can be followed and it must be updated when the infant’s feeding habits change. • Submit your completed Pre-Service Requirements for Administrators form with you District Leader’s signature asap. • A suggestion was made to save the most recent child care requirements in Chapter 9 effective November 1, 2024, to your desktop computer for easy access. As well as, bookmark the Division of Child Development and Early Education on your computer for access to valuable resources like, the criminal background check link, forms and documents, what’s new, etc. • Please connect/link you and your staff in the criminal record check portal asap. Center directors can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. A handout titled Creating Connecting Applications in the Automated Background Check Management System (ABCMS) was provided today that provides instructions for connecting/linking you and your staff. ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. If you need assistance with your NCID, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. If you need assistance please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or email at DCDEE_ABCMS_Provider@dhhs.nc.gov . • It was recommended to post a sign indicating “Emergency Medications” on neon paper to easily identify where the medications are stored. • Your Ready to Go File contained outdated information. Please review your paperwork in the Ready to Go File and remove any children and staff emergency information if they are no longer enrolled or employed. • We discussed that you do not need to complete an outdoor inspection on the DCDEE form daily, documentation is required only once a month. • There were duplicates of paperwork in both the children’s and staff files. Please go through the files and eliminate duplicate paperwork for ease of review. • Remind staff to tuck garbage bags around the trash can lids. • Have staff submit the staff medical report form for the medical file instead of the physical report form from the doctor’s office. • The ink is rubbing off the labels for the bottles. Look at an alternative for labeling so the date is always visible. • The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. Specialists are available with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. A flyer with the challenging behaviors hotline information was provided today. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: LA PETITE ACADEMY Facility ID: 9255258 Consultant: AMBER TELFAIR Operation Type: Center Case Number: 0225-238A Visit Date: 2/27/2025 Number Present: 47 Completed Date: 2/27/2025 Age: From 0 To 5 Total Minutes: 145 Time In: 09:25 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Nicole Miller, Investigations Consultant, was also present. Tawana Beasley, Interim Director, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Beasley. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On January 20, 2025, a one-year-old child ingested a medication not prescribed to the child. Another one-year-old child placed the medication in their mouth twice before spitting it out. 10A NCAC 09 .0601(a) 832 There was no written emergency medical care (EMC) plan. On February 27, 2025, there was no EMC plan posted or on file. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. On January 20, 2025, a staff member in the classroom for one-year-old children had a single prescription pill in their pant pocket while caring for the children. 15A NCAC 18A .2820(d) 1810 There was a substantiation of child maltreatment. On April 15, 2025, The Division of Child Development and Early Education substantiated child maltreatment regarding supervision. GS 110-105.6(a) 1883 When medication was administered in error, the child care center did not either call 911 in accordance with CPR or First Aid training recommendations, notify the center director, contact the child's parent, observe the child, or include all the information when documenting the error in writing. On January 20, 2025, a staff member failed to follow protocol when they attempted to induce vomiting in a one-year-old child who ingested a medication not prescribed to the child instead of immediately contacting Poison Help and notifying the director as required by the Emergency Medical Care Plan. In addition, eighteen minutes passed before administrative staff contacted 911. .0803(14)(a-e)(i-vii) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. On January 20, 2025, a one-year-old required medical attention following an incident that occurred at the facility and an incident report was not submitted to the Division. .0802(f) Violations must be corrected immediately. Within one week, 3/6/25, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Amber Telfair, Investigations Consultant, (919) 830-7551, amber.telfair@dhhs.nc.gov You may contact me Amber Telfair, Investigations Consultant, (919) 830-7551, amber.telfair@dhhs.nc.gov or Sheronda Harris, Central Investigations Supervisor, Sheronda.harris@dhhs.nc.gov. Thank you for your time. 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 .0802 · Violation

Name of Operation: LA PETITE ACADEMY Facility ID: 9255258 Consultant: AMBER TELFAIR Operation Type: Center Case Number: 0225-238A Visit Date: 2/27/2025 Number Present: 47 Completed Date: 2/27/2025 Age: From 0 To 5 Total Minutes: 145 Time In: 09:25 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Nicole Miller, Investigations Consultant, was also present. Tawana Beasley, Interim Director, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Beasley. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On January 20, 2025, a one-year-old child ingested a medication not prescribed to the child. Another one-year-old child placed the medication in their mouth twice before spitting it out. 10A NCAC 09 .0601(a) 832 There was no written emergency medical care (EMC) plan. On February 27, 2025, there was no EMC plan posted or on file. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. On January 20, 2025, a staff member in the classroom for one-year-old children had a single prescription pill in their pant pocket while caring for the children. 15A NCAC 18A .2820(d) 1810 There was a substantiation of child maltreatment. On April 15, 2025, The Division of Child Development and Early Education substantiated child maltreatment regarding supervision. GS 110-105.6(a) 1883 When medication was administered in error, the child care center did not either call 911 in accordance with CPR or First Aid training recommendations, notify the center director, contact the child's parent, observe the child, or include all the information when documenting the error in writing. On January 20, 2025, a staff member failed to follow protocol when they attempted to induce vomiting in a one-year-old child who ingested a medication not prescribed to the child instead of immediately contacting Poison Help and notifying the director as required by the Emergency Medical Care Plan. In addition, eighteen minutes passed before administrative staff contacted 911. .0803(14)(a-e)(i-vii) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. On January 20, 2025, a one-year-old required medical attention following an incident that occurred at the facility and an incident report was not submitted to the Division. .0802(f) Violations must be corrected immediately. Within one week, 3/6/25, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Amber Telfair, Investigations Consultant, (919) 830-7551, amber.telfair@dhhs.nc.gov You may contact me Amber Telfair, Investigations Consultant, (919) 830-7551, amber.telfair@dhhs.nc.gov or Sheronda Harris, Central Investigations Supervisor, Sheronda.harris@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-105 · Violation

Name of Operation: LA PETITE ACADEMY Facility ID: 9255258 Consultant: AMBER TELFAIR Operation Type: Center Case Number: 0225-238A Visit Date: 2/27/2025 Number Present: 47 Completed Date: 2/27/2025 Age: From 0 To 5 Total Minutes: 145 Time In: 09:25 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Nicole Miller, Investigations Consultant, was also present. Tawana Beasley, Interim Director, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Beasley. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On January 20, 2025, a one-year-old child ingested a medication not prescribed to the child. Another one-year-old child placed the medication in their mouth twice before spitting it out. 10A NCAC 09 .0601(a) 832 There was no written emergency medical care (EMC) plan. On February 27, 2025, there was no EMC plan posted or on file. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. On January 20, 2025, a staff member in the classroom for one-year-old children had a single prescription pill in their pant pocket while caring for the children. 15A NCAC 18A .2820(d) 1810 There was a substantiation of child maltreatment. On April 15, 2025, The Division of Child Development and Early Education substantiated child maltreatment regarding supervision. GS 110-105.6(a) 1883 When medication was administered in error, the child care center did not either call 911 in accordance with CPR or First Aid training recommendations, notify the center director, contact the child's parent, observe the child, or include all the information when documenting the error in writing. On January 20, 2025, a staff member failed to follow protocol when they attempted to induce vomiting in a one-year-old child who ingested a medication not prescribed to the child instead of immediately contacting Poison Help and notifying the director as required by the Emergency Medical Care Plan. In addition, eighteen minutes passed before administrative staff contacted 911. .0803(14)(a-e)(i-vii) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. On January 20, 2025, a one-year-old required medical attention following an incident that occurred at the facility and an incident report was not submitted to the Division. .0802(f) Violations must be corrected immediately. Within one week, 3/6/25, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Amber Telfair, Investigations Consultant, (919) 830-7551, amber.telfair@dhhs.nc.gov You may contact me Amber Telfair, Investigations Consultant, (919) 830-7551, amber.telfair@dhhs.nc.gov or Sheronda Harris, Central Investigations Supervisor, Sheronda.harris@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: LA PETITE ACADEMY Facility ID: 9255258 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 1124-290L Visit Date: 12/4/2024 Number Present: 38 Completed Date: 12/4/2024 Age: From 0 To 5 Total Minutes: 110 Time In: 03:20 PM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate allegations of non-compliance with child care requirements. Today’s visit was conducted with you, Patrice Foster, center director. This facility operates with a Five (5) Star License issued on 12-27-18. Upon arrival to the facility, I proceeded to the classroom where you were located in space #1 as the caregiver for infants. I continued to monitor for staff/child ratios in the other classrooms. In space #4, there were eight (8) children, three (3) two (2) year olds and five (5) one (1) year olds observed with one (1) caregiver. In space #5, there were twelve (12) children observed, three (3) three (3) year olds and nine (9) four (4) year olds with one (1) caregiver. When staff were interviewed they corroborated that at times the required staff/child ratios are not maintained. You stated that today’s staff/child ratio incidents occurred because the assistant director prematurely moved children and sent a caregiver home. You added that you were in the classroom for infants as the caregiver and was unaware that the assistant director had closed the classroom for two (2) year olds. Based on my observations and conversations with staff, the allegation regarding staff/child ratios is substantiated. See violation below. Once you corrected the staff/child ratio violation, the other reported allegations were discussed with you. In regard to the allegation concerning director qualifications, your education has been verified in the WORKS system and you are qualified as a Level II Administrator, therefore meeting the child care rules for administrator requirements. Based on my observations, the allegation regarding staff qualifications is unsubstantiated. The final allegation regarding a developmentally appropriate environment was discussed with you. You stated that you work from 7:00am to 6:00pm every day and that the admin staff are the only ones who move children when needed to maintain ratios. You stated that if you must move children, it is during drop off times from 7:00am to 9:00am or during the evening departure times after 4:00pm when staff are getting off work and the number of children present is decreasing from children being picked up. You indicated that the rule of thumb is to move the older children in the classroom up to the next age group and maintain the ratio of the youngest child in the group. You explained that older three (3) year olds are moved with the four (4) year olds, older one (1) year olds are moved with the two (2) year olds and the six (6) month olds are moved up to the older infant/toddler (one year olds) classroom. These age groups can be combined per the child care requirements. It was discussed that best practice would be to keep children in their assigned rooms with assigned caregivers. If you need to move children to maintain ratios, it is best to move older children down one age group, so all materials are still age appropriate, however, be cautious that materials for younger children are not challenging or interesting for older children. You can send materials with the children like puzzles, games, books, that would not be hazardous to the children. The materials observed in the classrooms with combined age groups today were developmentally appropriate. Based on observations and my conversation with you, the allegation concerning developmentally appropriate materials is unsubstantiated. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided today. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. In space #4 there were eight (8) children present, three (3) two (2) year olds and five (5) one (1) year olds observed with one (1) caregiver. In space #5, there were twelve (12) children observed, three (3) three (3) year olds and nine (9) four (4) year olds with one (1) caregiver. 10A NCAC 09 .2818 The above violation must be corrected immediately and a letter must be sent to me no later than 12-18-24 stating how the item was corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today's visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestions that may be beneficial: • Staff/Child Ratios: Staff/child ratios play an important role in supporting overall quality and education outcomes in child care facilities. Meeting staff/child ratios impacts the quality of care children receive, ensuring their safety, proper supervision, individual attention, and the ability to foster positive developmental growth by providing enough caregivers to adequately attend to each child's needs, especially for younger children who require more focused support. Failing to maintain proper ratios can lead to potential neglect, inadequate learning experiences, and increased risk of accidents. Please revisit your staff schedules to see if changes can be made to accommodate the times when parents pick up in the evenings. It was suggested to schedule a staff meeting to reiterate the importance of maintaining staff/child ratios. Today I spoke with the Regional Manager, Racheal Perry via a telephone regarding the staff/child ratio violation and appropriate measures to achieve compliance. • A follow-up visit will be conducted in the near future to monitor for compliance. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any questions or concerns, please do not hesitate to contact me. Bridggette Campbell PO Box 865 Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 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.

NC GS 110-90 · Violation

Name of Operation: LA PETITE ACADEMY Facility ID: 9255258 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 1124-290L Visit Date: 12/4/2024 Number Present: 38 Completed Date: 12/4/2024 Age: From 0 To 5 Total Minutes: 110 Time In: 03:20 PM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate allegations of non-compliance with child care requirements. Today’s visit was conducted with you, Patrice Foster, center director. This facility operates with a Five (5) Star License issued on 12-27-18. Upon arrival to the facility, I proceeded to the classroom where you were located in space #1 as the caregiver for infants. I continued to monitor for staff/child ratios in the other classrooms. In space #4, there were eight (8) children, three (3) two (2) year olds and five (5) one (1) year olds observed with one (1) caregiver. In space #5, there were twelve (12) children observed, three (3) three (3) year olds and nine (9) four (4) year olds with one (1) caregiver. When staff were interviewed they corroborated that at times the required staff/child ratios are not maintained. You stated that today’s staff/child ratio incidents occurred because the assistant director prematurely moved children and sent a caregiver home. You added that you were in the classroom for infants as the caregiver and was unaware that the assistant director had closed the classroom for two (2) year olds. Based on my observations and conversations with staff, the allegation regarding staff/child ratios is substantiated. See violation below. Once you corrected the staff/child ratio violation, the other reported allegations were discussed with you. In regard to the allegation concerning director qualifications, your education has been verified in the WORKS system and you are qualified as a Level II Administrator, therefore meeting the child care rules for administrator requirements. Based on my observations, the allegation regarding staff qualifications is unsubstantiated. The final allegation regarding a developmentally appropriate environment was discussed with you. You stated that you work from 7:00am to 6:00pm every day and that the admin staff are the only ones who move children when needed to maintain ratios. You stated that if you must move children, it is during drop off times from 7:00am to 9:00am or during the evening departure times after 4:00pm when staff are getting off work and the number of children present is decreasing from children being picked up. You indicated that the rule of thumb is to move the older children in the classroom up to the next age group and maintain the ratio of the youngest child in the group. You explained that older three (3) year olds are moved with the four (4) year olds, older one (1) year olds are moved with the two (2) year olds and the six (6) month olds are moved up to the older infant/toddler (one year olds) classroom. These age groups can be combined per the child care requirements. It was discussed that best practice would be to keep children in their assigned rooms with assigned caregivers. If you need to move children to maintain ratios, it is best to move older children down one age group, so all materials are still age appropriate, however, be cautious that materials for younger children are not challenging or interesting for older children. You can send materials with the children like puzzles, games, books, that would not be hazardous to the children. The materials observed in the classrooms with combined age groups today were developmentally appropriate. Based on observations and my conversation with you, the allegation concerning developmentally appropriate materials is unsubstantiated. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided today. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. In space #4 there were eight (8) children present, three (3) two (2) year olds and five (5) one (1) year olds observed with one (1) caregiver. In space #5, there were twelve (12) children observed, three (3) three (3) year olds and nine (9) four (4) year olds with one (1) caregiver. 10A NCAC 09 .2818 The above violation must be corrected immediately and a letter must be sent to me no later than 12-18-24 stating how the item was corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today's visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestions that may be beneficial: • Staff/Child Ratios: Staff/child ratios play an important role in supporting overall quality and education outcomes in child care facilities. Meeting staff/child ratios impacts the quality of care children receive, ensuring their safety, proper supervision, individual attention, and the ability to foster positive developmental growth by providing enough caregivers to adequately attend to each child's needs, especially for younger children who require more focused support. Failing to maintain proper ratios can lead to potential neglect, inadequate learning experiences, and increased risk of accidents. Please revisit your staff schedules to see if changes can be made to accommodate the times when parents pick up in the evenings. It was suggested to schedule a staff meeting to reiterate the importance of maintaining staff/child ratios. Today I spoke with the Regional Manager, Racheal Perry via a telephone regarding the staff/child ratio violation and appropriate measures to achieve compliance. • A follow-up visit will be conducted in the near future to monitor for compliance. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any questions or concerns, please do not hesitate to contact me. Bridggette Campbell PO Box 865 Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 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: LA PETITE ACADEMY Facility ID: 9255258 Consultant: AMBER TELFAIR Operation Type: Center Case Number: 0824-062A Visit Date: 8/7/2024 Number Present: 38 Completed Date: 8/7/2024 Age: From 0 To 6 Total Minutes: 95 Time In: 10:00 AM Time Out: 11:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Patrice Foster, director, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Foster, Amber Shepherd, assistant director, and an additional staff member. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member improperly handled an eleven-month-old child. G.S. 110-91(10) You may contact me Amber Telfair, Investigations Consultant, (919) 830-7551, amber.telfair@dhhs.nc.gov or Sheronda Harris, Central Investigations Supervisor, Sheronda.harris@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: LA PETITE ACADEMY Facility ID: 9255258 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 0724-076L Visit Date: 7/15/2024 Number Present: 40 Completed Date: 7/15/2024 Age: From 0 To 5 Total Minutes: 60 Time In: 11:45 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate an allegation of noncompliance with child care requirements. Today’s visit was conducted with you, Ms. Patrice Foster, center director. This facility currently operates with a Five (5) Star License that was issued on 12-27-18. Upon arrival to the facility, I was greeted by you and the complaint allegation regarding medication was shared with you today. It was alleged that a medication permission form was not followed as directed by a parent. You explained that upon enrollment, initially Vaseline was not applied daily, at each diaper change. Once it was brought to your attention and the caregivers’ attention, Vaseline was applied at each diaper change per the parent’s written instructions. Based on my conversation with you, the allegation concerning medication is substantiated. See violation below. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written permission to administer Vaseline to a child in space #1, was observed on file, however the caregivers did not administer the Vaseline per the instructions from the parent. 10A NCAC 09 .0803(1)(a & b) The above violation must be corrected immediately and a corrective action letter must be sent to me no later than 7-29-24 stating how the violation was corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a corrective action letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestion that may be beneficial: • We discussed record keeping is one of the most time-consuming tasks associated with operating a child care program. It is an important part of licensure. As an administrator you must allow time to review all necessary documentation to ensure accuracy. Set a reminder to review/update medications in each classroom. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You and the caregivers must know what medication the parent authorized to be administered and how they want medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept on file for six months. It was suggested all staff to complete training on administering medications. • A suggestion was also made to use the 2-page infant feeding schedule located on the DCDEE website. This feeding schedule provides a more detailed account of the quantity of bottles and food provided by the parent and how to administer the bottles and food to the child. See next page for routine unannounced visit summary. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: LA PETITE ACADEMY Facility ID: 9255258 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 0724-076L Visit Date: 7/15/2024 Number Present: 40 Completed Date: 7/15/2024 Age: From 0 To 5 Total Minutes: 60 Time In: 11:45 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate an allegation of noncompliance with child care requirements. Today’s visit was conducted with you, Ms. Patrice Foster, center director. This facility currently operates with a Five (5) Star License that was issued on 12-27-18. Upon arrival to the facility, I was greeted by you and the complaint allegation regarding medication was shared with you today. It was alleged that a medication permission form was not followed as directed by a parent. You explained that upon enrollment, initially Vaseline was not applied daily, at each diaper change. Once it was brought to your attention and the caregivers’ attention, Vaseline was applied at each diaper change per the parent’s written instructions. Based on my conversation with you, the allegation concerning medication is substantiated. See violation below. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written permission to administer Vaseline to a child in space #1, was observed on file, however the caregivers did not administer the Vaseline per the instructions from the parent. 10A NCAC 09 .0803(1)(a & b) The above violation must be corrected immediately and a corrective action letter must be sent to me no later than 7-29-24 stating how the violation was corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a corrective action letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestion that may be beneficial: • We discussed record keeping is one of the most time-consuming tasks associated with operating a child care program. It is an important part of licensure. As an administrator you must allow time to review all necessary documentation to ensure accuracy. Set a reminder to review/update medications in each classroom. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You and the caregivers must know what medication the parent authorized to be administered and how they want medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept on file for six months. It was suggested all staff to complete training on administering medications. • A suggestion was also made to use the 2-page infant feeding schedule located on the DCDEE website. This feeding schedule provides a more detailed account of the quantity of bottles and food provided by the parent and how to administer the bottles and food to the child. See next page for routine unannounced visit summary. 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: LA PETITE ACADEMY Facility ID: 9255258 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 8/30/2023 Number Present: 54 Completed Date: 8/30/2023 Age: From 0 To 5 Total Minutes: 250 Time In: 12:00 PM Time Out: 04:10 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 with child care requirements for a routine unannounced assessment. A complaint visit was also conducted during today’s visit. This facility currently operates with a (5) Five Star License issued on 12-27-18. The last annual compliance visit was conducted on 3-22-23. Today’s visit was conducted with you, Jamie Kearns, Center Director and Amber Shephard, Assistant Director. Upon arrival to the facility, I was greeted by you. I was accompanied during a walk-through of the facility visiting the four (4) classrooms occupied by children. Compliance with staff/child ratios, supervision, discipline, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions and various staff records documentation was monitored as a partial assessment of applicable child care requirements. Medications and permission to administer these medications were observed. The children were getting ready to go outside to the playground, however as they exited the classroom a baby black snake was observed. The children returned to the classroom, washed their hands and engaged in music and movement on the carpet. The younger preschoolers were observed at the table as they were waiting for lunch to be served. Toileting and handwashing routines were observed prior to lunch being served. After lunch the children laid down on mats with linens to rest. A caring and nurturing environment was observed as the caregivers met the children’s needs. During today’s visit, a partial assessment of applicable child care requirements was conducted. The following violations of child care requirements were cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided today. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, the permission to administer Aquaphor to a child expired on 5-31-23. 10A NCAC 09 .0803(1)(a & b) 853 Incident logs were not completed and maintained as required. An incident that occured on 8-16-23 was documented on an incident report form, however was not logged on the incident log as required. .0802(g)(1-6) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, sleep position documentation had not been completed for the past three days. .0606(g) The above violations must be corrected immediately and a letter must be sent to me no later than 9-13-23 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. If I do not receive your letter by 9-13-23 and/or if you do not address the violations, a return visit to your program may be made to monitor for compliance of the violations. Additional violations may be documented if the situation has not been corrected or addressed. The following were discussed with you during today's visit: • Hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is in cohort one. Beginning now and throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • Please add an additional evacuation crib to your infant room since there are 8 infants enrolled. • The Stand Up Changing Procedure was shared with you to assist the staff in the classroom for two year olds . • Today you stated that personnel was contacted regarding the snake outside to try to remove it if possible. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any questions or concerns, please do not hesitate to contact me. Bridggette Campbell PO Box 865 Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 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.