Xavier'S Early Learning Center

10A NCAC 09 .0604 · Violation

Name of Operation: Xavier's Early Learning Center Facility ID: 33000519 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 6/9/2026 Number Present: 27 Completed Date: 6/9/2026 Age: From 0 To 6 Total Minutes: 155 Time In: 09:25 AM Time Out: 12:00 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 this facility for compliance with applicable child care requirements during a routine unannounced visit. Upon arrival, S. Johnson, Administrator, was present and available to assist with today’s visit. Your program currently operates with a four-star license issued on September 21, 2025, earning 7 points in the education component, 2 points in the program standards component, and 1 quality point for having a staff benefits package and infrastructure of parent involvement. The sanitation inspection was completed on April 7, 2026, with a “Superior” classification “0” demerits. The fire inspection was completed on October 16,2025, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty-seven (27) children from ages 6 weeks old to six-years-old were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play in centers, gross-motor activities, and personal care routines. The children in the infant room were playing on the floor, and the caregiver was interacting in a nurturing manner. The children were observed eating cheerios, mixed fruit, and milk. The following items were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. The visit summary was printed at the conclusion of this visit and all violations were discussed. The following violations were documented during today's visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space number one (1) there was a bag of human milk in the refrigerator. The milk was not stored in a bottle. It was stored in a human milk storage bag. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space number one (1) there is a refrigerator that had human milk stored. The temperature on the thermometer was 51 degrees. 15A NCAC 18A .2806(j)(2) 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. In space number two (2) there was an electrical outlet not covered. 10A NCAC 09 .0604(c) 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 number one (1) where infant aged children are cared for, there was a child who is less than 12 months old. There were no safe sleep checks for June 1st , 2nd , 3rd , 4th , and 8th . .0606(g) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 23, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 95%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Xaviers' Place, LLC. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Xaviers' Place, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE: SAFE SLEEP CHECKS: In space number one (1) where infant aged children are cared for, there was a child who is less than 12 months old. There were no safe sleep checks for June 1st , 2nd , 3rd , 4th , and 8th . Please remember visual safe sleep checks must take place every 15 minutes and documented on the safe sleep chart. SANITATION: In space number one (1) there is a refrigerator that had human milk stored. The temperature on the thermometer was 51 degrees. The temperature in the refrigerator should register 45 degrees or less. You moved the human milk to your main refrigerator and lowered the temperature in the refrigerator. This was corrected during the visit. NUTRITION FOR INFANTS: In space number one (1) there was a bag of human milk in the refrigerator. The milk was not stored in a bottle. It was stored in a human milk storage bag. Please remember all bottles need to be prepared prior to being stored in the refrigerator. The mother (who is a teacher in the facility) removed the bag and poured the milk into a bottle. This was corrected during the visit. ELECTRICAL OUTLETS: In space number two (2) there was an electrical outlet not covered. The teacher immediately covered the electrical outlet with a protective cover. Please remember to have teachers check all outlet prior to bringing children into the classroom and periodically throughout the day. This was corrected during the visit. REMINDERS: DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please print each staff member’s DCDEE WORKS letter and file. Please contact the WORKS department if you have questions about what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: You have completed your ABCMS Roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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 1-800-859-0829 and someone will assist you. CLEAN WATER FOR US KIDS: You have completed the lead water testing on November 8, 2024, please remember child care facilities must test their water used for drinking and cooking every three (3) years. You have completed the requirements for lead paint and asbestos testing. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Xavier's Early Learning Center Facility ID: 33000519 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 6/9/2026 Number Present: 27 Completed Date: 6/9/2026 Age: From 0 To 6 Total Minutes: 155 Time In: 09:25 AM Time Out: 12:00 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 this facility for compliance with applicable child care requirements during a routine unannounced visit. Upon arrival, S. Johnson, Administrator, was present and available to assist with today’s visit. Your program currently operates with a four-star license issued on September 21, 2025, earning 7 points in the education component, 2 points in the program standards component, and 1 quality point for having a staff benefits package and infrastructure of parent involvement. The sanitation inspection was completed on April 7, 2026, with a “Superior” classification “0” demerits. The fire inspection was completed on October 16,2025, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty-seven (27) children from ages 6 weeks old to six-years-old were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play in centers, gross-motor activities, and personal care routines. The children in the infant room were playing on the floor, and the caregiver was interacting in a nurturing manner. The children were observed eating cheerios, mixed fruit, and milk. The following items were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. The visit summary was printed at the conclusion of this visit and all violations were discussed. The following violations were documented during today's visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space number one (1) there was a bag of human milk in the refrigerator. The milk was not stored in a bottle. It was stored in a human milk storage bag. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space number one (1) there is a refrigerator that had human milk stored. The temperature on the thermometer was 51 degrees. 15A NCAC 18A .2806(j)(2) 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. In space number two (2) there was an electrical outlet not covered. 10A NCAC 09 .0604(c) 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 number one (1) where infant aged children are cared for, there was a child who is less than 12 months old. There were no safe sleep checks for June 1st , 2nd , 3rd , 4th , and 8th . .0606(g) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 23, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 95%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Xaviers' Place, LLC. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Xaviers' Place, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE: SAFE SLEEP CHECKS: In space number one (1) where infant aged children are cared for, there was a child who is less than 12 months old. There were no safe sleep checks for June 1st , 2nd , 3rd , 4th , and 8th . Please remember visual safe sleep checks must take place every 15 minutes and documented on the safe sleep chart. SANITATION: In space number one (1) there is a refrigerator that had human milk stored. The temperature on the thermometer was 51 degrees. The temperature in the refrigerator should register 45 degrees or less. You moved the human milk to your main refrigerator and lowered the temperature in the refrigerator. This was corrected during the visit. NUTRITION FOR INFANTS: In space number one (1) there was a bag of human milk in the refrigerator. The milk was not stored in a bottle. It was stored in a human milk storage bag. Please remember all bottles need to be prepared prior to being stored in the refrigerator. The mother (who is a teacher in the facility) removed the bag and poured the milk into a bottle. This was corrected during the visit. ELECTRICAL OUTLETS: In space number two (2) there was an electrical outlet not covered. The teacher immediately covered the electrical outlet with a protective cover. Please remember to have teachers check all outlet prior to bringing children into the classroom and periodically throughout the day. This was corrected during the visit. REMINDERS: DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please print each staff member’s DCDEE WORKS letter and file. Please contact the WORKS department if you have questions about what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: You have completed your ABCMS Roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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 1-800-859-0829 and someone will assist you. CLEAN WATER FOR US KIDS: You have completed the lead water testing on November 8, 2024, please remember child care facilities must test their water used for drinking and cooking every three (3) years. You have completed the requirements for lead paint and asbestos testing. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: Xavier's Early Learning Center Facility ID: 33000519 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/5/2026 Number Present: 13 Completed Date: 2/5/2026 Age: From 1 To 6 Total Minutes: 235 Time In: 10:05 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. Upon arrival, S. Johnson, Administrator, was not present. T. Wynn, Lead Teacher, was available to assist with today’s visit. Ms. Wynn notified you of my presents and you arrived after the visit began and were also able to assist with the visit. Your program currently operates with a four-star license issued on September 21, 2025, earning 7 points in the education component, 2 points in the program standards component, and 1 quality point for having a staff benefits package and infrastructure of parent involvement. This is your first annual compliance visit. The sanitation inspection was completed on November 19, 2025, with a “Superior” classification “0” demerits. The fire inspection was completed on October 23, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Thirteen (13) children from ages one year-old to six-years-old were present during the visit. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff-child-ratio to be in compliance. Children were engaging in free-play and personal care routines. The following was served for lunch: Cheese pizza, pears, French fires, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented during today’s visit. 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 fire inspection was completed on October 16, 2025; however, it was not sent to the child care consultant within one week of completion. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. In space number three (3) the activity plan posted was not current and dated January 26-30, 2026. GS 110-91(12); .0508(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. D. Brown began employment on January 6, 2026. Ms. Brown did not have a verification of her two (2) week orientation topics completed by January 20, 2026. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. There was a child’s file with the enrollment date of June 6, 2025, who did have documentation of a completed health assessment; however, the form was completed on August 6, 2025. GS110-91(1) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. C. Tillery began employment on January 28, 2026. Ms. Tillery did not have a medical statement on file. .0701(d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 19, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit, your center’s Compliance History score, over an 18-month period time frame, is 97%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Xaviers' Place, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website on February 3, 2026, Xaviers' Place, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss changes of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/REMINDERS: STAFF AND CHILDREN RECORDS: During today’s visit 10% of staff records and two new staff members files were reviewed today. The files were well organized; however, there were a few discrepancies. Ten percent of the children’s files were also reviewed today and were well organized; however, there was one discrepancy found. MEDICAL STATEMENT: C. Tillery began employment on January 28, 2026. Ms. Tillery did not have a medical statement on file. All new staff members must have a medical statement on file on or prior to the first day of employment. STAFF ORIENTATION: D. Brown began employment on January 6, 2026. Ms. Brown did not have a verification of her two (2) week orientation topics completed by January 20, 2026. You stated Ms. Brown took the form home to complete the Moodle trainings. Please remember there must be documentation available in each staff file. HEALTH ASSESSMENTS: There was a child’s file with the enrollment date of June 6, 2025, who did have documentation of a completed health assessment; however, the form was completed on August 6, 2025. The form was not on file within the 30-day requirement. This was corrected during the visit. ANNUAL INPSECTION (FIRE INSPECTION): During today’s visit, you provided me with a copy of your most current fire inspection dated October 16, 2025. Please remember your approved fire inspections must be sent to your child care consultant within one (1) week of the inspection being completed. This was corrected during the visit. ACTIVITY PLAN: In space number three (3) the activity plan posted was dated January 26-30, 2026. Please remember all activity plans must be posted and current. You printed the activity plan and posted it. This was corrected during today’s visit. REMINDERS: QRIS TRANSITION: We reviewed all three pathways. We reviewed education requirements, competency evaluation, family and community engagement form, continuous quality improvement plan for the facility and individual staff. We reviewed the environment rating scales; ECERS-3 and ITERS-3. We also reviewed the NCRALP.ORG website. We reviewed the approved curriculum list and approved assessment list. You will not transition your license until 2028. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: There was some confusion on how you receive your ABCMS provider code. I informed you, that you needed to complete the ABCMS Moodle training. Once you complete the Moodle training you will receive an email and you will then be able to complete your ABCMS portal and roster. You will then connect yours and your staff’s criminal background check letters to your ABCMS roster. Please complete this process immediately. 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. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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 1-800-859-0829 and someone will assist you. I will check your ABCMS roster at your next visit. CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website you last tested your water for lead on November 28, 2024. Please remember you must test your drinking and cooking water every three (3) years. According to the Clean Water for Us Kids website, you have met all the requirements for the lead paint and asbestos testing. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions about what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Xavier's Early Learning Center Facility ID: 33000519 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/5/2026 Number Present: 13 Completed Date: 2/5/2026 Age: From 1 To 6 Total Minutes: 235 Time In: 10:05 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. Upon arrival, S. Johnson, Administrator, was not present. T. Wynn, Lead Teacher, was available to assist with today’s visit. Ms. Wynn notified you of my presents and you arrived after the visit began and were also able to assist with the visit. Your program currently operates with a four-star license issued on September 21, 2025, earning 7 points in the education component, 2 points in the program standards component, and 1 quality point for having a staff benefits package and infrastructure of parent involvement. This is your first annual compliance visit. The sanitation inspection was completed on November 19, 2025, with a “Superior” classification “0” demerits. The fire inspection was completed on October 23, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Thirteen (13) children from ages one year-old to six-years-old were present during the visit. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff-child-ratio to be in compliance. Children were engaging in free-play and personal care routines. The following was served for lunch: Cheese pizza, pears, French fires, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented during today’s visit. 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 fire inspection was completed on October 16, 2025; however, it was not sent to the child care consultant within one week of completion. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. In space number three (3) the activity plan posted was not current and dated January 26-30, 2026. GS 110-91(12); .0508(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. D. Brown began employment on January 6, 2026. Ms. Brown did not have a verification of her two (2) week orientation topics completed by January 20, 2026. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. There was a child’s file with the enrollment date of June 6, 2025, who did have documentation of a completed health assessment; however, the form was completed on August 6, 2025. GS110-91(1) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. C. Tillery began employment on January 28, 2026. Ms. Tillery did not have a medical statement on file. .0701(d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 19, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit, your center’s Compliance History score, over an 18-month period time frame, is 97%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Xaviers' Place, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website on February 3, 2026, Xaviers' Place, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss changes of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/REMINDERS: STAFF AND CHILDREN RECORDS: During today’s visit 10% of staff records and two new staff members files were reviewed today. The files were well organized; however, there were a few discrepancies. Ten percent of the children’s files were also reviewed today and were well organized; however, there was one discrepancy found. MEDICAL STATEMENT: C. Tillery began employment on January 28, 2026. Ms. Tillery did not have a medical statement on file. All new staff members must have a medical statement on file on or prior to the first day of employment. STAFF ORIENTATION: D. Brown began employment on January 6, 2026. Ms. Brown did not have a verification of her two (2) week orientation topics completed by January 20, 2026. You stated Ms. Brown took the form home to complete the Moodle trainings. Please remember there must be documentation available in each staff file. HEALTH ASSESSMENTS: There was a child’s file with the enrollment date of June 6, 2025, who did have documentation of a completed health assessment; however, the form was completed on August 6, 2025. The form was not on file within the 30-day requirement. This was corrected during the visit. ANNUAL INPSECTION (FIRE INSPECTION): During today’s visit, you provided me with a copy of your most current fire inspection dated October 16, 2025. Please remember your approved fire inspections must be sent to your child care consultant within one (1) week of the inspection being completed. This was corrected during the visit. ACTIVITY PLAN: In space number three (3) the activity plan posted was dated January 26-30, 2026. Please remember all activity plans must be posted and current. You printed the activity plan and posted it. This was corrected during today’s visit. REMINDERS: QRIS TRANSITION: We reviewed all three pathways. We reviewed education requirements, competency evaluation, family and community engagement form, continuous quality improvement plan for the facility and individual staff. We reviewed the environment rating scales; ECERS-3 and ITERS-3. We also reviewed the NCRALP.ORG website. We reviewed the approved curriculum list and approved assessment list. You will not transition your license until 2028. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: There was some confusion on how you receive your ABCMS provider code. I informed you, that you needed to complete the ABCMS Moodle training. Once you complete the Moodle training you will receive an email and you will then be able to complete your ABCMS portal and roster. You will then connect yours and your staff’s criminal background check letters to your ABCMS roster. Please complete this process immediately. 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. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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 1-800-859-0829 and someone will assist you. I will check your ABCMS roster at your next visit. CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website you last tested your water for lead on November 28, 2024. Please remember you must test your drinking and cooking water every three (3) years. According to the Clean Water for Us Kids website, you have met all the requirements for the lead paint and asbestos testing. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions about what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: Xavier's Early Learning Center Facility ID: 33000519 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/5/2026 Number Present: 13 Completed Date: 2/5/2026 Age: From 1 To 6 Total Minutes: 235 Time In: 10:05 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. Upon arrival, S. Johnson, Administrator, was not present. T. Wynn, Lead Teacher, was available to assist with today’s visit. Ms. Wynn notified you of my presents and you arrived after the visit began and were also able to assist with the visit. Your program currently operates with a four-star license issued on September 21, 2025, earning 7 points in the education component, 2 points in the program standards component, and 1 quality point for having a staff benefits package and infrastructure of parent involvement. This is your first annual compliance visit. The sanitation inspection was completed on November 19, 2025, with a “Superior” classification “0” demerits. The fire inspection was completed on October 23, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Thirteen (13) children from ages one year-old to six-years-old were present during the visit. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff-child-ratio to be in compliance. Children were engaging in free-play and personal care routines. The following was served for lunch: Cheese pizza, pears, French fires, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented during today’s visit. 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 fire inspection was completed on October 16, 2025; however, it was not sent to the child care consultant within one week of completion. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. In space number three (3) the activity plan posted was not current and dated January 26-30, 2026. GS 110-91(12); .0508(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. D. Brown began employment on January 6, 2026. Ms. Brown did not have a verification of her two (2) week orientation topics completed by January 20, 2026. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. There was a child’s file with the enrollment date of June 6, 2025, who did have documentation of a completed health assessment; however, the form was completed on August 6, 2025. GS110-91(1) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. C. Tillery began employment on January 28, 2026. Ms. Tillery did not have a medical statement on file. .0701(d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 19, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit, your center’s Compliance History score, over an 18-month period time frame, is 97%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Xaviers' Place, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website on February 3, 2026, Xaviers' Place, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss changes of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/REMINDERS: STAFF AND CHILDREN RECORDS: During today’s visit 10% of staff records and two new staff members files were reviewed today. The files were well organized; however, there were a few discrepancies. Ten percent of the children’s files were also reviewed today and were well organized; however, there was one discrepancy found. MEDICAL STATEMENT: C. Tillery began employment on January 28, 2026. Ms. Tillery did not have a medical statement on file. All new staff members must have a medical statement on file on or prior to the first day of employment. STAFF ORIENTATION: D. Brown began employment on January 6, 2026. Ms. Brown did not have a verification of her two (2) week orientation topics completed by January 20, 2026. You stated Ms. Brown took the form home to complete the Moodle trainings. Please remember there must be documentation available in each staff file. HEALTH ASSESSMENTS: There was a child’s file with the enrollment date of June 6, 2025, who did have documentation of a completed health assessment; however, the form was completed on August 6, 2025. The form was not on file within the 30-day requirement. This was corrected during the visit. ANNUAL INPSECTION (FIRE INSPECTION): During today’s visit, you provided me with a copy of your most current fire inspection dated October 16, 2025. Please remember your approved fire inspections must be sent to your child care consultant within one (1) week of the inspection being completed. This was corrected during the visit. ACTIVITY PLAN: In space number three (3) the activity plan posted was dated January 26-30, 2026. Please remember all activity plans must be posted and current. You printed the activity plan and posted it. This was corrected during today’s visit. REMINDERS: QRIS TRANSITION: We reviewed all three pathways. We reviewed education requirements, competency evaluation, family and community engagement form, continuous quality improvement plan for the facility and individual staff. We reviewed the environment rating scales; ECERS-3 and ITERS-3. We also reviewed the NCRALP.ORG website. We reviewed the approved curriculum list and approved assessment list. You will not transition your license until 2028. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: There was some confusion on how you receive your ABCMS provider code. I informed you, that you needed to complete the ABCMS Moodle training. Once you complete the Moodle training you will receive an email and you will then be able to complete your ABCMS portal and roster. You will then connect yours and your staff’s criminal background check letters to your ABCMS roster. Please complete this process immediately. 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. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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 1-800-859-0829 and someone will assist you. I will check your ABCMS roster at your next visit. CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website you last tested your water for lead on November 28, 2024. Please remember you must test your drinking and cooking water every three (3) years. According to the Clean Water for Us Kids website, you have met all the requirements for the lead paint and asbestos testing. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions about what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Xavier's Early Learning Center Facility ID: 33000519 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/5/2026 Number Present: 13 Completed Date: 2/5/2026 Age: From 1 To 6 Total Minutes: 235 Time In: 10:05 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. Upon arrival, S. Johnson, Administrator, was not present. T. Wynn, Lead Teacher, was available to assist with today’s visit. Ms. Wynn notified you of my presents and you arrived after the visit began and were also able to assist with the visit. Your program currently operates with a four-star license issued on September 21, 2025, earning 7 points in the education component, 2 points in the program standards component, and 1 quality point for having a staff benefits package and infrastructure of parent involvement. This is your first annual compliance visit. The sanitation inspection was completed on November 19, 2025, with a “Superior” classification “0” demerits. The fire inspection was completed on October 23, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Thirteen (13) children from ages one year-old to six-years-old were present during the visit. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff-child-ratio to be in compliance. Children were engaging in free-play and personal care routines. The following was served for lunch: Cheese pizza, pears, French fires, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented during today’s visit. 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 fire inspection was completed on October 16, 2025; however, it was not sent to the child care consultant within one week of completion. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. In space number three (3) the activity plan posted was not current and dated January 26-30, 2026. GS 110-91(12); .0508(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. D. Brown began employment on January 6, 2026. Ms. Brown did not have a verification of her two (2) week orientation topics completed by January 20, 2026. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. There was a child’s file with the enrollment date of June 6, 2025, who did have documentation of a completed health assessment; however, the form was completed on August 6, 2025. GS110-91(1) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. C. Tillery began employment on January 28, 2026. Ms. Tillery did not have a medical statement on file. .0701(d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 19, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit, your center’s Compliance History score, over an 18-month period time frame, is 97%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Xaviers' Place, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website on February 3, 2026, Xaviers' Place, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss changes of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/REMINDERS: STAFF AND CHILDREN RECORDS: During today’s visit 10% of staff records and two new staff members files were reviewed today. The files were well organized; however, there were a few discrepancies. Ten percent of the children’s files were also reviewed today and were well organized; however, there was one discrepancy found. MEDICAL STATEMENT: C. Tillery began employment on January 28, 2026. Ms. Tillery did not have a medical statement on file. All new staff members must have a medical statement on file on or prior to the first day of employment. STAFF ORIENTATION: D. Brown began employment on January 6, 2026. Ms. Brown did not have a verification of her two (2) week orientation topics completed by January 20, 2026. You stated Ms. Brown took the form home to complete the Moodle trainings. Please remember there must be documentation available in each staff file. HEALTH ASSESSMENTS: There was a child’s file with the enrollment date of June 6, 2025, who did have documentation of a completed health assessment; however, the form was completed on August 6, 2025. The form was not on file within the 30-day requirement. This was corrected during the visit. ANNUAL INPSECTION (FIRE INSPECTION): During today’s visit, you provided me with a copy of your most current fire inspection dated October 16, 2025. Please remember your approved fire inspections must be sent to your child care consultant within one (1) week of the inspection being completed. This was corrected during the visit. ACTIVITY PLAN: In space number three (3) the activity plan posted was dated January 26-30, 2026. Please remember all activity plans must be posted and current. You printed the activity plan and posted it. This was corrected during today’s visit. REMINDERS: QRIS TRANSITION: We reviewed all three pathways. We reviewed education requirements, competency evaluation, family and community engagement form, continuous quality improvement plan for the facility and individual staff. We reviewed the environment rating scales; ECERS-3 and ITERS-3. We also reviewed the NCRALP.ORG website. We reviewed the approved curriculum list and approved assessment list. You will not transition your license until 2028. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: There was some confusion on how you receive your ABCMS provider code. I informed you, that you needed to complete the ABCMS Moodle training. Once you complete the Moodle training you will receive an email and you will then be able to complete your ABCMS portal and roster. You will then connect yours and your staff’s criminal background check letters to your ABCMS roster. Please complete this process immediately. 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. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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 1-800-859-0829 and someone will assist you. I will check your ABCMS roster at your next visit. CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website you last tested your water for lead on November 28, 2024. Please remember you must test your drinking and cooking water every three (3) years. According to the Clean Water for Us Kids website, you have met all the requirements for the lead paint and asbestos testing. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions about what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: Xavier's Early Learning Center Facility ID: 33000519 Consultant: RAMIE DOLL Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 8 Completed Date: 9/3/2025 Age: From 1 To 4 Total Minutes: 140 Time In: 09:40 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a third and final temporary time period visit. This program currently operates with a Temporary License issued March 20, 2025. The temporary license is valid through September 20, 2025. This facility is owned and operated by Xaviers’ Place, LLC. According to the NC Secretary of State, this LLC is current and active. You, S.Johnson, are serving as this facility’s administrator. Upon arrival, you were present in Room 1 with one other staff member and another person, whom you stated was volunteer and not counted in the staff/child ratio. There were five children observed in Room 1 ranging in ages from one (1) to two (2) years. The children were playing with toys and interacting with you and other staff. Another staff member was present caring for three (3) children ranging in ages from two (2) to four (4) years in Room 2. Rooms 3 and 4 were not in use. Room 4 continues to be used to care for school-aged children in the afternoons. The children in both groups also played outside within the fenced play area at different times today. Four approved rooms remain set up for child care. All required posted items were available for review and were current. Continue conducting monthly fire drills and outdoor playground inspections even if children are not enrolled. The following violations were documented today: Violation Number Comment Rule 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Acknowledgement that three (3) staff received a copy of their job description and the facility's personnel and operational policies were not on file. 10A NCAC 09 .0514(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Acknowledgement of the receipt of the facility's Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file for two (2) staff members. .0608(d)(1-4) The above violations must be corrected immediately. Email or mail me a letter addressing the correction of the violations on or before September 15, 2025. We discussed correcting the violations as soon as possible since this facility’s temporary license is valid through September 20, 2025. COMPLIANCE HISTORY: Due to connectivity, I could not check this facility’s compliance history score. The violations documented today may affect this facility’s compliance history score. We reviewed that all facilities must maintain at least a 75% compliance history score over an eighteen-month time frame to be in good standing with DCDEE. If a facility’s compliance history falls below 75% over an eighteen-month time frame, some type of administrative action may be issued. I will contact you with the facility’s compliance history score after this visit is keyed in the Regulatory System. Technical Assistance/Consultation/Reminders Specific to Today’s Visit: STAFF RECORDS: Staff records for three (3) new staff were monitored today. One of the three (3) as stated above is currently volunteering and cannot be counted in the staff/child ratio. The volunteer is waiting to obtain a criminal background check qualification letter. We discussed what information is required to be completed and on file the first day of employment for staff such as the receipt of the facility’s Shaken Baby Syndrome Policy and the receipt of the employee’s job description and operational policies. Continue to use the Staff Records Checklist for staff to ensure required information is on file when needed. RATED LICENSE ASSESSMENT: The Application for Assessment for a Two Component Star Rated License was sent to you and you emailed a signed application to me June 30, 2025, so that your facility would be evaluated using the Two Component Rated License requirements. As we have reviewed child care rules have been implemented for a QRIS, Quality Rating and Improvement System, effective July 1, 2025. Further information is forthcoming regarding QRIS. Information pertaining to QRIS is also available under the “What’s New” and “QRIS Modernization” tabs from DCDEE’s website. At this time, your program will be evaluated based on the child care rules pertaining to the Two Component Rated License. We reviewed the following pertaining to the Two Component Rated License: PROGRAM STANDARDS: You declined the Environment Rating Scales as part of this facility’s initial Rated License, but you are aware you can reapply in the future and request the ERS. You have chosen to meet enhanced space requirements. This will be added as a restriction on the child care license. Once the violations documented today have been verified as corrected, it appears this facility will be eligible to earn 2 points in Program Standards. EDUCATION STANDARDS: I will review staff education and experience and be back in contact with you regarding overall points earned in Education Standards. I will review the most current employees. You provided working hours during the visit as well. We discussed ensuring you can earn at least 4 points in Education Standards for this initial Rated License. QUALITY POINT: You stated you offer a staff benefits package and have an infrastructure of parent involvement. You offer paid leave for professional development, paid planning time, vacation, and sick time. You are sending a quarterly newsletter to parents and will offer period conferences for all children. Maintain documentation of this in a file that can be reviewed during future visits. Overall points for the Rated License will be determined once education points are determined. I will be in contact with you regarding points earned in Education Standards and overall, for the Rated License. DCDEE’s WEBSITE: Continue reviewing the Division of Child Development and Early Education’s website for the most up to date information regarding child care requirements. DCDEE’s website is: https://ncchildcare.ncdhhs.gov/. You can access the most current NC Child Care rules, (January 1, 2024), resources, forms, sanitation rules, laws, etc. from DCDEE’s website. If you have questions, please contact me at: (252)373-3074 or ramie.doll@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller, with any questions at (252)373-9809 or via email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: Xavier's Early Learning Center Facility ID: 33000519 Consultant: RAMIE DOLL Operation Type: Center Case Number: Visit Date: 7/28/2025 Number Present: 8 Completed Date: 7/28/2025 Age: From 3 To 10 Total Minutes: 190 Time In: 09:40 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a second temporary time period visit. This program currently operates with a Temporary License issued March 20, 2025. The temporary license is valid through September 20, 2025. This facility is owned and operated by Xaviers’ Place, LLC. According to the NC Secretary of State, this LLC is current and active. You, S.Johnson, are serving as this facility’s administrator. Upon arrival, you were present caring for a total of eight (8) children in Room 4. You stated the children eat in Room 4 but are routinely cared for in Room 3. The children present today ranged in ages from three (3) to ten (10) years. The children were eating breakfast, which consisted of a sausage biscuit, juice, and milk. After eating, the children washed their hands and transitioned to Room 3 where they remained for the duration of the visit. The children played with various materials, danced, sang, and participated in a group activity with you today. You provided care to the children today as your other staff member, S.Blake, was not present today. When asked, you stated she typically works at the center from 9AM to 3PM on Tuesday’s, Wednesday’s, and Friday’s, and 11AM to 5PM on Monday’s and Thursday’s. A second staff member, who works as a cook and office staff member, was also present today. Four approved rooms remain set up for child care. All required posted items were available for review and were current. Continue conducting monthly fire drills and outdoor playground inspections even if children are not enrolled. The following violations were documented today: Violation Number Comment Rule 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member completed nine (9) of the required 16 hours since her hire date, which was June 2, 2025. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member, whose hire date was June 16, 2025, completed four (4) of the required six (6) hours of orientation training within the first two (2) weeks of employment. .1101(a)(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Each child that is transported did not have a picture attached to their emergency information. 10A NCAC 09 .1003(d) The above violations must be corrected immediately. Email or mail me a letter addressing the correction of the violations on or before August 11, 2025. A sample compliance letter was emailed to you today for you to reference if you need assistance when writing your compliance letter. I am also available if you need assistance. COMPLIANCE HISTORY: Prior to today’s visit, this facility’s compliance history score was 100%. The violations documented today may affect this facility’s compliance history score. We reviewed that all facilities must maintain at least a 75% compliance history score over an eighteen-month time frame to be in good standing with DCDEE. If a facility’s compliance history falls below 75% over an eighteen-month time frame, some type of administrative action may be issued. Technical Assistance/Consultation/Reminders Specific to Today’s Visit: STAFF ORIENTATION: Any person that has contact with the children is required to complete sixteen hours of orientation training and maintain verification of the training on file for review. One staff member has not completed the required 16 clock hours of orientation training. A second staff member has not completed the required 6 hours in the first two weeks of hire. You stated you have reviewed the information required for orientation training with these two (2) staff members but have not documented the information on the orientation forms. Two (2) violations regarding orientation training were documented today. When you complete orientation training with staff, ensure you go ahead and document the date, hours, and signature for each applicable topic reviewed. If you have not documented this information on the orientation form, I cannot verify completion. You can turn the orientation form sideways in the file or make a note as a reminder to complete the form during orientation training. TRANSPORTATION: Pictures of the children that are transported were not available nor attached to the emergency information form in the van, used to transport children. We reviewed attaching a picture of each child to their emergency information form as soon as possible. Update the pictures as needed for the children and make sure to take pictures and add to the emergency forms for any children that are enrolled in the future. A picture will assist emergency personnel with identifying children in the event of an emergency. HEALTH AND SAFETY TRAINING: If a person is hired and has previously completed the health and safety trainings more than 12 months prior to their hire date, including the Recognizing and Responding to Suspicions of Child Maltreatment, the trainings are required to be completed again. A staff member has one year (1) from their employment date to complete the trainings, and 90 days to complete the Recognizing and Responding to Suspicions of Child Maltreatment training. PLAYGROUND SAFETY TRAINING: According to the certificate on file, you completed the Playground Safety training on August 22, 2023. BSAC TRAINING: A person can complete BSAC training via the Southwestern Child Development Commission at their own pace. You can visit the Southwestern Child Development Commission’s website to inquire about BSAC online. The staff member that is working with the school aged children is required to complete BSAC training and maintain a copy of her certificate on file for review. Anyone working with school aged children is required to complete BSAC training and upload a copy of their certificate in their WORKS account portal. We discussed making sure the current group leader completes BSAC training and uploads a copy of the BSAC certificate into her WORKS portal and applies to be evaluated as a group leader. MEDICATION AUTHORIZATION: If a child has an Epi-pen or inhaler, the permission from a child’s parent/guardian is valid for six (6) months, not twelve months, like a school system will allow. Ensure parents complete a permission form every six months to administer any type of medication to treat an allergic condition. RATED LICENSE ASSESSMENT: The Application for Assessment for a Two Component Star Rated License was sent to you and you emailed a signed application to me June 30, 2025, so that your facility would be evaluated using the Two Component Rated License requirements. As we have reviewed child care rules have been implemented for a QRIS, Quality Rating and Improvement System, effective July 1, 2025. Further information is forthcoming regarding QRIS. Information pertaining to QRIS is also available under the “What’s New” and “QRIS Modernization” tabs from DCDEE’s website. At this time, your program will be evaluated based on the child care rules pertaining to the Two Component Rated License. Education Standards: Electronic official transcripts can be submitted to the Workforce Education Unit from a person’s college or university provided the school participates with the National Clearing House. If not, then official transcripts must be mailed to the Workforce Education Unit at DCDEE for evaluation. All staff education should be current before the fifth month, (mid-August 2025), of the temporary time period as a rated license will need to be processed before the end date of the temporary license. We reviewed any staff that are not listed and evaluated via WORKS to create a WORKS account and apply for the appropriate position before submitting an official transcript so that the Workforce Education Unit is aware of what needs to be evaluated for a person. One (1) staff member, S.Blake, needs to submit her official transcripts for education evaluation and also a copy of her BSAC certificate, once completed. According to a return letter from WORKS, an unofficial transcript was submitted for her when last evaluated in September 2023. I provided you with a copy of the return letter for her today. Anyone that is hired and working in a position that is required for the Rated License, must have a WORKS status letter and have his/her education evaluated for the purposes of the Rated License. When new staff are hired, we discussed ensuring the staff have a current WORKS status letter. I provided you with copies of the Education Worksheets for the Two Component Rated License today to review and use when hiring staff. For more information about NCID and WORKS, visit the DCDEE website at www.ncchildcare.ncdhhs.gov to view more information under the DCDEE WORKS tab http://ncchildcare.ncdhhs.gov/general/mb_dcdeeworks.asp. You can also contact the Workforce Education Unit at 1-800-859-0829 for more information concerning WORKS. The total points for the Child Care Star Rated License will be determined around the 5th month (mid-August) before the end of the temporary time period. To earn a Three-star license and continue receiving subsidy funds, the facility must earn at least a total of seven (7) points. We reviewed the importance of hiring staff that have already completed and earned the North Carolina Early Childhood Credential or the equivalent. DCDEE’s WEBSITE: Continue reviewing the Division of Child Development and Early Education’s website for the most up to date information regarding child care requirements. DCDEE’s website is: https://ncchildcare.ncdhhs.gov/. You can access the most current NC Child Care rules, (January 1, 2024), resources, forms, sanitation rules, laws, etc. from DCDEE’s website. If you have questions, please contact me at: (252)373-3074 or ramie.doll@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller, with any questions at (252)373-9809 or via email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times