G.S. 110-90 · Violation

Name of Operation: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 25 Completed Date: 9/17/2025 Age: From 1 To 4 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Dorothy Leach, Director, assisted me with today’s visit. I conducted your last annual compliance visit on March 11, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. You stated there has been no change with the corporate owner, JACOBS LADDER CHILD DEVELOPMENT, that owns your facility. I reviewed the facility’s permit with you today including the restrictions, capacity, and age range and observed these being maintained today. Your center's compliance history was 87% as of September 16, 2025, and was reviewed with you today. Your program currently operates with a Three-star license, issued on September 17, 2019, earning five points in staff education, two points in program standards, and one quality point. Your most recent fire inspection was dated May 28, 2025. Your most recent sanitation inspection was dated March 27, 2025, with an Approved classification and 8 demerits. You and I completed a walk-through of the indoor licensed spaces today. I observed children throughout the facility participating in free play in activity areas, transitions, and personal care routines. You and I completed a walk-through of the outdoor licensed spaces today. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals were prepared in the kitchen and served in the cafeteria. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 44 degrees Fahrenheit. I observed that today’s lunch consisted of chicken tenders, green beans, peaches, and milk. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, outdoor safety inspections, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan. I reviewed staff record files for eleven returning staff members to verify current and valid Criminal Background Check qualification letters ( all Criminal Background Check qualification letters were checked in the ABCMS System) valid CPR and First Aid training, completion of Basic School Age Care training, completion of the Recognizing and Responding to Suspicions of Child Maltreatment training, completion of Playground Safety training by at least one staff member, and completion of Emergency Preparedness and Response training by at least one staff member. I reviewed two new staff records in entirety during my visit today. The new staff have not completed CPR, First Aid, and Recognizing and Responding to Suspicions of Child Maltreatment. I monitored health and safety requirements. I reviewed your written operational, administrative, and personnel policies and your parent participation plan at a routine unannounced visit on October 09, 2024. You stated your written policies and procedures had not changed. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. The following violations were observed and cited during today’s visit: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Employees with the hire date of 3/14/25 and 3/31/25 did not have First Aid with in 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff members with the hire date of 3/31/25 and 3/14/25 did not have CPR within 90 days of hire. .1102(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Facility was not registered in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Employee with the hire date 3/31/25 did not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) Technical Assistance: 1. CPR and First-Aid should be completed within the first 90 days of hire. CPR and First-Aid should be completed every two years by staff. 2.As stated in G.S. 110-90.2 & .2703(r), child care operators have five business days to notify the Division of any new child care providers working who were hired or moved into the child care facility. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. The compliance of this rule will be monitored during your next visit. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Please be reminded that any ERS assessment completed on or after February 1, 2025 will be assessed using the ERS-3 versions. We encourage you to visit the QRIS Modernization page on the DCDEE website at this link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more now. Consultation: 3. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 4. Here are some important links on the DCEEE website that may be helpful: Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development QRIS Modernization Plan resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings Healthy Social Behaviors: https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/. Healthy Social Behaviors Helpline: Call at 1-704-376-6697 or toll free at 1-888-600-1685 Option 1 or email at sbrawley@childcareresourcesinc.org or jbyrd@childcareresources.org. Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than October 01, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .0601 · Violation

Name of Operation: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 33 Completed Date: 3/11/2025 Age: From 1 To 12 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Dorothy Leach, Director, assisted me with today’s visit. I conducted your last annual compliance visit on April 16, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for Jacobs Ladder Child Development . I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 86% as of March 10, 2025, and was reviewed with you today. Your program currently operates with a three-star license, issued on September 19, 2019, earning five points in staff education, two points in program standards, and one quality point. Your last sanitation inspection was dated July 30, 2024, with a Superior classification and 13 demerits Your last fire inspection was dated May 14, 2024. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas and eating lunch. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Lunch was prepared and served in the kitchen/cafeteria. Today’s lunch included Bologna, wheat bread, green peas, pears, and milk. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored one emergency medication and action plan. I monitored that your last fire drill was dated February 26, 2025. I observed that your last emergency drill was dated December 31, 2024, and it was a Shelter-in-Place drill. I monitored your last playground inspection dated February 17, 2025. I observed that equipment on the playground needs to be cleaned, and some items need repair. The wood around the sand box needs to be replaced in some areas, and the slide/ climbing area equipment plastic is cracked at the top of the slide. I monitored program records, child record files, staff record files. I monitored in staff records that on- going- training has not been completed by staff hired on 7-12-21and 6/4/24. One staff member hire date 4/12/24 Initial TB screening and Medical Statement was dated after the hire date. I monitored health and safety requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I observed both of your vans for transportation. I observed the vans registration, insurance, emergency information for students, first aid kit, fire extinguisher, and all transportation requirements. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. There were violations observed and cited during today's visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A current schedule was not posted in space 1. GS 110-91(12);.0508(a) 721 All equipment and furnishings were not in good repair. Playground equipment needs to be cleaned. Slide has plastic that is cracked this needs to be repaired. Sand box the wood around the box needs to be replaced. G.S. 110-91(6); .0601(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Gloves in space 2 bathroom were on a shelf where children 1 and 2 years of age can reach them. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Employee with hire date 4/12/24 did not have a TB test before the first day of work. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff with hire dates 6/4/24 and 7/12/21 did not complete the number of on-going training hours according to education and experience. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Employee hire date 04/12/24 did not have a medical or health exam on file before the first day of employment. GS110-91(1) 1821 The EPR Plan did not include the date of the last revision of the plan. EPR plan did not have a revision date. .0607(d)(8) 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. Employee hire date 4/12/24 completed training on 6/4/24 .0608(d)(1-4) Technical Assistance: 1. A daily schedule should be created, posted, and followed in each classroom. 2. The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 3.Per child care rule 10A NCAC 09 .0604(q), plastic bags including diaper wipe refill bags, Ziploc bags, grocery bags, and opened shrink wrapped or bagged products should be stored inaccessible to children under three years of age by storing these items above five feet or in a locked cabinet, closet, or drawer. Foam rubber products including foam blocks in block centers should not be used with children under three years of age. Styrofoam plates, bowls, and cups may be used with children under three years of age for food service. To maintain compliance with this child care requirement, I suggested you place all plastic bags, and gloves above five feet or in a locked cabinet or drawer and remove all foam materials from the activity areas in the rooms serving children under three years of age. 4.Per child care rule 10A NCAC 09 .0608(d)(1-4), the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To maintain compliance with this child care requirement, I suggested you double-check each staff acknowledgement statement during the orientation training process to be sure the statements are signed and dated and completed as required prior to placing the document in the staff record file. 5.Per child care rule 10A NCAC 09 .0601(a), safe indoor and outdoor environment shall be provided for the children in care including providing equipment and furnishings that are in good repair, sturdy, stable, and free of hazards. To maintain this child care requirement in your outdoor play areas, I suggested you place work orders for repairs and maintenance as soon as you notice needs and include vegetation removal along your fence lines as part of your routine work order when requesting mulch surfacing maintenance. CONSULTATION: 1 Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2 Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. 3.As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than March 25, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-4925 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 33 Completed Date: 3/11/2025 Age: From 1 To 12 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Dorothy Leach, Director, assisted me with today’s visit. I conducted your last annual compliance visit on April 16, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for Jacobs Ladder Child Development . I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 86% as of March 10, 2025, and was reviewed with you today. Your program currently operates with a three-star license, issued on September 19, 2019, earning five points in staff education, two points in program standards, and one quality point. Your last sanitation inspection was dated July 30, 2024, with a Superior classification and 13 demerits Your last fire inspection was dated May 14, 2024. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas and eating lunch. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Lunch was prepared and served in the kitchen/cafeteria. Today’s lunch included Bologna, wheat bread, green peas, pears, and milk. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored one emergency medication and action plan. I monitored that your last fire drill was dated February 26, 2025. I observed that your last emergency drill was dated December 31, 2024, and it was a Shelter-in-Place drill. I monitored your last playground inspection dated February 17, 2025. I observed that equipment on the playground needs to be cleaned, and some items need repair. The wood around the sand box needs to be replaced in some areas, and the slide/ climbing area equipment plastic is cracked at the top of the slide. I monitored program records, child record files, staff record files. I monitored in staff records that on- going- training has not been completed by staff hired on 7-12-21and 6/4/24. One staff member hire date 4/12/24 Initial TB screening and Medical Statement was dated after the hire date. I monitored health and safety requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I observed both of your vans for transportation. I observed the vans registration, insurance, emergency information for students, first aid kit, fire extinguisher, and all transportation requirements. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. There were violations observed and cited during today's visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A current schedule was not posted in space 1. GS 110-91(12);.0508(a) 721 All equipment and furnishings were not in good repair. Playground equipment needs to be cleaned. Slide has plastic that is cracked this needs to be repaired. Sand box the wood around the box needs to be replaced. G.S. 110-91(6); .0601(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Gloves in space 2 bathroom were on a shelf where children 1 and 2 years of age can reach them. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Employee with hire date 4/12/24 did not have a TB test before the first day of work. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff with hire dates 6/4/24 and 7/12/21 did not complete the number of on-going training hours according to education and experience. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Employee hire date 04/12/24 did not have a medical or health exam on file before the first day of employment. GS110-91(1) 1821 The EPR Plan did not include the date of the last revision of the plan. EPR plan did not have a revision date. .0607(d)(8) 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. Employee hire date 4/12/24 completed training on 6/4/24 .0608(d)(1-4) Technical Assistance: 1. A daily schedule should be created, posted, and followed in each classroom. 2. The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 3.Per child care rule 10A NCAC 09 .0604(q), plastic bags including diaper wipe refill bags, Ziploc bags, grocery bags, and opened shrink wrapped or bagged products should be stored inaccessible to children under three years of age by storing these items above five feet or in a locked cabinet, closet, or drawer. Foam rubber products including foam blocks in block centers should not be used with children under three years of age. Styrofoam plates, bowls, and cups may be used with children under three years of age for food service. To maintain compliance with this child care requirement, I suggested you place all plastic bags, and gloves above five feet or in a locked cabinet or drawer and remove all foam materials from the activity areas in the rooms serving children under three years of age. 4.Per child care rule 10A NCAC 09 .0608(d)(1-4), the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To maintain compliance with this child care requirement, I suggested you double-check each staff acknowledgement statement during the orientation training process to be sure the statements are signed and dated and completed as required prior to placing the document in the staff record file. 5.Per child care rule 10A NCAC 09 .0601(a), safe indoor and outdoor environment shall be provided for the children in care including providing equipment and furnishings that are in good repair, sturdy, stable, and free of hazards. To maintain this child care requirement in your outdoor play areas, I suggested you place work orders for repairs and maintenance as soon as you notice needs and include vegetation removal along your fence lines as part of your routine work order when requesting mulch surfacing maintenance. CONSULTATION: 1 Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2 Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. 3.As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than March 25, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-4925 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .0608 · Violation

Name of Operation: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 33 Completed Date: 3/11/2025 Age: From 1 To 12 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Dorothy Leach, Director, assisted me with today’s visit. I conducted your last annual compliance visit on April 16, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for Jacobs Ladder Child Development . I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 86% as of March 10, 2025, and was reviewed with you today. Your program currently operates with a three-star license, issued on September 19, 2019, earning five points in staff education, two points in program standards, and one quality point. Your last sanitation inspection was dated July 30, 2024, with a Superior classification and 13 demerits Your last fire inspection was dated May 14, 2024. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas and eating lunch. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Lunch was prepared and served in the kitchen/cafeteria. Today’s lunch included Bologna, wheat bread, green peas, pears, and milk. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored one emergency medication and action plan. I monitored that your last fire drill was dated February 26, 2025. I observed that your last emergency drill was dated December 31, 2024, and it was a Shelter-in-Place drill. I monitored your last playground inspection dated February 17, 2025. I observed that equipment on the playground needs to be cleaned, and some items need repair. The wood around the sand box needs to be replaced in some areas, and the slide/ climbing area equipment plastic is cracked at the top of the slide. I monitored program records, child record files, staff record files. I monitored in staff records that on- going- training has not been completed by staff hired on 7-12-21and 6/4/24. One staff member hire date 4/12/24 Initial TB screening and Medical Statement was dated after the hire date. I monitored health and safety requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I observed both of your vans for transportation. I observed the vans registration, insurance, emergency information for students, first aid kit, fire extinguisher, and all transportation requirements. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. There were violations observed and cited during today's visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A current schedule was not posted in space 1. GS 110-91(12);.0508(a) 721 All equipment and furnishings were not in good repair. Playground equipment needs to be cleaned. Slide has plastic that is cracked this needs to be repaired. Sand box the wood around the box needs to be replaced. G.S. 110-91(6); .0601(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Gloves in space 2 bathroom were on a shelf where children 1 and 2 years of age can reach them. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Employee with hire date 4/12/24 did not have a TB test before the first day of work. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff with hire dates 6/4/24 and 7/12/21 did not complete the number of on-going training hours according to education and experience. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Employee hire date 04/12/24 did not have a medical or health exam on file before the first day of employment. GS110-91(1) 1821 The EPR Plan did not include the date of the last revision of the plan. EPR plan did not have a revision date. .0607(d)(8) 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. Employee hire date 4/12/24 completed training on 6/4/24 .0608(d)(1-4) Technical Assistance: 1. A daily schedule should be created, posted, and followed in each classroom. 2. The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 3.Per child care rule 10A NCAC 09 .0604(q), plastic bags including diaper wipe refill bags, Ziploc bags, grocery bags, and opened shrink wrapped or bagged products should be stored inaccessible to children under three years of age by storing these items above five feet or in a locked cabinet, closet, or drawer. Foam rubber products including foam blocks in block centers should not be used with children under three years of age. Styrofoam plates, bowls, and cups may be used with children under three years of age for food service. To maintain compliance with this child care requirement, I suggested you place all plastic bags, and gloves above five feet or in a locked cabinet or drawer and remove all foam materials from the activity areas in the rooms serving children under three years of age. 4.Per child care rule 10A NCAC 09 .0608(d)(1-4), the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To maintain compliance with this child care requirement, I suggested you double-check each staff acknowledgement statement during the orientation training process to be sure the statements are signed and dated and completed as required prior to placing the document in the staff record file. 5.Per child care rule 10A NCAC 09 .0601(a), safe indoor and outdoor environment shall be provided for the children in care including providing equipment and furnishings that are in good repair, sturdy, stable, and free of hazards. To maintain this child care requirement in your outdoor play areas, I suggested you place work orders for repairs and maintenance as soon as you notice needs and include vegetation removal along your fence lines as part of your routine work order when requesting mulch surfacing maintenance. CONSULTATION: 1 Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2 Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. 3.As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than March 25, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-4925 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 33 Completed Date: 3/11/2025 Age: From 1 To 12 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Dorothy Leach, Director, assisted me with today’s visit. I conducted your last annual compliance visit on April 16, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for Jacobs Ladder Child Development . I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 86% as of March 10, 2025, and was reviewed with you today. Your program currently operates with a three-star license, issued on September 19, 2019, earning five points in staff education, two points in program standards, and one quality point. Your last sanitation inspection was dated July 30, 2024, with a Superior classification and 13 demerits Your last fire inspection was dated May 14, 2024. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas and eating lunch. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Lunch was prepared and served in the kitchen/cafeteria. Today’s lunch included Bologna, wheat bread, green peas, pears, and milk. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored one emergency medication and action plan. I monitored that your last fire drill was dated February 26, 2025. I observed that your last emergency drill was dated December 31, 2024, and it was a Shelter-in-Place drill. I monitored your last playground inspection dated February 17, 2025. I observed that equipment on the playground needs to be cleaned, and some items need repair. The wood around the sand box needs to be replaced in some areas, and the slide/ climbing area equipment plastic is cracked at the top of the slide. I monitored program records, child record files, staff record files. I monitored in staff records that on- going- training has not been completed by staff hired on 7-12-21and 6/4/24. One staff member hire date 4/12/24 Initial TB screening and Medical Statement was dated after the hire date. I monitored health and safety requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I observed both of your vans for transportation. I observed the vans registration, insurance, emergency information for students, first aid kit, fire extinguisher, and all transportation requirements. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. There were violations observed and cited during today's visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A current schedule was not posted in space 1. GS 110-91(12);.0508(a) 721 All equipment and furnishings were not in good repair. Playground equipment needs to be cleaned. Slide has plastic that is cracked this needs to be repaired. Sand box the wood around the box needs to be replaced. G.S. 110-91(6); .0601(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Gloves in space 2 bathroom were on a shelf where children 1 and 2 years of age can reach them. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Employee with hire date 4/12/24 did not have a TB test before the first day of work. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff with hire dates 6/4/24 and 7/12/21 did not complete the number of on-going training hours according to education and experience. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Employee hire date 04/12/24 did not have a medical or health exam on file before the first day of employment. GS110-91(1) 1821 The EPR Plan did not include the date of the last revision of the plan. EPR plan did not have a revision date. .0607(d)(8) 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. Employee hire date 4/12/24 completed training on 6/4/24 .0608(d)(1-4) Technical Assistance: 1. A daily schedule should be created, posted, and followed in each classroom. 2. The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 3.Per child care rule 10A NCAC 09 .0604(q), plastic bags including diaper wipe refill bags, Ziploc bags, grocery bags, and opened shrink wrapped or bagged products should be stored inaccessible to children under three years of age by storing these items above five feet or in a locked cabinet, closet, or drawer. Foam rubber products including foam blocks in block centers should not be used with children under three years of age. Styrofoam plates, bowls, and cups may be used with children under three years of age for food service. To maintain compliance with this child care requirement, I suggested you place all plastic bags, and gloves above five feet or in a locked cabinet or drawer and remove all foam materials from the activity areas in the rooms serving children under three years of age. 4.Per child care rule 10A NCAC 09 .0608(d)(1-4), the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To maintain compliance with this child care requirement, I suggested you double-check each staff acknowledgement statement during the orientation training process to be sure the statements are signed and dated and completed as required prior to placing the document in the staff record file. 5.Per child care rule 10A NCAC 09 .0601(a), safe indoor and outdoor environment shall be provided for the children in care including providing equipment and furnishings that are in good repair, sturdy, stable, and free of hazards. To maintain this child care requirement in your outdoor play areas, I suggested you place work orders for repairs and maintenance as soon as you notice needs and include vegetation removal along your fence lines as part of your routine work order when requesting mulch surfacing maintenance. CONSULTATION: 1 Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2 Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. 3.As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than March 25, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-4925 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 33 Completed Date: 3/11/2025 Age: From 1 To 12 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Dorothy Leach, Director, assisted me with today’s visit. I conducted your last annual compliance visit on April 16, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for Jacobs Ladder Child Development . I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 86% as of March 10, 2025, and was reviewed with you today. Your program currently operates with a three-star license, issued on September 19, 2019, earning five points in staff education, two points in program standards, and one quality point. Your last sanitation inspection was dated July 30, 2024, with a Superior classification and 13 demerits Your last fire inspection was dated May 14, 2024. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas and eating lunch. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Lunch was prepared and served in the kitchen/cafeteria. Today’s lunch included Bologna, wheat bread, green peas, pears, and milk. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored one emergency medication and action plan. I monitored that your last fire drill was dated February 26, 2025. I observed that your last emergency drill was dated December 31, 2024, and it was a Shelter-in-Place drill. I monitored your last playground inspection dated February 17, 2025. I observed that equipment on the playground needs to be cleaned, and some items need repair. The wood around the sand box needs to be replaced in some areas, and the slide/ climbing area equipment plastic is cracked at the top of the slide. I monitored program records, child record files, staff record files. I monitored in staff records that on- going- training has not been completed by staff hired on 7-12-21and 6/4/24. One staff member hire date 4/12/24 Initial TB screening and Medical Statement was dated after the hire date. I monitored health and safety requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I observed both of your vans for transportation. I observed the vans registration, insurance, emergency information for students, first aid kit, fire extinguisher, and all transportation requirements. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. There were violations observed and cited during today's visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A current schedule was not posted in space 1. GS 110-91(12);.0508(a) 721 All equipment and furnishings were not in good repair. Playground equipment needs to be cleaned. Slide has plastic that is cracked this needs to be repaired. Sand box the wood around the box needs to be replaced. G.S. 110-91(6); .0601(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Gloves in space 2 bathroom were on a shelf where children 1 and 2 years of age can reach them. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Employee with hire date 4/12/24 did not have a TB test before the first day of work. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff with hire dates 6/4/24 and 7/12/21 did not complete the number of on-going training hours according to education and experience. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Employee hire date 04/12/24 did not have a medical or health exam on file before the first day of employment. GS110-91(1) 1821 The EPR Plan did not include the date of the last revision of the plan. EPR plan did not have a revision date. .0607(d)(8) 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. Employee hire date 4/12/24 completed training on 6/4/24 .0608(d)(1-4) Technical Assistance: 1. A daily schedule should be created, posted, and followed in each classroom. 2. The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 3.Per child care rule 10A NCAC 09 .0604(q), plastic bags including diaper wipe refill bags, Ziploc bags, grocery bags, and opened shrink wrapped or bagged products should be stored inaccessible to children under three years of age by storing these items above five feet or in a locked cabinet, closet, or drawer. Foam rubber products including foam blocks in block centers should not be used with children under three years of age. Styrofoam plates, bowls, and cups may be used with children under three years of age for food service. To maintain compliance with this child care requirement, I suggested you place all plastic bags, and gloves above five feet or in a locked cabinet or drawer and remove all foam materials from the activity areas in the rooms serving children under three years of age. 4.Per child care rule 10A NCAC 09 .0608(d)(1-4), the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To maintain compliance with this child care requirement, I suggested you double-check each staff acknowledgement statement during the orientation training process to be sure the statements are signed and dated and completed as required prior to placing the document in the staff record file. 5.Per child care rule 10A NCAC 09 .0601(a), safe indoor and outdoor environment shall be provided for the children in care including providing equipment and furnishings that are in good repair, sturdy, stable, and free of hazards. To maintain this child care requirement in your outdoor play areas, I suggested you place work orders for repairs and maintenance as soon as you notice needs and include vegetation removal along your fence lines as part of your routine work order when requesting mulch surfacing maintenance. CONSULTATION: 1 Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2 Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. 3.As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than March 25, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-4925 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 33 Completed Date: 3/11/2025 Age: From 1 To 12 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Dorothy Leach, Director, assisted me with today’s visit. I conducted your last annual compliance visit on April 16, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for Jacobs Ladder Child Development . I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 86% as of March 10, 2025, and was reviewed with you today. Your program currently operates with a three-star license, issued on September 19, 2019, earning five points in staff education, two points in program standards, and one quality point. Your last sanitation inspection was dated July 30, 2024, with a Superior classification and 13 demerits Your last fire inspection was dated May 14, 2024. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas and eating lunch. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Lunch was prepared and served in the kitchen/cafeteria. Today’s lunch included Bologna, wheat bread, green peas, pears, and milk. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored one emergency medication and action plan. I monitored that your last fire drill was dated February 26, 2025. I observed that your last emergency drill was dated December 31, 2024, and it was a Shelter-in-Place drill. I monitored your last playground inspection dated February 17, 2025. I observed that equipment on the playground needs to be cleaned, and some items need repair. The wood around the sand box needs to be replaced in some areas, and the slide/ climbing area equipment plastic is cracked at the top of the slide. I monitored program records, child record files, staff record files. I monitored in staff records that on- going- training has not been completed by staff hired on 7-12-21and 6/4/24. One staff member hire date 4/12/24 Initial TB screening and Medical Statement was dated after the hire date. I monitored health and safety requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I observed both of your vans for transportation. I observed the vans registration, insurance, emergency information for students, first aid kit, fire extinguisher, and all transportation requirements. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. There were violations observed and cited during today's visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A current schedule was not posted in space 1. GS 110-91(12);.0508(a) 721 All equipment and furnishings were not in good repair. Playground equipment needs to be cleaned. Slide has plastic that is cracked this needs to be repaired. Sand box the wood around the box needs to be replaced. G.S. 110-91(6); .0601(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Gloves in space 2 bathroom were on a shelf where children 1 and 2 years of age can reach them. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Employee with hire date 4/12/24 did not have a TB test before the first day of work. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff with hire dates 6/4/24 and 7/12/21 did not complete the number of on-going training hours according to education and experience. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Employee hire date 04/12/24 did not have a medical or health exam on file before the first day of employment. GS110-91(1) 1821 The EPR Plan did not include the date of the last revision of the plan. EPR plan did not have a revision date. .0607(d)(8) 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. Employee hire date 4/12/24 completed training on 6/4/24 .0608(d)(1-4) Technical Assistance: 1. A daily schedule should be created, posted, and followed in each classroom. 2. The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 3.Per child care rule 10A NCAC 09 .0604(q), plastic bags including diaper wipe refill bags, Ziploc bags, grocery bags, and opened shrink wrapped or bagged products should be stored inaccessible to children under three years of age by storing these items above five feet or in a locked cabinet, closet, or drawer. Foam rubber products including foam blocks in block centers should not be used with children under three years of age. Styrofoam plates, bowls, and cups may be used with children under three years of age for food service. To maintain compliance with this child care requirement, I suggested you place all plastic bags, and gloves above five feet or in a locked cabinet or drawer and remove all foam materials from the activity areas in the rooms serving children under three years of age. 4.Per child care rule 10A NCAC 09 .0608(d)(1-4), the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To maintain compliance with this child care requirement, I suggested you double-check each staff acknowledgement statement during the orientation training process to be sure the statements are signed and dated and completed as required prior to placing the document in the staff record file. 5.Per child care rule 10A NCAC 09 .0601(a), safe indoor and outdoor environment shall be provided for the children in care including providing equipment and furnishings that are in good repair, sturdy, stable, and free of hazards. To maintain this child care requirement in your outdoor play areas, I suggested you place work orders for repairs and maintenance as soon as you notice needs and include vegetation removal along your fence lines as part of your routine work order when requesting mulch surfacing maintenance. CONSULTATION: 1 Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2 Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. 3.As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than March 25, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-4925 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 33 Completed Date: 3/11/2025 Age: From 1 To 12 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Dorothy Leach, Director, assisted me with today’s visit. I conducted your last annual compliance visit on April 16, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for Jacobs Ladder Child Development . I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 86% as of March 10, 2025, and was reviewed with you today. Your program currently operates with a three-star license, issued on September 19, 2019, earning five points in staff education, two points in program standards, and one quality point. Your last sanitation inspection was dated July 30, 2024, with a Superior classification and 13 demerits Your last fire inspection was dated May 14, 2024. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas and eating lunch. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Lunch was prepared and served in the kitchen/cafeteria. Today’s lunch included Bologna, wheat bread, green peas, pears, and milk. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored one emergency medication and action plan. I monitored that your last fire drill was dated February 26, 2025. I observed that your last emergency drill was dated December 31, 2024, and it was a Shelter-in-Place drill. I monitored your last playground inspection dated February 17, 2025. I observed that equipment on the playground needs to be cleaned, and some items need repair. The wood around the sand box needs to be replaced in some areas, and the slide/ climbing area equipment plastic is cracked at the top of the slide. I monitored program records, child record files, staff record files. I monitored in staff records that on- going- training has not been completed by staff hired on 7-12-21and 6/4/24. One staff member hire date 4/12/24 Initial TB screening and Medical Statement was dated after the hire date. I monitored health and safety requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I observed both of your vans for transportation. I observed the vans registration, insurance, emergency information for students, first aid kit, fire extinguisher, and all transportation requirements. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. There were violations observed and cited during today's visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A current schedule was not posted in space 1. GS 110-91(12);.0508(a) 721 All equipment and furnishings were not in good repair. Playground equipment needs to be cleaned. Slide has plastic that is cracked this needs to be repaired. Sand box the wood around the box needs to be replaced. G.S. 110-91(6); .0601(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Gloves in space 2 bathroom were on a shelf where children 1 and 2 years of age can reach them. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Employee with hire date 4/12/24 did not have a TB test before the first day of work. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff with hire dates 6/4/24 and 7/12/21 did not complete the number of on-going training hours according to education and experience. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Employee hire date 04/12/24 did not have a medical or health exam on file before the first day of employment. GS110-91(1) 1821 The EPR Plan did not include the date of the last revision of the plan. EPR plan did not have a revision date. .0607(d)(8) 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. Employee hire date 4/12/24 completed training on 6/4/24 .0608(d)(1-4) Technical Assistance: 1. A daily schedule should be created, posted, and followed in each classroom. 2. The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 3.Per child care rule 10A NCAC 09 .0604(q), plastic bags including diaper wipe refill bags, Ziploc bags, grocery bags, and opened shrink wrapped or bagged products should be stored inaccessible to children under three years of age by storing these items above five feet or in a locked cabinet, closet, or drawer. Foam rubber products including foam blocks in block centers should not be used with children under three years of age. Styrofoam plates, bowls, and cups may be used with children under three years of age for food service. To maintain compliance with this child care requirement, I suggested you place all plastic bags, and gloves above five feet or in a locked cabinet or drawer and remove all foam materials from the activity areas in the rooms serving children under three years of age. 4.Per child care rule 10A NCAC 09 .0608(d)(1-4), the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To maintain compliance with this child care requirement, I suggested you double-check each staff acknowledgement statement during the orientation training process to be sure the statements are signed and dated and completed as required prior to placing the document in the staff record file. 5.Per child care rule 10A NCAC 09 .0601(a), safe indoor and outdoor environment shall be provided for the children in care including providing equipment and furnishings that are in good repair, sturdy, stable, and free of hazards. To maintain this child care requirement in your outdoor play areas, I suggested you place work orders for repairs and maintenance as soon as you notice needs and include vegetation removal along your fence lines as part of your routine work order when requesting mulch surfacing maintenance. CONSULTATION: 1 Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2 Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. 3.As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than March 25, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-4925 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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. 1801 · Violation

Name of Operation: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 7/1/2024 Number Present: 46 Completed Date: 7/1/2024 Age: From 1 To 12 Total Minutes: 135 Time In: 09:15 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up A/N Announced/Unannounced: Unannounced The purpose of today’s Initial Administrative Action Follow-Up Visit was to monitor compliance with the Corrective Action Plan (CAP), included in the Written Warning, issued on January 25, 2024. I discussed the Administrative Action with the Rydell Cowan, Owner and Dorothy Leach, Director. I observed a copy of the Administrative Action, cover letter and CAP posted as required. This is your second Administrative-Action follow-up visit. Your program currently operates with a three-star license, issued on September 17, 2019, 5 earning points in staff education, 2 points in program standards, and 1 quality point. I visited each licensed indoor space today. I observed children playing in activity areas, participating in teacher directed whole group and small group activities, arriving, playing outside, preparing for lunch, eating lunch, transitioning, transition from outside back to the classroom setting. I observed children adequately supervised during today’s visit. I monitored all for adequate supervision. I observed that the teachers checked attendance and counted children during transition. I observed that in space 2 when I entered the classroom the teacher was out of ratio. I observed that there were 9(nine) children to one teacher in the space for the one (1) and 2(two) year old's. The ratio for this classroom is 1/6. I observed the teachers in the hall with students during transition from lunch to bathroom time. I observed teacher using the Name-to-face during the transition from inside the classroom to outside and then again when transitioning inside from the playground. I observed that teachers are using appropriate discipline in the classroom as well as redirection of the children when discipline problems arise. I observed adequate approved space used during today’s visit. I observed enhanced space capacity maintained throughout the center during today's visit. Today I monitored the progress that has been made with the Administrative Action issued on April 19, 2024. #1 Stipulation: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, Child Care Rule 10A NCAC 09. 1801 regarding supervision. This stipulation was not in compliance today. #2 Stipulation of the corrective action plan was in compliance. Dorothy Leach and Rydell Cowan contacted Toni Washington within a week of the notice received and a review of child care requirements took place on May 25, 2024. This stipulation was in compliance. #3 Stipulation has been completed and revised, the Supervision procedures, staff/child ratio, and discipline policies has been revised by Dorothy Leach and Rydell Cowan. In the revision the facility address all areas in the Administrative Action CAP. A copy of the new Name-to-Face with corrections as well as the revised policies and procedures were sent to Toni Washington, child care consultant. This stipulation was in compliance. #4 Stipulation of the corrective action plan took place on May 25th, 2024, a meeting of the staff was conducted. The procedures manual and revised policies were discussed with staff during this meeting. The name to face form was discussed in detail and how the staff would ensure ratio and supervision issues will not happen in the future. The following violation observed, cited, and corrected during today's visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Space 2 the staff/child ratio was not in compliance when I entered the classroom. There were 9 children to one teacher. GS 110-91(7);.0713(a-d) Consultation: 1. Make sure attendance sheets are completed when the child enters the classroom. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. or at (704)594-0153. 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.

GS 110-91 · Violation

Name of Operation: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 7/1/2024 Number Present: 46 Completed Date: 7/1/2024 Age: From 1 To 12 Total Minutes: 135 Time In: 09:15 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up A/N Announced/Unannounced: Unannounced The purpose of today’s Initial Administrative Action Follow-Up Visit was to monitor compliance with the Corrective Action Plan (CAP), included in the Written Warning, issued on January 25, 2024. I discussed the Administrative Action with the Rydell Cowan, Owner and Dorothy Leach, Director. I observed a copy of the Administrative Action, cover letter and CAP posted as required. This is your second Administrative-Action follow-up visit. Your program currently operates with a three-star license, issued on September 17, 2019, 5 earning points in staff education, 2 points in program standards, and 1 quality point. I visited each licensed indoor space today. I observed children playing in activity areas, participating in teacher directed whole group and small group activities, arriving, playing outside, preparing for lunch, eating lunch, transitioning, transition from outside back to the classroom setting. I observed children adequately supervised during today’s visit. I monitored all for adequate supervision. I observed that the teachers checked attendance and counted children during transition. I observed that in space 2 when I entered the classroom the teacher was out of ratio. I observed that there were 9(nine) children to one teacher in the space for the one (1) and 2(two) year old's. The ratio for this classroom is 1/6. I observed the teachers in the hall with students during transition from lunch to bathroom time. I observed teacher using the Name-to-face during the transition from inside the classroom to outside and then again when transitioning inside from the playground. I observed that teachers are using appropriate discipline in the classroom as well as redirection of the children when discipline problems arise. I observed adequate approved space used during today’s visit. I observed enhanced space capacity maintained throughout the center during today's visit. Today I monitored the progress that has been made with the Administrative Action issued on April 19, 2024. #1 Stipulation: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, Child Care Rule 10A NCAC 09. 1801 regarding supervision. This stipulation was not in compliance today. #2 Stipulation of the corrective action plan was in compliance. Dorothy Leach and Rydell Cowan contacted Toni Washington within a week of the notice received and a review of child care requirements took place on May 25, 2024. This stipulation was in compliance. #3 Stipulation has been completed and revised, the Supervision procedures, staff/child ratio, and discipline policies has been revised by Dorothy Leach and Rydell Cowan. In the revision the facility address all areas in the Administrative Action CAP. A copy of the new Name-to-Face with corrections as well as the revised policies and procedures were sent to Toni Washington, child care consultant. This stipulation was in compliance. #4 Stipulation of the corrective action plan took place on May 25th, 2024, a meeting of the staff was conducted. The procedures manual and revised policies were discussed with staff during this meeting. The name to face form was discussed in detail and how the staff would ensure ratio and supervision issues will not happen in the future. The following violation observed, cited, and corrected during today's visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Space 2 the staff/child ratio was not in compliance when I entered the classroom. There were 9 children to one teacher. GS 110-91(7);.0713(a-d) Consultation: 1. Make sure attendance sheets are completed when the child enters the classroom. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. or at (704)594-0153. 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 .0302 · Violation

Name of Operation: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 34 Completed Date: 4/16/2024 Age: From 1 To 12 Total Minutes: 300 Time In: 09:00 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 visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Dorothy Leach, Director, assisted me with today’s visit. Your last annual compliance visit was conducted on May 31, 2023. Your program currently operates with a three- star license, issued on September 17,2019, earning 5points in staff education, 2 points in program standards, and 1 quality points for a total of 8 points. Your program’s compliance history was 83% as of April 15, 2024, and was reviewed with you today. I observed your sanitation inspection was dated April 03, 2024, with a superior classification and 4 demerits. I observed your Fire Inspection was dated June 06, 2023. I visited each license indoor space and each outdoor space with you today. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratio maintained during today’s visit. I observed adequate approved enhanced space use maintained during today’s visit. I observed children engaged in free play activities indoor and outdoor. I observed toys, materials, and equipment to be child-sized, developmentally appropriate, and in good repair. I observed materials accessible to the children and of sufficient quantity. I reviewed children’s records today and violations were cited. I reviewed staff records today. I observed and monitored one medication today. The medication was in compliance and the medication form needs to be filled out completely by parent. I observed the outdoor play environment. I observed the equipment and materials to be in good repair. I observed the fence to be of adequate height and in good repair in all areas. Playground equipment needs to be pressure washed. I observed monthly outdoor inspections documented for the past twelve months. I observed the last outdoor inspection was dated March 28, 2024. I observed your monthly fire drill log documented for the past twelve (12)months. I observed your last fire drill dated March 28, 2024. I observed your quarterly shelter-in-place and lock-down drill log. I observed your last drill was a Shelter-in -Place and was dated March 28, 2024. I observed your Emergency Preparedness Response (EPR) Plan was last updated on September 23, 2022. Your EPR plan needs to be updated with new staff and any changes that have been made. I observed menus posted for the week of April 15-19, 2024. I observed today’s lunch consisted of chicken noodle soup with vegetables, greens, mixed fruit, and milk. In two classrooms the menu was not current for the week, this was corrected during the visit. I observed your Incident Log not to be current for the school year. I observed your vans for transportation. I observed the vans registration, insurance, emergency information for students, first aid kit, fire extinguisher, and all transportation requirements. I observed that that van #2 (white after school van) did not have emergency forms for the students on the van. The director and van driver stated that someone must have taken the book off the van over the weekend. I reviewed your completed Staff and Training worksheet. The visit summary packet was discussed at the end of you visit. The following violations were observed and cited during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not current in 2 classrooms. 10A NCAC 09 .0901(b) 847 Parent's medication authorization did not include required information. One authorization form for a child's medication was not completed. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. Incident logs were not current and up to date. .0802(g)(1-6) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. 6 staff members do not have current First Aid on File. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 6 staff members do not have current CPR on file. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Four staff have not received the number of training hours according to their education and experience. .1103(a) 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. Van 2 did not have emergency information on the van for children. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children files did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. There was one child's file did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR Plan has not been revised since August 2022. .0607(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Facility has not reviewed the EPR plan with staff since 4-6-23. .0607(f) Technical Assistance: 1. EPR Plans should be reviewed ever year with staff and with all new staff. 2. CPR and First Aid must be kept current. It was discussed with the administrator that the staff should schedule for the facility to take the CPR and First Aid all at the same time. 3. Medication forms should be checked by the teacher when parents turn them in to the office and administrator. 4. Menus when posted in the classroom should be current. 5. Staff needs to complete the number of training hours that coincide with the education and number of years of experience. Compliance Plan: If you need an extension of time to correct any of the violations pertaining to training dates or building/grounds maintenance, please send a request by email no later three (3) business days prior to the due date of your Compliance Plan. All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than April 30, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for having your Staff & Training Worksheet complete and available for review prior to today’s visit. The most up to date Staff & Training Worksheet form is available on the DCDEE website under the Provider tab and “Provider Documents and Forms”. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. or at (704)594-0153. 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: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 34 Completed Date: 4/16/2024 Age: From 1 To 12 Total Minutes: 300 Time In: 09:00 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 visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Dorothy Leach, Director, assisted me with today’s visit. Your last annual compliance visit was conducted on May 31, 2023. Your program currently operates with a three- star license, issued on September 17,2019, earning 5points in staff education, 2 points in program standards, and 1 quality points for a total of 8 points. Your program’s compliance history was 83% as of April 15, 2024, and was reviewed with you today. I observed your sanitation inspection was dated April 03, 2024, with a superior classification and 4 demerits. I observed your Fire Inspection was dated June 06, 2023. I visited each license indoor space and each outdoor space with you today. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratio maintained during today’s visit. I observed adequate approved enhanced space use maintained during today’s visit. I observed children engaged in free play activities indoor and outdoor. I observed toys, materials, and equipment to be child-sized, developmentally appropriate, and in good repair. I observed materials accessible to the children and of sufficient quantity. I reviewed children’s records today and violations were cited. I reviewed staff records today. I observed and monitored one medication today. The medication was in compliance and the medication form needs to be filled out completely by parent. I observed the outdoor play environment. I observed the equipment and materials to be in good repair. I observed the fence to be of adequate height and in good repair in all areas. Playground equipment needs to be pressure washed. I observed monthly outdoor inspections documented for the past twelve months. I observed the last outdoor inspection was dated March 28, 2024. I observed your monthly fire drill log documented for the past twelve (12)months. I observed your last fire drill dated March 28, 2024. I observed your quarterly shelter-in-place and lock-down drill log. I observed your last drill was a Shelter-in -Place and was dated March 28, 2024. I observed your Emergency Preparedness Response (EPR) Plan was last updated on September 23, 2022. Your EPR plan needs to be updated with new staff and any changes that have been made. I observed menus posted for the week of April 15-19, 2024. I observed today’s lunch consisted of chicken noodle soup with vegetables, greens, mixed fruit, and milk. In two classrooms the menu was not current for the week, this was corrected during the visit. I observed your Incident Log not to be current for the school year. I observed your vans for transportation. I observed the vans registration, insurance, emergency information for students, first aid kit, fire extinguisher, and all transportation requirements. I observed that that van #2 (white after school van) did not have emergency forms for the students on the van. The director and van driver stated that someone must have taken the book off the van over the weekend. I reviewed your completed Staff and Training worksheet. The visit summary packet was discussed at the end of you visit. The following violations were observed and cited during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not current in 2 classrooms. 10A NCAC 09 .0901(b) 847 Parent's medication authorization did not include required information. One authorization form for a child's medication was not completed. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. Incident logs were not current and up to date. .0802(g)(1-6) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. 6 staff members do not have current First Aid on File. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 6 staff members do not have current CPR on file. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Four staff have not received the number of training hours according to their education and experience. .1103(a) 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. Van 2 did not have emergency information on the van for children. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children files did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. There was one child's file did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR Plan has not been revised since August 2022. .0607(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Facility has not reviewed the EPR plan with staff since 4-6-23. .0607(f) Technical Assistance: 1. EPR Plans should be reviewed ever year with staff and with all new staff. 2. CPR and First Aid must be kept current. It was discussed with the administrator that the staff should schedule for the facility to take the CPR and First Aid all at the same time. 3. Medication forms should be checked by the teacher when parents turn them in to the office and administrator. 4. Menus when posted in the classroom should be current. 5. Staff needs to complete the number of training hours that coincide with the education and number of years of experience. Compliance Plan: If you need an extension of time to correct any of the violations pertaining to training dates or building/grounds maintenance, please send a request by email no later three (3) business days prior to the due date of your Compliance Plan. All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than April 30, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for having your Staff & Training Worksheet complete and available for review prior to today’s visit. The most up to date Staff & Training Worksheet form is available on the DCDEE website under the Provider tab and “Provider Documents and Forms”. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. or at (704)594-0153. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 34 Completed Date: 4/16/2024 Age: From 1 To 12 Total Minutes: 300 Time In: 09:00 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 visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Dorothy Leach, Director, assisted me with today’s visit. Your last annual compliance visit was conducted on May 31, 2023. Your program currently operates with a three- star license, issued on September 17,2019, earning 5points in staff education, 2 points in program standards, and 1 quality points for a total of 8 points. Your program’s compliance history was 83% as of April 15, 2024, and was reviewed with you today. I observed your sanitation inspection was dated April 03, 2024, with a superior classification and 4 demerits. I observed your Fire Inspection was dated June 06, 2023. I visited each license indoor space and each outdoor space with you today. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratio maintained during today’s visit. I observed adequate approved enhanced space use maintained during today’s visit. I observed children engaged in free play activities indoor and outdoor. I observed toys, materials, and equipment to be child-sized, developmentally appropriate, and in good repair. I observed materials accessible to the children and of sufficient quantity. I reviewed children’s records today and violations were cited. I reviewed staff records today. I observed and monitored one medication today. The medication was in compliance and the medication form needs to be filled out completely by parent. I observed the outdoor play environment. I observed the equipment and materials to be in good repair. I observed the fence to be of adequate height and in good repair in all areas. Playground equipment needs to be pressure washed. I observed monthly outdoor inspections documented for the past twelve months. I observed the last outdoor inspection was dated March 28, 2024. I observed your monthly fire drill log documented for the past twelve (12)months. I observed your last fire drill dated March 28, 2024. I observed your quarterly shelter-in-place and lock-down drill log. I observed your last drill was a Shelter-in -Place and was dated March 28, 2024. I observed your Emergency Preparedness Response (EPR) Plan was last updated on September 23, 2022. Your EPR plan needs to be updated with new staff and any changes that have been made. I observed menus posted for the week of April 15-19, 2024. I observed today’s lunch consisted of chicken noodle soup with vegetables, greens, mixed fruit, and milk. In two classrooms the menu was not current for the week, this was corrected during the visit. I observed your Incident Log not to be current for the school year. I observed your vans for transportation. I observed the vans registration, insurance, emergency information for students, first aid kit, fire extinguisher, and all transportation requirements. I observed that that van #2 (white after school van) did not have emergency forms for the students on the van. The director and van driver stated that someone must have taken the book off the van over the weekend. I reviewed your completed Staff and Training worksheet. The visit summary packet was discussed at the end of you visit. The following violations were observed and cited during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not current in 2 classrooms. 10A NCAC 09 .0901(b) 847 Parent's medication authorization did not include required information. One authorization form for a child's medication was not completed. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. Incident logs were not current and up to date. .0802(g)(1-6) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. 6 staff members do not have current First Aid on File. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 6 staff members do not have current CPR on file. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Four staff have not received the number of training hours according to their education and experience. .1103(a) 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. Van 2 did not have emergency information on the van for children. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children files did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. There was one child's file did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR Plan has not been revised since August 2022. .0607(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Facility has not reviewed the EPR plan with staff since 4-6-23. .0607(f) Technical Assistance: 1. EPR Plans should be reviewed ever year with staff and with all new staff. 2. CPR and First Aid must be kept current. It was discussed with the administrator that the staff should schedule for the facility to take the CPR and First Aid all at the same time. 3. Medication forms should be checked by the teacher when parents turn them in to the office and administrator. 4. Menus when posted in the classroom should be current. 5. Staff needs to complete the number of training hours that coincide with the education and number of years of experience. Compliance Plan: If you need an extension of time to correct any of the violations pertaining to training dates or building/grounds maintenance, please send a request by email no later three (3) business days prior to the due date of your Compliance Plan. All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than April 30, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for having your Staff & Training Worksheet complete and available for review prior to today’s visit. The most up to date Staff & Training Worksheet form is available on the DCDEE website under the Provider tab and “Provider Documents and Forms”. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. or at (704)594-0153. 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: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 34 Completed Date: 4/16/2024 Age: From 1 To 12 Total Minutes: 300 Time In: 09:00 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 visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Dorothy Leach, Director, assisted me with today’s visit. Your last annual compliance visit was conducted on May 31, 2023. Your program currently operates with a three- star license, issued on September 17,2019, earning 5points in staff education, 2 points in program standards, and 1 quality points for a total of 8 points. Your program’s compliance history was 83% as of April 15, 2024, and was reviewed with you today. I observed your sanitation inspection was dated April 03, 2024, with a superior classification and 4 demerits. I observed your Fire Inspection was dated June 06, 2023. I visited each license indoor space and each outdoor space with you today. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratio maintained during today’s visit. I observed adequate approved enhanced space use maintained during today’s visit. I observed children engaged in free play activities indoor and outdoor. I observed toys, materials, and equipment to be child-sized, developmentally appropriate, and in good repair. I observed materials accessible to the children and of sufficient quantity. I reviewed children’s records today and violations were cited. I reviewed staff records today. I observed and monitored one medication today. The medication was in compliance and the medication form needs to be filled out completely by parent. I observed the outdoor play environment. I observed the equipment and materials to be in good repair. I observed the fence to be of adequate height and in good repair in all areas. Playground equipment needs to be pressure washed. I observed monthly outdoor inspections documented for the past twelve months. I observed the last outdoor inspection was dated March 28, 2024. I observed your monthly fire drill log documented for the past twelve (12)months. I observed your last fire drill dated March 28, 2024. I observed your quarterly shelter-in-place and lock-down drill log. I observed your last drill was a Shelter-in -Place and was dated March 28, 2024. I observed your Emergency Preparedness Response (EPR) Plan was last updated on September 23, 2022. Your EPR plan needs to be updated with new staff and any changes that have been made. I observed menus posted for the week of April 15-19, 2024. I observed today’s lunch consisted of chicken noodle soup with vegetables, greens, mixed fruit, and milk. In two classrooms the menu was not current for the week, this was corrected during the visit. I observed your Incident Log not to be current for the school year. I observed your vans for transportation. I observed the vans registration, insurance, emergency information for students, first aid kit, fire extinguisher, and all transportation requirements. I observed that that van #2 (white after school van) did not have emergency forms for the students on the van. The director and van driver stated that someone must have taken the book off the van over the weekend. I reviewed your completed Staff and Training worksheet. The visit summary packet was discussed at the end of you visit. The following violations were observed and cited during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not current in 2 classrooms. 10A NCAC 09 .0901(b) 847 Parent's medication authorization did not include required information. One authorization form for a child's medication was not completed. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. Incident logs were not current and up to date. .0802(g)(1-6) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. 6 staff members do not have current First Aid on File. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 6 staff members do not have current CPR on file. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Four staff have not received the number of training hours according to their education and experience. .1103(a) 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. Van 2 did not have emergency information on the van for children. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children files did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. There was one child's file did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR Plan has not been revised since August 2022. .0607(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Facility has not reviewed the EPR plan with staff since 4-6-23. .0607(f) Technical Assistance: 1. EPR Plans should be reviewed ever year with staff and with all new staff. 2. CPR and First Aid must be kept current. It was discussed with the administrator that the staff should schedule for the facility to take the CPR and First Aid all at the same time. 3. Medication forms should be checked by the teacher when parents turn them in to the office and administrator. 4. Menus when posted in the classroom should be current. 5. Staff needs to complete the number of training hours that coincide with the education and number of years of experience. Compliance Plan: If you need an extension of time to correct any of the violations pertaining to training dates or building/grounds maintenance, please send a request by email no later three (3) business days prior to the due date of your Compliance Plan. All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than April 30, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for having your Staff & Training Worksheet complete and available for review prior to today’s visit. The most up to date Staff & Training Worksheet form is available on the DCDEE website under the Provider tab and “Provider Documents and Forms”. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. or at (704)594-0153. 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: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 34 Completed Date: 4/16/2024 Age: From 1 To 12 Total Minutes: 300 Time In: 09:00 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 visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Dorothy Leach, Director, assisted me with today’s visit. Your last annual compliance visit was conducted on May 31, 2023. Your program currently operates with a three- star license, issued on September 17,2019, earning 5points in staff education, 2 points in program standards, and 1 quality points for a total of 8 points. Your program’s compliance history was 83% as of April 15, 2024, and was reviewed with you today. I observed your sanitation inspection was dated April 03, 2024, with a superior classification and 4 demerits. I observed your Fire Inspection was dated June 06, 2023. I visited each license indoor space and each outdoor space with you today. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratio maintained during today’s visit. I observed adequate approved enhanced space use maintained during today’s visit. I observed children engaged in free play activities indoor and outdoor. I observed toys, materials, and equipment to be child-sized, developmentally appropriate, and in good repair. I observed materials accessible to the children and of sufficient quantity. I reviewed children’s records today and violations were cited. I reviewed staff records today. I observed and monitored one medication today. The medication was in compliance and the medication form needs to be filled out completely by parent. I observed the outdoor play environment. I observed the equipment and materials to be in good repair. I observed the fence to be of adequate height and in good repair in all areas. Playground equipment needs to be pressure washed. I observed monthly outdoor inspections documented for the past twelve months. I observed the last outdoor inspection was dated March 28, 2024. I observed your monthly fire drill log documented for the past twelve (12)months. I observed your last fire drill dated March 28, 2024. I observed your quarterly shelter-in-place and lock-down drill log. I observed your last drill was a Shelter-in -Place and was dated March 28, 2024. I observed your Emergency Preparedness Response (EPR) Plan was last updated on September 23, 2022. Your EPR plan needs to be updated with new staff and any changes that have been made. I observed menus posted for the week of April 15-19, 2024. I observed today’s lunch consisted of chicken noodle soup with vegetables, greens, mixed fruit, and milk. In two classrooms the menu was not current for the week, this was corrected during the visit. I observed your Incident Log not to be current for the school year. I observed your vans for transportation. I observed the vans registration, insurance, emergency information for students, first aid kit, fire extinguisher, and all transportation requirements. I observed that that van #2 (white after school van) did not have emergency forms for the students on the van. The director and van driver stated that someone must have taken the book off the van over the weekend. I reviewed your completed Staff and Training worksheet. The visit summary packet was discussed at the end of you visit. The following violations were observed and cited during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not current in 2 classrooms. 10A NCAC 09 .0901(b) 847 Parent's medication authorization did not include required information. One authorization form for a child's medication was not completed. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. Incident logs were not current and up to date. .0802(g)(1-6) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. 6 staff members do not have current First Aid on File. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 6 staff members do not have current CPR on file. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Four staff have not received the number of training hours according to their education and experience. .1103(a) 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. Van 2 did not have emergency information on the van for children. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children files did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. There was one child's file did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR Plan has not been revised since August 2022. .0607(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Facility has not reviewed the EPR plan with staff since 4-6-23. .0607(f) Technical Assistance: 1. EPR Plans should be reviewed ever year with staff and with all new staff. 2. CPR and First Aid must be kept current. It was discussed with the administrator that the staff should schedule for the facility to take the CPR and First Aid all at the same time. 3. Medication forms should be checked by the teacher when parents turn them in to the office and administrator. 4. Menus when posted in the classroom should be current. 5. Staff needs to complete the number of training hours that coincide with the education and number of years of experience. Compliance Plan: If you need an extension of time to correct any of the violations pertaining to training dates or building/grounds maintenance, please send a request by email no later three (3) business days prior to the due date of your Compliance Plan. All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than April 30, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for having your Staff & Training Worksheet complete and available for review prior to today’s visit. The most up to date Staff & Training Worksheet form is available on the DCDEE website under the Provider tab and “Provider Documents and Forms”. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. or at (704)594-0153. 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 .0701 · Violation

Name of Operation: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 41 Completed Date: 4/2/2024 Age: From 1 To 12 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced Visit Follow up. You, Dorthey Leach, Director, and Rydell Cowan assisted me with today’s visit. Ashlynn Vaughan, Child Care Consultant accompany me on the visit today. Your program currently operates with a three-star license, issued on September 19, 2019, 5 earning points in staff education, 2 points in program standards, and 1 quality point. I visited each licensed indoor space today. I observed children playing in activity areas, participating in teacher directed whole group and small group activities, arriving, playing outside, preparing for lunch, eating lunch, transitioning, transition from outside back to the classroom setting. I observed lunch which consisted of Chicken and noodle, green beans, wheat bread, pineapples, and milk. I observed children adequately supervised during today’s visit. I monitored all for adequate supervision. I observed that the teachers checked attendance and counted children during transition. I observed the teachers in the hall with students during transition from breakfast to bathroom time. I observed that in space 2 the staff/child ratio was not in compliance. I observed that there were 15(fifteen) children in the classroom with two teachers. The youngest child in the classroom was one years old. The facility meets the minimum staff/child ratio requirements. I observed that minimum required staff-child ratios were maintained in all other classrooms during today’s visit. I observed adequate approved space used during today’s visit. I observed space capacity maintained throughout the center during today's visit. I reviewed staff records at my last visit which was a Routine Unannounced Visit that was conducted on November 21, 2023. One new staff member has been hired since my last visit. I reviewed the new staff files for the required information. The following violations were observed and cited during today's visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space 4 the ratio is 1/6 and there were 15 children in the classroom with 2 teachers. The youngest child was one years of age. GS 110-91(7);.0713(a-d) 721 All equipment and furnishings were not in good repair. The playground equipment needs to be cleaned and repaired. Playground toys are covered with a mildew substance. This was on the riding toys and slide equipment. Screws need to be tighten on the slide equipment. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical report was dated after hire date. The hire date of the employee was 3/4/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. TB test was dated after hire date. The employee hire date was 3/4/24. TB was dated 3/5/24. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member hired on 3/4/24 was qualified in ABCMS system to work with children, but did not have a qualification letter on file at the facility as required. G.S. 110-90.2(b) & (d) & .2703(e) Consultation: Due to the repeated violation #303 supervision on November 21, 2023, and staff/child ratio today an administrative action may be issued. Technical assistance: 1. If the monthly menu is posted in each classroom the menu needs to be current in all classrooms. Have the teachers make sure they change the menu at the beginning of the month. 2. Make sure the monthly playground inspections are done each month. When the staff is completing the playground inspections make sure all information is documented with the concerns and what needs to be addressed and fixed. 3. Make sure that the school age classroom is set up the meet the requirements for activity centers. Make sure that the classroom has adequate supplies in each center. All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than April 16, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. or at (704)594-0153. 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.

G.S. 110-90 · Violation

Name of Operation: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 41 Completed Date: 4/2/2024 Age: From 1 To 12 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced Visit Follow up. You, Dorthey Leach, Director, and Rydell Cowan assisted me with today’s visit. Ashlynn Vaughan, Child Care Consultant accompany me on the visit today. Your program currently operates with a three-star license, issued on September 19, 2019, 5 earning points in staff education, 2 points in program standards, and 1 quality point. I visited each licensed indoor space today. I observed children playing in activity areas, participating in teacher directed whole group and small group activities, arriving, playing outside, preparing for lunch, eating lunch, transitioning, transition from outside back to the classroom setting. I observed lunch which consisted of Chicken and noodle, green beans, wheat bread, pineapples, and milk. I observed children adequately supervised during today’s visit. I monitored all for adequate supervision. I observed that the teachers checked attendance and counted children during transition. I observed the teachers in the hall with students during transition from breakfast to bathroom time. I observed that in space 2 the staff/child ratio was not in compliance. I observed that there were 15(fifteen) children in the classroom with two teachers. The youngest child in the classroom was one years old. The facility meets the minimum staff/child ratio requirements. I observed that minimum required staff-child ratios were maintained in all other classrooms during today’s visit. I observed adequate approved space used during today’s visit. I observed space capacity maintained throughout the center during today's visit. I reviewed staff records at my last visit which was a Routine Unannounced Visit that was conducted on November 21, 2023. One new staff member has been hired since my last visit. I reviewed the new staff files for the required information. The following violations were observed and cited during today's visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space 4 the ratio is 1/6 and there were 15 children in the classroom with 2 teachers. The youngest child was one years of age. GS 110-91(7);.0713(a-d) 721 All equipment and furnishings were not in good repair. The playground equipment needs to be cleaned and repaired. Playground toys are covered with a mildew substance. This was on the riding toys and slide equipment. Screws need to be tighten on the slide equipment. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical report was dated after hire date. The hire date of the employee was 3/4/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. TB test was dated after hire date. The employee hire date was 3/4/24. TB was dated 3/5/24. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member hired on 3/4/24 was qualified in ABCMS system to work with children, but did not have a qualification letter on file at the facility as required. G.S. 110-90.2(b) & (d) & .2703(e) Consultation: Due to the repeated violation #303 supervision on November 21, 2023, and staff/child ratio today an administrative action may be issued. Technical assistance: 1. If the monthly menu is posted in each classroom the menu needs to be current in all classrooms. Have the teachers make sure they change the menu at the beginning of the month. 2. Make sure the monthly playground inspections are done each month. When the staff is completing the playground inspections make sure all information is documented with the concerns and what needs to be addressed and fixed. 3. Make sure that the school age classroom is set up the meet the requirements for activity centers. Make sure that the classroom has adequate supplies in each center. All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than April 16, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. or at (704)594-0153. 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: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 41 Completed Date: 4/2/2024 Age: From 1 To 12 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced Visit Follow up. You, Dorthey Leach, Director, and Rydell Cowan assisted me with today’s visit. Ashlynn Vaughan, Child Care Consultant accompany me on the visit today. Your program currently operates with a three-star license, issued on September 19, 2019, 5 earning points in staff education, 2 points in program standards, and 1 quality point. I visited each licensed indoor space today. I observed children playing in activity areas, participating in teacher directed whole group and small group activities, arriving, playing outside, preparing for lunch, eating lunch, transitioning, transition from outside back to the classroom setting. I observed lunch which consisted of Chicken and noodle, green beans, wheat bread, pineapples, and milk. I observed children adequately supervised during today’s visit. I monitored all for adequate supervision. I observed that the teachers checked attendance and counted children during transition. I observed the teachers in the hall with students during transition from breakfast to bathroom time. I observed that in space 2 the staff/child ratio was not in compliance. I observed that there were 15(fifteen) children in the classroom with two teachers. The youngest child in the classroom was one years old. The facility meets the minimum staff/child ratio requirements. I observed that minimum required staff-child ratios were maintained in all other classrooms during today’s visit. I observed adequate approved space used during today’s visit. I observed space capacity maintained throughout the center during today's visit. I reviewed staff records at my last visit which was a Routine Unannounced Visit that was conducted on November 21, 2023. One new staff member has been hired since my last visit. I reviewed the new staff files for the required information. The following violations were observed and cited during today's visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space 4 the ratio is 1/6 and there were 15 children in the classroom with 2 teachers. The youngest child was one years of age. GS 110-91(7);.0713(a-d) 721 All equipment and furnishings were not in good repair. The playground equipment needs to be cleaned and repaired. Playground toys are covered with a mildew substance. This was on the riding toys and slide equipment. Screws need to be tighten on the slide equipment. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical report was dated after hire date. The hire date of the employee was 3/4/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. TB test was dated after hire date. The employee hire date was 3/4/24. TB was dated 3/5/24. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member hired on 3/4/24 was qualified in ABCMS system to work with children, but did not have a qualification letter on file at the facility as required. G.S. 110-90.2(b) & (d) & .2703(e) Consultation: Due to the repeated violation #303 supervision on November 21, 2023, and staff/child ratio today an administrative action may be issued. Technical assistance: 1. If the monthly menu is posted in each classroom the menu needs to be current in all classrooms. Have the teachers make sure they change the menu at the beginning of the month. 2. Make sure the monthly playground inspections are done each month. When the staff is completing the playground inspections make sure all information is documented with the concerns and what needs to be addressed and fixed. 3. Make sure that the school age classroom is set up the meet the requirements for activity centers. Make sure that the classroom has adequate supplies in each center. All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than April 16, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. or at (704)594-0153. 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: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 41 Completed Date: 4/2/2024 Age: From 1 To 12 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced Visit Follow up. You, Dorthey Leach, Director, and Rydell Cowan assisted me with today’s visit. Ashlynn Vaughan, Child Care Consultant accompany me on the visit today. Your program currently operates with a three-star license, issued on September 19, 2019, 5 earning points in staff education, 2 points in program standards, and 1 quality point. I visited each licensed indoor space today. I observed children playing in activity areas, participating in teacher directed whole group and small group activities, arriving, playing outside, preparing for lunch, eating lunch, transitioning, transition from outside back to the classroom setting. I observed lunch which consisted of Chicken and noodle, green beans, wheat bread, pineapples, and milk. I observed children adequately supervised during today’s visit. I monitored all for adequate supervision. I observed that the teachers checked attendance and counted children during transition. I observed the teachers in the hall with students during transition from breakfast to bathroom time. I observed that in space 2 the staff/child ratio was not in compliance. I observed that there were 15(fifteen) children in the classroom with two teachers. The youngest child in the classroom was one years old. The facility meets the minimum staff/child ratio requirements. I observed that minimum required staff-child ratios were maintained in all other classrooms during today’s visit. I observed adequate approved space used during today’s visit. I observed space capacity maintained throughout the center during today's visit. I reviewed staff records at my last visit which was a Routine Unannounced Visit that was conducted on November 21, 2023. One new staff member has been hired since my last visit. I reviewed the new staff files for the required information. The following violations were observed and cited during today's visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space 4 the ratio is 1/6 and there were 15 children in the classroom with 2 teachers. The youngest child was one years of age. GS 110-91(7);.0713(a-d) 721 All equipment and furnishings were not in good repair. The playground equipment needs to be cleaned and repaired. Playground toys are covered with a mildew substance. This was on the riding toys and slide equipment. Screws need to be tighten on the slide equipment. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical report was dated after hire date. The hire date of the employee was 3/4/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. TB test was dated after hire date. The employee hire date was 3/4/24. TB was dated 3/5/24. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member hired on 3/4/24 was qualified in ABCMS system to work with children, but did not have a qualification letter on file at the facility as required. G.S. 110-90.2(b) & (d) & .2703(e) Consultation: Due to the repeated violation #303 supervision on November 21, 2023, and staff/child ratio today an administrative action may be issued. Technical assistance: 1. If the monthly menu is posted in each classroom the menu needs to be current in all classrooms. Have the teachers make sure they change the menu at the beginning of the month. 2. Make sure the monthly playground inspections are done each month. When the staff is completing the playground inspections make sure all information is documented with the concerns and what needs to be addressed and fixed. 3. Make sure that the school age classroom is set up the meet the requirements for activity centers. Make sure that the classroom has adequate supplies in each center. All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than April 16, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. or at (704)594-0153. 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: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: JACLYN FLOWE Operation Type: Center Case Number: 0124-159A Visit Date: 2/19/2024 Number Present: 29 Completed Date: 2/19/2024 Age: From 1 To 5 Total Minutes: 245 Time In: 08:15 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow-up regarding allegations of violations of child care requirements at this child care facility. The purpose of this unannounced visit was to follow-up and monitor compliance with child care requirements observed/confirmed as violations on (2/5/24). Rydell Cowan, owner, accompanied me during a walk-through of the facility. During the visit, I spoke with Mr. Cowan and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On February 19, 2024, a staff member was responsible for 17 children, with the youngest child being 3 years old. GS 110-91(7);.0713(a-d) The violation was corrected during the visit, and Lakeshia Lowery, administrative assistant/facility floater, provided me with a violation correction letter today. You may contact me, Jaclyn Flowe, Investigations Consultant, at phone number 704-495-5363, email at jaclyn.flowe@dhhs.nc.gov, or you may contact Elizabeth Nichols, North Central Investigations Team Supervisor, at elizabeth.nichols@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 .0713 · Violation

Name of Operation: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: JACLYN FLOWE Operation Type: Center Case Number: 0124-159A Visit Date: 2/5/2024 Number Present: 28 Completed Date: 2/5/2024 Age: From 1 To 5 Total Minutes: 280 Time In: 08:05 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow-up regarding allegations of violations of child care requirements at this child care facility. Toni Washington, Child Care Consultant, was also present and assisted me during the visit. We conducted a walk-through of the facility unaccompanied. During the visit, I spoke with Rydell Cowan, owner, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On February 5, 2024, a staff member was alone with 28 children, ages from 1-5 years old. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. A staff member left several 2 and 3 year old children unattended during nap time. .1801(a)(1-5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. On February 5, 2024, several one year old children were grouped with children over the age of three. 10A NCAC 09 .0713(a)(6) All violations documented above must be corrected immediately. A written, dated, and signed letter of compliance must be submitted to me within one week, by (2/12/24), describing how and when the violations were corrected and how compliance will be maintained in the future. The letter of compliance should be emailed or mailed to Jaclyn Flowe, Investigations Consultant, at phone number 704-495-5363, email at jaclyn.flowe@dhhs.nc.gov. You may contact me, Jaclyn Flowe, Investigations Consultant, at phone number 704-495-5363, email at jaclyn.flowe@dhhs.nc.gov, or you may contact Elizabeth Nichols, North Central Investigations Team Supervisor, at elizabeth.nichols@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.

GS 110-91 · Violation

Name of Operation: JACOBS LADDER CHILD DEVELOPMENT CENTER Facility ID: 49000392 Consultant: JACLYN FLOWE Operation Type: Center Case Number: 0124-159A Visit Date: 2/5/2024 Number Present: 28 Completed Date: 2/5/2024 Age: From 1 To 5 Total Minutes: 280 Time In: 08:05 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow-up regarding allegations of violations of child care requirements at this child care facility. Toni Washington, Child Care Consultant, was also present and assisted me during the visit. We conducted a walk-through of the facility unaccompanied. During the visit, I spoke with Rydell Cowan, owner, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On February 5, 2024, a staff member was alone with 28 children, ages from 1-5 years old. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. A staff member left several 2 and 3 year old children unattended during nap time. .1801(a)(1-5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. On February 5, 2024, several one year old children were grouped with children over the age of three. 10A NCAC 09 .0713(a)(6) All violations documented above must be corrected immediately. A written, dated, and signed letter of compliance must be submitted to me within one week, by (2/12/24), describing how and when the violations were corrected and how compliance will be maintained in the future. The letter of compliance should be emailed or mailed to Jaclyn Flowe, Investigations Consultant, at phone number 704-495-5363, email at jaclyn.flowe@dhhs.nc.gov. You may contact me, Jaclyn Flowe, Investigations Consultant, at phone number 704-495-5363, email at jaclyn.flowe@dhhs.nc.gov, or you may contact Elizabeth Nichols, North Central Investigations Team Supervisor, at elizabeth.nichols@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.