10A NCAC 09 .0601 · Violation

Name of Operation: EVERBROOK ACADEMY Facility ID: 90000508 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0624-174A Visit Date: 6/20/2024 Number Present: 106 Completed Date: 6/20/2024 Age: From 0 To 5 Total Minutes: 130 Time In: 12:10 PM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Heather Smith, administrator, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. Smith 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 509 Food required for any special diet was not provided by parent or center. On June 12, 2024, a three-year-old child with a severe food allergy was not served food in alignment with his dietary needs. .0901(h) 807 A safe indoor and outdoor environment was not provided for the children. Staff failed to provide a safe environment when a three-year-old child with a documented severe allergy to egg was served ravioli that contained egg. 10A NCAC 09 .0601(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A child's Food Allergy and Anaphylaxis Emergency Care Plan was not updated at least annually. .0802(c) 1878 A drug or medicine was administered in a manner not authorized by the child's parent, physician or other authorized health professional. On June 12, 2024, staff failed to follow a child's Food Allergy and Anaphylaxis Emergency Care Plan when a staff member waited five minutes after giving Benadryl before administering the Epi-pen. .0803(1)(c ) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Although an incident report was completed for an incident on June 12, 2024, the report was not sent to the NCDCDEE child care consultant within seven days as required. .0802(f) Violations must be corrected immediately. Within one week, June 27, 2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Leigh Broome, Investigations Consultant, Leigh.Broome@dhhs.nc.gov. You may contact me at Leigh Broome, 704-594-0146, Leigh.Broome@dhhs.nc.gov or Veronica Grant, South Central Investigations Supervisor, Veronica.Grant@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.

NC GS 110-90 · Violation

Name of Operation: EVERBROOK ACADEMY Facility ID: 90000508 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 124 Completed Date: 5/16/2024 Age: From 0 To 5 Total Minutes: 206 Time In: 09:00 AM Time Out: 11:49 AM Time In: 01:04 PM Time Out: 01:41 PM 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 an unannounced routine visit. Upon arrival I was greeted by Ms. M. Thompson shared the reason for the visit and she assisted me with today’s visit. Ms. J. Andrews is no-longer the Principal/Director of the facility and Ms. H. Smith has been appointed as the new Principal/Director beginning in March of 2024. Paperwork will be completed to reflect this change as Ms. Smith was present on the field trip with the Junior Kindergarten classes and not present to fill out the paperwork. Your program currently operates with a Three (3) Star License. The license was posted, with restrictions to first (1st) shift, meets enhanced ratios and enhanced spaced. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percent as of today’s visit. Ownership: The facility owner is Everbrook Academy, LLC SSI #1881101 which is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The following items were monitored: Licensing Posted, Permit Restrictions, Staff/Child Ratio, Supervision, Specialized Trainings, Storage of Hazardous Substances and Storage of Medication, Program Records, and General Safety. I monitored all indoor spaces and learning environments, outdoor learning environments and the kitchen. The Sanitation Inspection has not occurred since the last visit and remain current. The following items above were found in/out of compliance. The following inspections are below. •Last fire drill was conducted on 4/9/2024. •Fire Inspection was completed on 12/20/2023. •Last Shelter in Place/Lockdown Drill was conducted 4/4/2024. •Last Playground Inspection was conducted in February 2024. This is out of compliance. •The incident reports and log were verified in compliance and up to date. The children were observed in the room that serves infants, in self-directed play and tummy time. The children in the rooms that served toddlers were participating in teacher directed learning and circle time including books and story time. The children in the preschool classroom were participating in self-directed free play and center choice time. The children in the Junior Kindergarten were playing on the outdoor learning center and were preparing for their field trip. They were preparing to wash hands, and line up for their transportation. The children had just finished breakfast consisting of whole grain toast and strawberries which was posted on the menu with allergies and dietary restrictions posted. Outdoor learning environment(s) were observed and the playground that serves older children had a small rip in the gate, which was had a work order and was being fixed. It also had a storage shed with potting soil that was within reach of children. This was corrected during the visit. Staff Records: The staff-training worksheets were completed as a courtesy to the new Administrator. There were four (4) new files to review and there was one (1) violation in two (2) of the new staff. Medication: Medication was monitored and was in compliance. Weapons: Today you reported that your facility was in compliance with childcare requirements regarding firearms. Transportation: Transportation for field trips is provided but was not monitored on this visit. Five (5) violations were observed today and two (2) were corrected during the visit. The violations are as follows: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In room 134 there was screen time used for daily lessons but it was not posted on the weekly activity plan. The parents were aware of the use of developmentally appropriate screen time in their yearly newsletter. .0510(d)(2)(A-C) 705 Equipment and furnishings were not sturdy, stable and free of hazards. In room one hundred and thirty (#130) there was a large cabinet and the door was not completely on the hinges. This was temporarily fixed. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the outside learning environment there was a bag of potting soil in an shed accessible to children. .2820(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. On the playground that serves older children there were two bags of potting soil accessible in a open storage area. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed in February of 2024. .0605(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. New staff members A.J. and S.M dates of TB reading were after their initial date of work. .0701(a) On or before 5/29/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 OR Traci.Meyer@dhhs.nc.gov Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. 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. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License •Reach out to your Child Care Consultant for the facility’s star rated cohort assessment and preparation year. Please make the Child Care Consultant aware of when and if you are ready to begin the Star Rated License process within the cohort timeline. •In the meantime, make sure all staff members have updated their WORKS information and it is current for accurate ERS process. •Consider having M. Thompson enroll in Admin #2 (two) at one of the local community colleges to assist with the education component of the ERS assessment. Technical Assistance •Playground inspections are to be completed monthly by a person who is certified to inspect the outdoor learning areas. •Continue to inspect indoor and outdoor environments, making sure to note all structures and or learning toys are in good repair. •As a reminder children’s applications should be updated as changes occur or at least annually. •Also, as a reminder, once the facility receives a passing fire inspection, scan it to your Child Care Consultant within seven (7) days. •Screen time for developmental purposes needs to be restricted to thirty (30) minutes and day and no more than two and one-half (2.5) hours per week and is reserved for children ages three (3) and above. This should also be on the weekly activity plan if using a group and/or a screen time log. •There is a new Summary of the Law on the DCDEE website that should be posted on the information board. •There are new NC Sanitation Laws that have been implemented, please reach out if you have any questions. •Reach out to your local CCRI and Partnership for Children for assistance with the Rated License process. •The Smart Start Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Family child care homes are required to test water for lead once. o DCDEE encourages you to utilize the Clean Classrooms for Children’s program. You can take the pre-enrollment webinars which is available at www.cleanwaterforUSkids.org/carolina then enroll – At www.cleanwaterforUSkids.org/carolina completing the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. Keep mindful that once you evaluate potential hazards and receive results if there are recommendations and/or water mitigation support is needed they will provide direction in how to mitigate and ways to fund said mitigation. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged you to ask any questions and you stated that you had none. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov to get the latest updates. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter 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. 110-91 · Violation

Name of Operation: EVERBROOK ACADEMY Facility ID: 90000508 Consultant: AMY SCHNURR Operation Type: Center Case Number: 0124-129A Visit Date: 1/22/2024 Number Present: 125 Completed Date: 1/22/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Jalissa Andrews, Administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Andrews and eight additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were confirmed during today’s visit. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. In November 2023, the center administration was advised that a child's, age one, feeding plan needed to be updated due to digestive issues regarding consuming cow's milk. The feeding plan should have been updated to show the child was to only recieve milk provided by the parent. 10 NCAC 09 .0902(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On December 21, 2023, a staff member, picked up a child, age one-year-old, by the upper arms to move the child to another area in the classroom. G.S. 110-91(10) Violations must be corrected immediately. Within one week, by January 29, 2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Amy Schnurr, Investigations Consultant, Phone: 980-423-0978, FAX: 919-715-1013, amy.schnurr@dhhs.nc.gov. Violations were corrected during the visit. You may contact me at Amy Schnurr, Investigator, 980-423-0978, amy.schnurr@dhhs.nc.gov or Veronica Grant, Supervisor, veronica.grant@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 .1102 · Violation

Name of Operation: EVERBROOK ACADEMY Facility ID: 90000508 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 131 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 405 Time In: 08:45 AM Time Out: 03:30 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 unannounced annual compliance visit. Upon arrival I was greeted by Ms. Megan Thompson and I shared the reason for the visit. Ms. Thompson accompanied me throughout the walk-through of the facility and the outdoor learning environments and we were joined by Ms. Jalissa Andrews at the conclusion of the walk-through. Your program currently operates with a Three Star Center License effective 7/14/2021. The license was posted, with restrictions to 1st shift, meets enhanced ratios, meets enhanced space, and meets all enhanced requirements. Ownership: The facility owner is Everbrook Academy, LLC SoS# 188101. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All classrooms, kitchen, inside, two (2) playgrounds, and two (2) vehicles. Program Records: We reviewed all the required records and were in compliance. Ms. Andrews shared that the Fire Inspector is schedule to arrive early next week for their annual inspection. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 11/29/2023. •Emergency drill was conducted on 9/27/2023. •Fire inspection was completed on 12/19/2022. •Playground inspection was completed on 11/20/2023. •Sanitation inspection was conducted on 11/3/2023 received a Superior classification. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. All classroom teachers’ were engaged with the children in their care. The children were observed to have adequate amounts of learning opportunities and toys at their disposal. The children were participating in free play, bottle feeding, instructional art activities, center choice time and group instruction. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were nineteen (19) new staff files to review today, and a percentage of staff was reviewed. Please refer to the staff/training worksheet to review which files were monitored. The files were well organized and in four (4) of the files trainings and documentation was not present upon review. Children’s Records: There are one hundred and forty four (144) children enrolled in this center. There were one hundred and thirty one (131) in attendance today. Fourteen (14) children’s files were reviewed today, please refer to the children’s worksheet to review which files were monitored. Medication: All emergency and other medications were reviewed today and most were in compliance, please refer to the violation summary for a more specific explanation. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu and allergy information was prominently posted in the kitchen and the kitchen was well organized and well kept. The menu consisted of turkey, ham, green beans, mandarin oranges and milk. Weapons: Your facility reported that they were in/out of compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility does use transportation for field trips, and both vehicles were in compliance with registrations, and insurance. They vehicles were clean and had all approved postings, and emergency equipment. There were nine (9) violations were observed today and four (4) were corrected during the visit. The violations are as follows: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In the Pre-K room that serves children two to three years old there was an epi-pen that was not in its original prescription container. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In the classroom that serves toddlers, there were diaper creams that were expired and not discarded within seventy-two hours of expiration of medical permission forms. .0803(12) 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. In the room that serves toddler, plastic bags were accessible to children. .0604(q) 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. Staff Member D/B did not have First Aid training within the required timeline even though two (2) classes were assigned for the staff member. .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 Member D/B did not have CPR training within the required timeline even though two (2) classes were assigned for the staff member. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child #1, #2 and #3 did not have medical forms in their files upon enrollment or within thirty (30) days after enrollment. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members M.S. and K.F. had expired provisional qualifying letters on file. Both staff members did have updated qualifying letters and were able to provided the letters and they were added to their personnel files. G.S. 110-90.2(b) & (d) & .2703(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In the room that serves toddlers there were diaper creams that did not have medication permission forms allowing usage. There were also three (3) extra creams that did not have any child assigned to the medications. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. Staff member M.L.'s blended learning certificate showing completion of hands on training and overall completion of the course was not on file. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) The violations not corrected during the visit must be corrected immediately. On or before 12/25/2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 Traci.Meyer@dhhs.nc.us Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. 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. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: Your facility’s rated license cohort is cohort three (3) The preparation year of the assessment is July 1st, 2025 to June 30th, 2026 and the assessment year is July 1st, 2026 to June 30th, 2027. Listed below are some items to do to get ready for the upcoming preparation and assessment years. •Have all staff update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all teachers and staff print out their WORKS letter, so you can see if their education is updated. If any teachers have a BSAC certificate have them upload the certificate into their account. •Access the resources for your upcoming assessment at www.ncrlap.org. •Review the materials lists for each classroom. This list is to be used as a resource reminding you of some of the required items to promote quality in programming. •Contact CCRI and The Alliance for Children to have them assist you in providing guidance in preparation for the scales. Technical Assistance: •Make sure staff members are completely filling out their Emergency Information forms including hospital preferences. •I shared that I would be emailing a copy of the new Sanitation Laws, passed in July and information from the trainings. •As a reminder, set up a schedule or check list for the person in charge of staff files to physically add forms and documentation in a timely manner. •Once your fire inspection had passed and been completed, please send it to you Child Care Consultant within seven (7) days. •An updated Summary of the Law is available on the DCDEE website, please print and take down the previous version. •Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Ms. Andrews. We jointly reviewed the visit summary and documentation of my findings and violations and encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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 .1105 · Violation

Name of Operation: EVERBROOK ACADEMY Facility ID: 90000508 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 131 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 405 Time In: 08:45 AM Time Out: 03:30 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 unannounced annual compliance visit. Upon arrival I was greeted by Ms. Megan Thompson and I shared the reason for the visit. Ms. Thompson accompanied me throughout the walk-through of the facility and the outdoor learning environments and we were joined by Ms. Jalissa Andrews at the conclusion of the walk-through. Your program currently operates with a Three Star Center License effective 7/14/2021. The license was posted, with restrictions to 1st shift, meets enhanced ratios, meets enhanced space, and meets all enhanced requirements. Ownership: The facility owner is Everbrook Academy, LLC SoS# 188101. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All classrooms, kitchen, inside, two (2) playgrounds, and two (2) vehicles. Program Records: We reviewed all the required records and were in compliance. Ms. Andrews shared that the Fire Inspector is schedule to arrive early next week for their annual inspection. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 11/29/2023. •Emergency drill was conducted on 9/27/2023. •Fire inspection was completed on 12/19/2022. •Playground inspection was completed on 11/20/2023. •Sanitation inspection was conducted on 11/3/2023 received a Superior classification. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. All classroom teachers’ were engaged with the children in their care. The children were observed to have adequate amounts of learning opportunities and toys at their disposal. The children were participating in free play, bottle feeding, instructional art activities, center choice time and group instruction. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were nineteen (19) new staff files to review today, and a percentage of staff was reviewed. Please refer to the staff/training worksheet to review which files were monitored. The files were well organized and in four (4) of the files trainings and documentation was not present upon review. Children’s Records: There are one hundred and forty four (144) children enrolled in this center. There were one hundred and thirty one (131) in attendance today. Fourteen (14) children’s files were reviewed today, please refer to the children’s worksheet to review which files were monitored. Medication: All emergency and other medications were reviewed today and most were in compliance, please refer to the violation summary for a more specific explanation. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu and allergy information was prominently posted in the kitchen and the kitchen was well organized and well kept. The menu consisted of turkey, ham, green beans, mandarin oranges and milk. Weapons: Your facility reported that they were in/out of compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility does use transportation for field trips, and both vehicles were in compliance with registrations, and insurance. They vehicles were clean and had all approved postings, and emergency equipment. There were nine (9) violations were observed today and four (4) were corrected during the visit. The violations are as follows: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In the Pre-K room that serves children two to three years old there was an epi-pen that was not in its original prescription container. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In the classroom that serves toddlers, there were diaper creams that were expired and not discarded within seventy-two hours of expiration of medical permission forms. .0803(12) 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. In the room that serves toddler, plastic bags were accessible to children. .0604(q) 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. Staff Member D/B did not have First Aid training within the required timeline even though two (2) classes were assigned for the staff member. .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 Member D/B did not have CPR training within the required timeline even though two (2) classes were assigned for the staff member. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child #1, #2 and #3 did not have medical forms in their files upon enrollment or within thirty (30) days after enrollment. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members M.S. and K.F. had expired provisional qualifying letters on file. Both staff members did have updated qualifying letters and were able to provided the letters and they were added to their personnel files. G.S. 110-90.2(b) & (d) & .2703(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In the room that serves toddlers there were diaper creams that did not have medication permission forms allowing usage. There were also three (3) extra creams that did not have any child assigned to the medications. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. Staff member M.L.'s blended learning certificate showing completion of hands on training and overall completion of the course was not on file. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) The violations not corrected during the visit must be corrected immediately. On or before 12/25/2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 Traci.Meyer@dhhs.nc.us Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. 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. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: Your facility’s rated license cohort is cohort three (3) The preparation year of the assessment is July 1st, 2025 to June 30th, 2026 and the assessment year is July 1st, 2026 to June 30th, 2027. Listed below are some items to do to get ready for the upcoming preparation and assessment years. •Have all staff update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all teachers and staff print out their WORKS letter, so you can see if their education is updated. If any teachers have a BSAC certificate have them upload the certificate into their account. •Access the resources for your upcoming assessment at www.ncrlap.org. •Review the materials lists for each classroom. This list is to be used as a resource reminding you of some of the required items to promote quality in programming. •Contact CCRI and The Alliance for Children to have them assist you in providing guidance in preparation for the scales. Technical Assistance: •Make sure staff members are completely filling out their Emergency Information forms including hospital preferences. •I shared that I would be emailing a copy of the new Sanitation Laws, passed in July and information from the trainings. •As a reminder, set up a schedule or check list for the person in charge of staff files to physically add forms and documentation in a timely manner. •Once your fire inspection had passed and been completed, please send it to you Child Care Consultant within seven (7) days. •An updated Summary of the Law is available on the DCDEE website, please print and take down the previous version. •Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Ms. Andrews. We jointly reviewed the visit summary and documentation of my findings and violations and encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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: EVERBROOK ACADEMY Facility ID: 90000508 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 131 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 405 Time In: 08:45 AM Time Out: 03:30 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 unannounced annual compliance visit. Upon arrival I was greeted by Ms. Megan Thompson and I shared the reason for the visit. Ms. Thompson accompanied me throughout the walk-through of the facility and the outdoor learning environments and we were joined by Ms. Jalissa Andrews at the conclusion of the walk-through. Your program currently operates with a Three Star Center License effective 7/14/2021. The license was posted, with restrictions to 1st shift, meets enhanced ratios, meets enhanced space, and meets all enhanced requirements. Ownership: The facility owner is Everbrook Academy, LLC SoS# 188101. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All classrooms, kitchen, inside, two (2) playgrounds, and two (2) vehicles. Program Records: We reviewed all the required records and were in compliance. Ms. Andrews shared that the Fire Inspector is schedule to arrive early next week for their annual inspection. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 11/29/2023. •Emergency drill was conducted on 9/27/2023. •Fire inspection was completed on 12/19/2022. •Playground inspection was completed on 11/20/2023. •Sanitation inspection was conducted on 11/3/2023 received a Superior classification. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. All classroom teachers’ were engaged with the children in their care. The children were observed to have adequate amounts of learning opportunities and toys at their disposal. The children were participating in free play, bottle feeding, instructional art activities, center choice time and group instruction. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were nineteen (19) new staff files to review today, and a percentage of staff was reviewed. Please refer to the staff/training worksheet to review which files were monitored. The files were well organized and in four (4) of the files trainings and documentation was not present upon review. Children’s Records: There are one hundred and forty four (144) children enrolled in this center. There were one hundred and thirty one (131) in attendance today. Fourteen (14) children’s files were reviewed today, please refer to the children’s worksheet to review which files were monitored. Medication: All emergency and other medications were reviewed today and most were in compliance, please refer to the violation summary for a more specific explanation. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu and allergy information was prominently posted in the kitchen and the kitchen was well organized and well kept. The menu consisted of turkey, ham, green beans, mandarin oranges and milk. Weapons: Your facility reported that they were in/out of compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility does use transportation for field trips, and both vehicles were in compliance with registrations, and insurance. They vehicles were clean and had all approved postings, and emergency equipment. There were nine (9) violations were observed today and four (4) were corrected during the visit. The violations are as follows: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In the Pre-K room that serves children two to three years old there was an epi-pen that was not in its original prescription container. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In the classroom that serves toddlers, there were diaper creams that were expired and not discarded within seventy-two hours of expiration of medical permission forms. .0803(12) 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. In the room that serves toddler, plastic bags were accessible to children. .0604(q) 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. Staff Member D/B did not have First Aid training within the required timeline even though two (2) classes were assigned for the staff member. .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 Member D/B did not have CPR training within the required timeline even though two (2) classes were assigned for the staff member. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child #1, #2 and #3 did not have medical forms in their files upon enrollment or within thirty (30) days after enrollment. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members M.S. and K.F. had expired provisional qualifying letters on file. Both staff members did have updated qualifying letters and were able to provided the letters and they were added to their personnel files. G.S. 110-90.2(b) & (d) & .2703(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In the room that serves toddlers there were diaper creams that did not have medication permission forms allowing usage. There were also three (3) extra creams that did not have any child assigned to the medications. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. Staff member M.L.'s blended learning certificate showing completion of hands on training and overall completion of the course was not on file. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) The violations not corrected during the visit must be corrected immediately. On or before 12/25/2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 Traci.Meyer@dhhs.nc.us Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. 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. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: Your facility’s rated license cohort is cohort three (3) The preparation year of the assessment is July 1st, 2025 to June 30th, 2026 and the assessment year is July 1st, 2026 to June 30th, 2027. Listed below are some items to do to get ready for the upcoming preparation and assessment years. •Have all staff update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all teachers and staff print out their WORKS letter, so you can see if their education is updated. If any teachers have a BSAC certificate have them upload the certificate into their account. •Access the resources for your upcoming assessment at www.ncrlap.org. •Review the materials lists for each classroom. This list is to be used as a resource reminding you of some of the required items to promote quality in programming. •Contact CCRI and The Alliance for Children to have them assist you in providing guidance in preparation for the scales. Technical Assistance: •Make sure staff members are completely filling out their Emergency Information forms including hospital preferences. •I shared that I would be emailing a copy of the new Sanitation Laws, passed in July and information from the trainings. •As a reminder, set up a schedule or check list for the person in charge of staff files to physically add forms and documentation in a timely manner. •Once your fire inspection had passed and been completed, please send it to you Child Care Consultant within seven (7) days. •An updated Summary of the Law is available on the DCDEE website, please print and take down the previous version. •Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Ms. Andrews. We jointly reviewed the visit summary and documentation of my findings and violations and encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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: EVERBROOK ACADEMY Facility ID: 90000508 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 131 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 405 Time In: 08:45 AM Time Out: 03:30 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 unannounced annual compliance visit. Upon arrival I was greeted by Ms. Megan Thompson and I shared the reason for the visit. Ms. Thompson accompanied me throughout the walk-through of the facility and the outdoor learning environments and we were joined by Ms. Jalissa Andrews at the conclusion of the walk-through. Your program currently operates with a Three Star Center License effective 7/14/2021. The license was posted, with restrictions to 1st shift, meets enhanced ratios, meets enhanced space, and meets all enhanced requirements. Ownership: The facility owner is Everbrook Academy, LLC SoS# 188101. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All classrooms, kitchen, inside, two (2) playgrounds, and two (2) vehicles. Program Records: We reviewed all the required records and were in compliance. Ms. Andrews shared that the Fire Inspector is schedule to arrive early next week for their annual inspection. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 11/29/2023. •Emergency drill was conducted on 9/27/2023. •Fire inspection was completed on 12/19/2022. •Playground inspection was completed on 11/20/2023. •Sanitation inspection was conducted on 11/3/2023 received a Superior classification. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. All classroom teachers’ were engaged with the children in their care. The children were observed to have adequate amounts of learning opportunities and toys at their disposal. The children were participating in free play, bottle feeding, instructional art activities, center choice time and group instruction. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were nineteen (19) new staff files to review today, and a percentage of staff was reviewed. Please refer to the staff/training worksheet to review which files were monitored. The files were well organized and in four (4) of the files trainings and documentation was not present upon review. Children’s Records: There are one hundred and forty four (144) children enrolled in this center. There were one hundred and thirty one (131) in attendance today. Fourteen (14) children’s files were reviewed today, please refer to the children’s worksheet to review which files were monitored. Medication: All emergency and other medications were reviewed today and most were in compliance, please refer to the violation summary for a more specific explanation. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu and allergy information was prominently posted in the kitchen and the kitchen was well organized and well kept. The menu consisted of turkey, ham, green beans, mandarin oranges and milk. Weapons: Your facility reported that they were in/out of compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility does use transportation for field trips, and both vehicles were in compliance with registrations, and insurance. They vehicles were clean and had all approved postings, and emergency equipment. There were nine (9) violations were observed today and four (4) were corrected during the visit. The violations are as follows: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In the Pre-K room that serves children two to three years old there was an epi-pen that was not in its original prescription container. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In the classroom that serves toddlers, there were diaper creams that were expired and not discarded within seventy-two hours of expiration of medical permission forms. .0803(12) 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. In the room that serves toddler, plastic bags were accessible to children. .0604(q) 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. Staff Member D/B did not have First Aid training within the required timeline even though two (2) classes were assigned for the staff member. .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 Member D/B did not have CPR training within the required timeline even though two (2) classes were assigned for the staff member. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child #1, #2 and #3 did not have medical forms in their files upon enrollment or within thirty (30) days after enrollment. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members M.S. and K.F. had expired provisional qualifying letters on file. Both staff members did have updated qualifying letters and were able to provided the letters and they were added to their personnel files. G.S. 110-90.2(b) & (d) & .2703(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In the room that serves toddlers there were diaper creams that did not have medication permission forms allowing usage. There were also three (3) extra creams that did not have any child assigned to the medications. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. Staff member M.L.'s blended learning certificate showing completion of hands on training and overall completion of the course was not on file. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) The violations not corrected during the visit must be corrected immediately. On or before 12/25/2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 Traci.Meyer@dhhs.nc.us Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. 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. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: Your facility’s rated license cohort is cohort three (3) The preparation year of the assessment is July 1st, 2025 to June 30th, 2026 and the assessment year is July 1st, 2026 to June 30th, 2027. Listed below are some items to do to get ready for the upcoming preparation and assessment years. •Have all staff update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all teachers and staff print out their WORKS letter, so you can see if their education is updated. If any teachers have a BSAC certificate have them upload the certificate into their account. •Access the resources for your upcoming assessment at www.ncrlap.org. •Review the materials lists for each classroom. This list is to be used as a resource reminding you of some of the required items to promote quality in programming. •Contact CCRI and The Alliance for Children to have them assist you in providing guidance in preparation for the scales. Technical Assistance: •Make sure staff members are completely filling out their Emergency Information forms including hospital preferences. •I shared that I would be emailing a copy of the new Sanitation Laws, passed in July and information from the trainings. •As a reminder, set up a schedule or check list for the person in charge of staff files to physically add forms and documentation in a timely manner. •Once your fire inspection had passed and been completed, please send it to you Child Care Consultant within seven (7) days. •An updated Summary of the Law is available on the DCDEE website, please print and take down the previous version. •Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Ms. Andrews. We jointly reviewed the visit summary and documentation of my findings and violations and encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: EVERBROOK ACADEMY Facility ID: 90000508 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 131 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 405 Time In: 08:45 AM Time Out: 03:30 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 unannounced annual compliance visit. Upon arrival I was greeted by Ms. Megan Thompson and I shared the reason for the visit. Ms. Thompson accompanied me throughout the walk-through of the facility and the outdoor learning environments and we were joined by Ms. Jalissa Andrews at the conclusion of the walk-through. Your program currently operates with a Three Star Center License effective 7/14/2021. The license was posted, with restrictions to 1st shift, meets enhanced ratios, meets enhanced space, and meets all enhanced requirements. Ownership: The facility owner is Everbrook Academy, LLC SoS# 188101. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All classrooms, kitchen, inside, two (2) playgrounds, and two (2) vehicles. Program Records: We reviewed all the required records and were in compliance. Ms. Andrews shared that the Fire Inspector is schedule to arrive early next week for their annual inspection. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 11/29/2023. •Emergency drill was conducted on 9/27/2023. •Fire inspection was completed on 12/19/2022. •Playground inspection was completed on 11/20/2023. •Sanitation inspection was conducted on 11/3/2023 received a Superior classification. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. All classroom teachers’ were engaged with the children in their care. The children were observed to have adequate amounts of learning opportunities and toys at their disposal. The children were participating in free play, bottle feeding, instructional art activities, center choice time and group instruction. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were nineteen (19) new staff files to review today, and a percentage of staff was reviewed. Please refer to the staff/training worksheet to review which files were monitored. The files were well organized and in four (4) of the files trainings and documentation was not present upon review. Children’s Records: There are one hundred and forty four (144) children enrolled in this center. There were one hundred and thirty one (131) in attendance today. Fourteen (14) children’s files were reviewed today, please refer to the children’s worksheet to review which files were monitored. Medication: All emergency and other medications were reviewed today and most were in compliance, please refer to the violation summary for a more specific explanation. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu and allergy information was prominently posted in the kitchen and the kitchen was well organized and well kept. The menu consisted of turkey, ham, green beans, mandarin oranges and milk. Weapons: Your facility reported that they were in/out of compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility does use transportation for field trips, and both vehicles were in compliance with registrations, and insurance. They vehicles were clean and had all approved postings, and emergency equipment. There were nine (9) violations were observed today and four (4) were corrected during the visit. The violations are as follows: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In the Pre-K room that serves children two to three years old there was an epi-pen that was not in its original prescription container. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In the classroom that serves toddlers, there were diaper creams that were expired and not discarded within seventy-two hours of expiration of medical permission forms. .0803(12) 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. In the room that serves toddler, plastic bags were accessible to children. .0604(q) 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. Staff Member D/B did not have First Aid training within the required timeline even though two (2) classes were assigned for the staff member. .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 Member D/B did not have CPR training within the required timeline even though two (2) classes were assigned for the staff member. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child #1, #2 and #3 did not have medical forms in their files upon enrollment or within thirty (30) days after enrollment. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members M.S. and K.F. had expired provisional qualifying letters on file. Both staff members did have updated qualifying letters and were able to provided the letters and they were added to their personnel files. G.S. 110-90.2(b) & (d) & .2703(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In the room that serves toddlers there were diaper creams that did not have medication permission forms allowing usage. There were also three (3) extra creams that did not have any child assigned to the medications. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. Staff member M.L.'s blended learning certificate showing completion of hands on training and overall completion of the course was not on file. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) The violations not corrected during the visit must be corrected immediately. On or before 12/25/2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 Traci.Meyer@dhhs.nc.us Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. 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. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: Your facility’s rated license cohort is cohort three (3) The preparation year of the assessment is July 1st, 2025 to June 30th, 2026 and the assessment year is July 1st, 2026 to June 30th, 2027. Listed below are some items to do to get ready for the upcoming preparation and assessment years. •Have all staff update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all teachers and staff print out their WORKS letter, so you can see if their education is updated. If any teachers have a BSAC certificate have them upload the certificate into their account. •Access the resources for your upcoming assessment at www.ncrlap.org. •Review the materials lists for each classroom. This list is to be used as a resource reminding you of some of the required items to promote quality in programming. •Contact CCRI and The Alliance for Children to have them assist you in providing guidance in preparation for the scales. Technical Assistance: •Make sure staff members are completely filling out their Emergency Information forms including hospital preferences. •I shared that I would be emailing a copy of the new Sanitation Laws, passed in July and information from the trainings. •As a reminder, set up a schedule or check list for the person in charge of staff files to physically add forms and documentation in a timely manner. •Once your fire inspection had passed and been completed, please send it to you Child Care Consultant within seven (7) days. •An updated Summary of the Law is available on the DCDEE website, please print and take down the previous version. •Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Ms. Andrews. We jointly reviewed the visit summary and documentation of my findings and violations and encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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