10A NCAC 09 .2703 · Violation

Name of Operation: GENERATIONS CHILD DEVELOPMENT CENTER Facility ID: 05000066 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 30 Completed Date: 3/11/2026 Age: From 0 To 5 Total Minutes: 155 Time In: 10:05 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Jordan Myers, Director. Your program currently operates with a Five (5) Star license effective 4/23/25. Restrictions include 1st shift; meets enhanced ratios; meets enhanced space; reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. The children are enjoying the new sandbox on the preschool playground. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having outdoor gross motor play, infants and toddlers having outdoor play on the covered porches, and infants and toddlers having their individual needs met such as diapering. I observed materials and activities that were available to the children in the classrooms. Your facility uses Creative Curriculum. The last annual compliance visit was conducted on 4/15/25. A sanitation inspection was completed on 12/11/25 with a Superior classification and six (6) demerits. The last fire inspection was conducted 12/22/25. A copy of this inspection was received during today’s visit. Program records and required postings were monitored. A fire drill was conducted on 2/26/26 at 2:53 pm with seventy (70) seconds to evacuate twenty (20) children and nine (9) adults by J. Myers. A lockdown emergency drill was documented on 2/24/26 at 2:56 pm with two (2) minutes, thirty-seven (37) seconds to lockdown by J. Myers. An outdoor inspection was documented on 2/26/26 at 4 pm by J. Myers. Sand washed away was noted on the playground inspection. The center now has a new sandbox area with new sand. Two (2) new staff files, one (1) administrator, one (1) assistant director and three (3) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked closets. Storage and administration of medication were monitored. Medication authorization was monitored. Today I observed one (1) Epi-pen for a peanut allergy in the Preschool space, group 4. The program does not provide transportation. The following violation was cited at today’s visit. Violation Number Comment Rule 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. This center staff is not registered on the ABCMS portal as of today 3/11/26. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Wednesday, March 25, 2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • By now, all center staff should be registered in the ABCMS portal. Directions on how to get registered on the portal were sent out previously. This procedure is to ensure that all staff are registered in the ABCMS (Automated Background Check Management System) for the children’s safety. Refer to Childcare rule 10A NCAC 09 .2703(r) and GS 110-90.2. The ABCMS portal technical assistance directions were printed and provided for the director today. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Be sure that you have complete adding all your staff to the ABCMS portal as they are hired. • The QRIS is being implemented. Go to DCDEE website and clink on “What’s New?” then click on QRIS Modernization to learn more about QRIS. You may click on each link to learn more about each pathway. • You confirmed with me today that your email address is: jordanmyers@generationsashe.org. • Go to the DCDEE homepage and sign up for Raise NC Newsletter to get the most recent updates. • This center went through the license process in 2025. Your permit was effective 4/23/25. You are up for renewal of your permit in March of 2028. • The Application for Assessment for a Rated License is now live on DCDEE’s website under Provider Documenters. You are welcome to view this form and see all the required forms for each pathway. You can access the applications below for a Center. Once the application opens, you can click on the specific forms under each pathway to see the forms you will be using for the new QRIS process. • Paperwork for the new administrator and assistant director will be scanned to you upon my return to the office this afternoon. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. Join me March 17, 2026 at 1:00 pm for our Spring Director's virtual Zoom. The link has been sent to you in a previous email. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: GENERATIONS CHILD DEVELOPMENT CENTER Facility ID: 05000066 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 30 Completed Date: 3/11/2026 Age: From 0 To 5 Total Minutes: 155 Time In: 10:05 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Jordan Myers, Director. Your program currently operates with a Five (5) Star license effective 4/23/25. Restrictions include 1st shift; meets enhanced ratios; meets enhanced space; reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. The children are enjoying the new sandbox on the preschool playground. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having outdoor gross motor play, infants and toddlers having outdoor play on the covered porches, and infants and toddlers having their individual needs met such as diapering. I observed materials and activities that were available to the children in the classrooms. Your facility uses Creative Curriculum. The last annual compliance visit was conducted on 4/15/25. A sanitation inspection was completed on 12/11/25 with a Superior classification and six (6) demerits. The last fire inspection was conducted 12/22/25. A copy of this inspection was received during today’s visit. Program records and required postings were monitored. A fire drill was conducted on 2/26/26 at 2:53 pm with seventy (70) seconds to evacuate twenty (20) children and nine (9) adults by J. Myers. A lockdown emergency drill was documented on 2/24/26 at 2:56 pm with two (2) minutes, thirty-seven (37) seconds to lockdown by J. Myers. An outdoor inspection was documented on 2/26/26 at 4 pm by J. Myers. Sand washed away was noted on the playground inspection. The center now has a new sandbox area with new sand. Two (2) new staff files, one (1) administrator, one (1) assistant director and three (3) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked closets. Storage and administration of medication were monitored. Medication authorization was monitored. Today I observed one (1) Epi-pen for a peanut allergy in the Preschool space, group 4. The program does not provide transportation. The following violation was cited at today’s visit. Violation Number Comment Rule 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. This center staff is not registered on the ABCMS portal as of today 3/11/26. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Wednesday, March 25, 2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • By now, all center staff should be registered in the ABCMS portal. Directions on how to get registered on the portal were sent out previously. This procedure is to ensure that all staff are registered in the ABCMS (Automated Background Check Management System) for the children’s safety. Refer to Childcare rule 10A NCAC 09 .2703(r) and GS 110-90.2. The ABCMS portal technical assistance directions were printed and provided for the director today. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Be sure that you have complete adding all your staff to the ABCMS portal as they are hired. • The QRIS is being implemented. Go to DCDEE website and clink on “What’s New?” then click on QRIS Modernization to learn more about QRIS. You may click on each link to learn more about each pathway. • You confirmed with me today that your email address is: jordanmyers@generationsashe.org. • Go to the DCDEE homepage and sign up for Raise NC Newsletter to get the most recent updates. • This center went through the license process in 2025. Your permit was effective 4/23/25. You are up for renewal of your permit in March of 2028. • The Application for Assessment for a Rated License is now live on DCDEE’s website under Provider Documenters. You are welcome to view this form and see all the required forms for each pathway. You can access the applications below for a Center. Once the application opens, you can click on the specific forms under each pathway to see the forms you will be using for the new QRIS process. • Paperwork for the new administrator and assistant director will be scanned to you upon my return to the office this afternoon. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. Join me March 17, 2026 at 1:00 pm for our Spring Director's virtual Zoom. The link has been sent to you in a previous email. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-90 · Violation

Name of Operation: GENERATIONS CHILD DEVELOPMENT CENTER Facility ID: 05000066 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 30 Completed Date: 3/11/2026 Age: From 0 To 5 Total Minutes: 155 Time In: 10:05 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Jordan Myers, Director. Your program currently operates with a Five (5) Star license effective 4/23/25. Restrictions include 1st shift; meets enhanced ratios; meets enhanced space; reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. The children are enjoying the new sandbox on the preschool playground. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having outdoor gross motor play, infants and toddlers having outdoor play on the covered porches, and infants and toddlers having their individual needs met such as diapering. I observed materials and activities that were available to the children in the classrooms. Your facility uses Creative Curriculum. The last annual compliance visit was conducted on 4/15/25. A sanitation inspection was completed on 12/11/25 with a Superior classification and six (6) demerits. The last fire inspection was conducted 12/22/25. A copy of this inspection was received during today’s visit. Program records and required postings were monitored. A fire drill was conducted on 2/26/26 at 2:53 pm with seventy (70) seconds to evacuate twenty (20) children and nine (9) adults by J. Myers. A lockdown emergency drill was documented on 2/24/26 at 2:56 pm with two (2) minutes, thirty-seven (37) seconds to lockdown by J. Myers. An outdoor inspection was documented on 2/26/26 at 4 pm by J. Myers. Sand washed away was noted on the playground inspection. The center now has a new sandbox area with new sand. Two (2) new staff files, one (1) administrator, one (1) assistant director and three (3) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked closets. Storage and administration of medication were monitored. Medication authorization was monitored. Today I observed one (1) Epi-pen for a peanut allergy in the Preschool space, group 4. The program does not provide transportation. The following violation was cited at today’s visit. Violation Number Comment Rule 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. This center staff is not registered on the ABCMS portal as of today 3/11/26. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Wednesday, March 25, 2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • By now, all center staff should be registered in the ABCMS portal. Directions on how to get registered on the portal were sent out previously. This procedure is to ensure that all staff are registered in the ABCMS (Automated Background Check Management System) for the children’s safety. Refer to Childcare rule 10A NCAC 09 .2703(r) and GS 110-90.2. The ABCMS portal technical assistance directions were printed and provided for the director today. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Be sure that you have complete adding all your staff to the ABCMS portal as they are hired. • The QRIS is being implemented. Go to DCDEE website and clink on “What’s New?” then click on QRIS Modernization to learn more about QRIS. You may click on each link to learn more about each pathway. • You confirmed with me today that your email address is: jordanmyers@generationsashe.org. • Go to the DCDEE homepage and sign up for Raise NC Newsletter to get the most recent updates. • This center went through the license process in 2025. Your permit was effective 4/23/25. You are up for renewal of your permit in March of 2028. • The Application for Assessment for a Rated License is now live on DCDEE’s website under Provider Documenters. You are welcome to view this form and see all the required forms for each pathway. You can access the applications below for a Center. Once the application opens, you can click on the specific forms under each pathway to see the forms you will be using for the new QRIS process. • Paperwork for the new administrator and assistant director will be scanned to you upon my return to the office this afternoon. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. Join me March 17, 2026 at 1:00 pm for our Spring Director's virtual Zoom. The link has been sent to you in a previous email. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GENERATIONS CHILD DEVELOPMENT CENTER Facility ID: 05000066 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 30 Completed Date: 3/11/2026 Age: From 0 To 5 Total Minutes: 155 Time In: 10:05 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Jordan Myers, Director. Your program currently operates with a Five (5) Star license effective 4/23/25. Restrictions include 1st shift; meets enhanced ratios; meets enhanced space; reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. The children are enjoying the new sandbox on the preschool playground. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having outdoor gross motor play, infants and toddlers having outdoor play on the covered porches, and infants and toddlers having their individual needs met such as diapering. I observed materials and activities that were available to the children in the classrooms. Your facility uses Creative Curriculum. The last annual compliance visit was conducted on 4/15/25. A sanitation inspection was completed on 12/11/25 with a Superior classification and six (6) demerits. The last fire inspection was conducted 12/22/25. A copy of this inspection was received during today’s visit. Program records and required postings were monitored. A fire drill was conducted on 2/26/26 at 2:53 pm with seventy (70) seconds to evacuate twenty (20) children and nine (9) adults by J. Myers. A lockdown emergency drill was documented on 2/24/26 at 2:56 pm with two (2) minutes, thirty-seven (37) seconds to lockdown by J. Myers. An outdoor inspection was documented on 2/26/26 at 4 pm by J. Myers. Sand washed away was noted on the playground inspection. The center now has a new sandbox area with new sand. Two (2) new staff files, one (1) administrator, one (1) assistant director and three (3) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked closets. Storage and administration of medication were monitored. Medication authorization was monitored. Today I observed one (1) Epi-pen for a peanut allergy in the Preschool space, group 4. The program does not provide transportation. The following violation was cited at today’s visit. Violation Number Comment Rule 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. This center staff is not registered on the ABCMS portal as of today 3/11/26. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Wednesday, March 25, 2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • By now, all center staff should be registered in the ABCMS portal. Directions on how to get registered on the portal were sent out previously. This procedure is to ensure that all staff are registered in the ABCMS (Automated Background Check Management System) for the children’s safety. Refer to Childcare rule 10A NCAC 09 .2703(r) and GS 110-90.2. The ABCMS portal technical assistance directions were printed and provided for the director today. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Be sure that you have complete adding all your staff to the ABCMS portal as they are hired. • The QRIS is being implemented. Go to DCDEE website and clink on “What’s New?” then click on QRIS Modernization to learn more about QRIS. You may click on each link to learn more about each pathway. • You confirmed with me today that your email address is: jordanmyers@generationsashe.org. • Go to the DCDEE homepage and sign up for Raise NC Newsletter to get the most recent updates. • This center went through the license process in 2025. Your permit was effective 4/23/25. You are up for renewal of your permit in March of 2028. • The Application for Assessment for a Rated License is now live on DCDEE’s website under Provider Documenters. You are welcome to view this form and see all the required forms for each pathway. You can access the applications below for a Center. Once the application opens, you can click on the specific forms under each pathway to see the forms you will be using for the new QRIS process. • Paperwork for the new administrator and assistant director will be scanned to you upon my return to the office this afternoon. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov. Join me March 17, 2026 at 1:00 pm for our Spring Director's virtual Zoom. The link has been sent to you in a previous email. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: GENERATIONS CHILD DEVELOPMENT CENTER Facility ID: 05000066 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 29 Completed Date: 4/15/2025 Age: From 0 To 5 Total Minutes: 295 Time In: 10:10 AM Time Out: 03:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment with an announced ERS review was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, childcare consultant with Kayla Absher, Director. Your program currently operates with a Five (5) Star license. Restrictions include 1st shift; meets enhanced ratios; meets enhanced space; reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 4/11/25 and Ashe Services for Aging Incorporated was listed as current and active. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having free choice center play, preparing for lunch and nap/rest time, infants having individual needs met and time on the rug with teachers. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum with Foundations embedded in the lesson plans. The last annual compliance visit was conducted on 8/5/24. A sanitation inspection was completed on 11/25/24 with a Superior classification and two (2) demerits. The last fire inspection was conducted on 12/19/24. Program records and required postings were monitored. A fire drill was conducted on 3/26/25 at 3:10 pm with sixty-eight (68) seconds to evacuate thirty-one (31) children and ten (10) adults by K. Absher. A lockdown emergency drill was documented on 2/10/25 at 9:25 am with three (3) minutes and forty-two (42) seconds to lockdown by K. Absher. An outdoor inspection was documented on 3/21/25 at 9:18 am by K. Absher. Two (2) staff files and four (4) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. There was an EpiPen in Space 3 that was not in the original prescription box from the pharmacy. There was an EpiPen for peanut allergies in Space 2. The program does not provide transportation. The following violations were cited during today’s visit: 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. There was one EpiPen in Space 3 that was not in the original pharmacy box. .0803(2)(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The top half of the children's medical report was no completed for one enrolled child. GS 110-91(1);.0302(d)(2); .0304(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, April 29, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • All medications must be given to the provider in the original pharmacy container. See Child Care Rule 10A NCAC 09 .0803(2)(a). • One child did not have the top half of the Children’s Medical Report completed. See Child Care Rule 10A NACA 09 .0304(g), .0302(d)(2), GS 110-91(1). Once violations are brought into compliance, I will process your application for a Star Rated License based on the following information: Rated License Information: Your three-year re-assessment was due by 12/19/20. No assessments were conducted due to COVID 19. You submitted your application for re-assessment using the new ITERS-3 and ECERS-3 on 1/27/25 during Hold & Harmless. You are eligible for a new Star License based on the following: • Education: Points are earned based on the lowest level of education for any one position. The Administrator has BA/BS in EC/CD, has a Level III Administrator Equivalency, has BSAC and has seven (7) years’ experience, and ECE Level 11 earning seven (7) points. • The Program Coordinator has BSAC, is lead teacher qualified, and has 750 hours’ experience in a licensed school age care earning six (6) points. • The facility has four (4) required lead teachers. Each of them has NCECC or a 4 yr. Birth-Kindergarten degree and fifty (50) percent of them have completed at least twenty-one (21) semester hours and they have at least two (2) years of experience in childcare, earning seven (7) points. • Three (3) teachers are required, 50% of them have NCECC and at least one (1) year of experience earning them six (6) points. • One (1) group leader is required. They have completed SA coursework, and have at least 750 hours experience in school age care earning them six (6) points. Based on the information noted above, your program earned six (6) points in the Education component. • Program Standards: The program meets enhanced ratios, enhanced space, and enhanced ratios minus one. The facility completed the request for the Environment Rating Scales and submitted it with the reassessment packet on 1/27/25. The ERS was requested on 1/29/25. The ITERS-3 and ECERS-3, were all administered on 3/11/25 and 2/26/25. The assessment report was reviewed during a rated license visit on 4/15/25. The scores are as follows: ITERS-3 =5.94, ECERS-3 = 5.76. The average score is 5.85 earning this facility seven (7) points in this component. • Quality Point: You have chosen to meet a Programmatic option which is Staff Benefits Package and Infrastructure of Parent Involvement. I verified the Staff Benefits Package, and the Infrastructure of Parent Involvement is being implemented, therefore your program earned 1 Quality Point. • Total: Six (6) points in Education + seven (7) points in Program + (1) Quality Point = 14 = for a five (5) Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, you will return the old license to me as it remains the property of the State of North Carolina. ERS review- Ms. Absher and Ms. Poe had questions on the number of books in her classroom. Ms. Bennett had questions on interactions on the playground that the assessor did not hear and the science/nature collectables with the hermit crab and the fish tank. Ms. Absher stated that she did not plan to file a grievance regarding the score received with the North Carolina Rated License Assessment Project. It is recommended that Ms. Absher review the Facility Summary Report along with this visit summary with all staff and obtain any training needed and technical assistance from your local resource and referral agency, which will serve to assist you in providing enhanced care and improve future assessment scores. ERS summaries were reviewed today and items scoring less than a four (4) could constitute a violation of childcare requirements and therefore were monitored. These items are noted below: ECERS-3 assessment: Date:2/26/25 Teachers: B. Bennett, J. Coffey Total score: 5.76 Item:10 Indicator: 3.2 Score: 2 Assessor Comments: This indicator considers sanitary nap provisions. When stored, the cots were stacked on top of one another with a blanket folded and placed under the sheet in the middle of each cot; the sheets touched the bottom of the cots stacked above. The cots were made of a permeable material, allowing for the potential transfer of germs between the children's bedding and the cots. ERS Requirements: Some attempt was made to practice sanitary nap procedures (ex: children have sheets on the sleeping surface; most cots are at least 18 inches apart, and none are very close together. Observations today: Today I observed the cots had a Ziploc bag containing the blankets. The Ziploc bags are stored in the closet until nap/rest is over and then blankets go back in the Ziploc bag which is stored on top of each cot until use the next day. Item: 22 Indicator: 5.1 Score: 3 Assessor Comments: The children could use the following science materials during free play for at least 1 hour, which met a part of the indicator's requirement: Living things: no examples counted (see below) Natural objects: seashells, rocks Factual books/nature-science picture games: five different science books, two science puzzles, insect x-ray cards, garden matching game Tools: magnets with board, a magnifying glass, sensory tubes, microscope with slides Sand or water with toys: sand and water table with sifters, shovels, measuring cups, cylinders, funnels To earn credit, at least 15 materials representing each of the five categories should be provided in an interest center for children's use. There were at least 15 materials from 4 categories. Please note, there was a plant, fish, and hermit crab in the library area; since these materials were not in the science area, they could not be considered towards the requirements. ERS Requirements: At least 15 nature/science materials, some from each of the 5 listed categories, are accessible in a clearly defined nature science interest center for at least 1 hour during the observation. Observations today: Today I observed the fish tank and the hermit crab in the library area but Ms. Bennet stated she is planning to rearrange her room to be sure all collectables and the fish tank and hermit crab are located in the science/nature area. ITERS-3 assessment: Date: 3/11/25 Teachers: C. Poe, C. Ward Total score: 5.94 Item: No Items scored below 4 points. Observations today: We discussed individualized lesson plans for the infants. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • QRIS is in the process of being implemented. I will let you know once I have more information. • Remember to go into the EPR portal at least once a year prior to the date of your last time in the portal to avoid being locked out. * There were no individualized lesson plans in the infant classroom today. At the completion of the visit, this visit summary was reviewed with you. Due to printer issues in the field, this visit summary was scanned to you the following day for you to sign and scan back to me. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: GENERATIONS CHILD DEVELOPMENT CENTER Facility ID: 05000066 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 29 Completed Date: 4/15/2025 Age: From 0 To 5 Total Minutes: 295 Time In: 10:10 AM Time Out: 03:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment with an announced ERS review was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, childcare consultant with Kayla Absher, Director. Your program currently operates with a Five (5) Star license. Restrictions include 1st shift; meets enhanced ratios; meets enhanced space; reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 4/11/25 and Ashe Services for Aging Incorporated was listed as current and active. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having free choice center play, preparing for lunch and nap/rest time, infants having individual needs met and time on the rug with teachers. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum with Foundations embedded in the lesson plans. The last annual compliance visit was conducted on 8/5/24. A sanitation inspection was completed on 11/25/24 with a Superior classification and two (2) demerits. The last fire inspection was conducted on 12/19/24. Program records and required postings were monitored. A fire drill was conducted on 3/26/25 at 3:10 pm with sixty-eight (68) seconds to evacuate thirty-one (31) children and ten (10) adults by K. Absher. A lockdown emergency drill was documented on 2/10/25 at 9:25 am with three (3) minutes and forty-two (42) seconds to lockdown by K. Absher. An outdoor inspection was documented on 3/21/25 at 9:18 am by K. Absher. Two (2) staff files and four (4) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. There was an EpiPen in Space 3 that was not in the original prescription box from the pharmacy. There was an EpiPen for peanut allergies in Space 2. The program does not provide transportation. The following violations were cited during today’s visit: 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. There was one EpiPen in Space 3 that was not in the original pharmacy box. .0803(2)(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The top half of the children's medical report was no completed for one enrolled child. GS 110-91(1);.0302(d)(2); .0304(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, April 29, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • All medications must be given to the provider in the original pharmacy container. See Child Care Rule 10A NCAC 09 .0803(2)(a). • One child did not have the top half of the Children’s Medical Report completed. See Child Care Rule 10A NACA 09 .0304(g), .0302(d)(2), GS 110-91(1). Once violations are brought into compliance, I will process your application for a Star Rated License based on the following information: Rated License Information: Your three-year re-assessment was due by 12/19/20. No assessments were conducted due to COVID 19. You submitted your application for re-assessment using the new ITERS-3 and ECERS-3 on 1/27/25 during Hold & Harmless. You are eligible for a new Star License based on the following: • Education: Points are earned based on the lowest level of education for any one position. The Administrator has BA/BS in EC/CD, has a Level III Administrator Equivalency, has BSAC and has seven (7) years’ experience, and ECE Level 11 earning seven (7) points. • The Program Coordinator has BSAC, is lead teacher qualified, and has 750 hours’ experience in a licensed school age care earning six (6) points. • The facility has four (4) required lead teachers. Each of them has NCECC or a 4 yr. Birth-Kindergarten degree and fifty (50) percent of them have completed at least twenty-one (21) semester hours and they have at least two (2) years of experience in childcare, earning seven (7) points. • Three (3) teachers are required, 50% of them have NCECC and at least one (1) year of experience earning them six (6) points. • One (1) group leader is required. They have completed SA coursework, and have at least 750 hours experience in school age care earning them six (6) points. Based on the information noted above, your program earned six (6) points in the Education component. • Program Standards: The program meets enhanced ratios, enhanced space, and enhanced ratios minus one. The facility completed the request for the Environment Rating Scales and submitted it with the reassessment packet on 1/27/25. The ERS was requested on 1/29/25. The ITERS-3 and ECERS-3, were all administered on 3/11/25 and 2/26/25. The assessment report was reviewed during a rated license visit on 4/15/25. The scores are as follows: ITERS-3 =5.94, ECERS-3 = 5.76. The average score is 5.85 earning this facility seven (7) points in this component. • Quality Point: You have chosen to meet a Programmatic option which is Staff Benefits Package and Infrastructure of Parent Involvement. I verified the Staff Benefits Package, and the Infrastructure of Parent Involvement is being implemented, therefore your program earned 1 Quality Point. • Total: Six (6) points in Education + seven (7) points in Program + (1) Quality Point = 14 = for a five (5) Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, you will return the old license to me as it remains the property of the State of North Carolina. ERS review- Ms. Absher and Ms. Poe had questions on the number of books in her classroom. Ms. Bennett had questions on interactions on the playground that the assessor did not hear and the science/nature collectables with the hermit crab and the fish tank. Ms. Absher stated that she did not plan to file a grievance regarding the score received with the North Carolina Rated License Assessment Project. It is recommended that Ms. Absher review the Facility Summary Report along with this visit summary with all staff and obtain any training needed and technical assistance from your local resource and referral agency, which will serve to assist you in providing enhanced care and improve future assessment scores. ERS summaries were reviewed today and items scoring less than a four (4) could constitute a violation of childcare requirements and therefore were monitored. These items are noted below: ECERS-3 assessment: Date:2/26/25 Teachers: B. Bennett, J. Coffey Total score: 5.76 Item:10 Indicator: 3.2 Score: 2 Assessor Comments: This indicator considers sanitary nap provisions. When stored, the cots were stacked on top of one another with a blanket folded and placed under the sheet in the middle of each cot; the sheets touched the bottom of the cots stacked above. The cots were made of a permeable material, allowing for the potential transfer of germs between the children's bedding and the cots. ERS Requirements: Some attempt was made to practice sanitary nap procedures (ex: children have sheets on the sleeping surface; most cots are at least 18 inches apart, and none are very close together. Observations today: Today I observed the cots had a Ziploc bag containing the blankets. The Ziploc bags are stored in the closet until nap/rest is over and then blankets go back in the Ziploc bag which is stored on top of each cot until use the next day. Item: 22 Indicator: 5.1 Score: 3 Assessor Comments: The children could use the following science materials during free play for at least 1 hour, which met a part of the indicator's requirement: Living things: no examples counted (see below) Natural objects: seashells, rocks Factual books/nature-science picture games: five different science books, two science puzzles, insect x-ray cards, garden matching game Tools: magnets with board, a magnifying glass, sensory tubes, microscope with slides Sand or water with toys: sand and water table with sifters, shovels, measuring cups, cylinders, funnels To earn credit, at least 15 materials representing each of the five categories should be provided in an interest center for children's use. There were at least 15 materials from 4 categories. Please note, there was a plant, fish, and hermit crab in the library area; since these materials were not in the science area, they could not be considered towards the requirements. ERS Requirements: At least 15 nature/science materials, some from each of the 5 listed categories, are accessible in a clearly defined nature science interest center for at least 1 hour during the observation. Observations today: Today I observed the fish tank and the hermit crab in the library area but Ms. Bennet stated she is planning to rearrange her room to be sure all collectables and the fish tank and hermit crab are located in the science/nature area. ITERS-3 assessment: Date: 3/11/25 Teachers: C. Poe, C. Ward Total score: 5.94 Item: No Items scored below 4 points. Observations today: We discussed individualized lesson plans for the infants. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • QRIS is in the process of being implemented. I will let you know once I have more information. • Remember to go into the EPR portal at least once a year prior to the date of your last time in the portal to avoid being locked out. * There were no individualized lesson plans in the infant classroom today. At the completion of the visit, this visit summary was reviewed with you. Due to printer issues in the field, this visit summary was scanned to you the following day for you to sign and scan back to me. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GENERATIONS CHILD DEVELOPMENT CENTER Facility ID: 05000066 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 29 Completed Date: 4/15/2025 Age: From 0 To 5 Total Minutes: 295 Time In: 10:10 AM Time Out: 03:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment with an announced ERS review was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, childcare consultant with Kayla Absher, Director. Your program currently operates with a Five (5) Star license. Restrictions include 1st shift; meets enhanced ratios; meets enhanced space; reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 4/11/25 and Ashe Services for Aging Incorporated was listed as current and active. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having free choice center play, preparing for lunch and nap/rest time, infants having individual needs met and time on the rug with teachers. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum with Foundations embedded in the lesson plans. The last annual compliance visit was conducted on 8/5/24. A sanitation inspection was completed on 11/25/24 with a Superior classification and two (2) demerits. The last fire inspection was conducted on 12/19/24. Program records and required postings were monitored. A fire drill was conducted on 3/26/25 at 3:10 pm with sixty-eight (68) seconds to evacuate thirty-one (31) children and ten (10) adults by K. Absher. A lockdown emergency drill was documented on 2/10/25 at 9:25 am with three (3) minutes and forty-two (42) seconds to lockdown by K. Absher. An outdoor inspection was documented on 3/21/25 at 9:18 am by K. Absher. Two (2) staff files and four (4) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. There was an EpiPen in Space 3 that was not in the original prescription box from the pharmacy. There was an EpiPen for peanut allergies in Space 2. The program does not provide transportation. The following violations were cited during today’s visit: 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. There was one EpiPen in Space 3 that was not in the original pharmacy box. .0803(2)(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The top half of the children's medical report was no completed for one enrolled child. GS 110-91(1);.0302(d)(2); .0304(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, April 29, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • All medications must be given to the provider in the original pharmacy container. See Child Care Rule 10A NCAC 09 .0803(2)(a). • One child did not have the top half of the Children’s Medical Report completed. See Child Care Rule 10A NACA 09 .0304(g), .0302(d)(2), GS 110-91(1). Once violations are brought into compliance, I will process your application for a Star Rated License based on the following information: Rated License Information: Your three-year re-assessment was due by 12/19/20. No assessments were conducted due to COVID 19. You submitted your application for re-assessment using the new ITERS-3 and ECERS-3 on 1/27/25 during Hold & Harmless. You are eligible for a new Star License based on the following: • Education: Points are earned based on the lowest level of education for any one position. The Administrator has BA/BS in EC/CD, has a Level III Administrator Equivalency, has BSAC and has seven (7) years’ experience, and ECE Level 11 earning seven (7) points. • The Program Coordinator has BSAC, is lead teacher qualified, and has 750 hours’ experience in a licensed school age care earning six (6) points. • The facility has four (4) required lead teachers. Each of them has NCECC or a 4 yr. Birth-Kindergarten degree and fifty (50) percent of them have completed at least twenty-one (21) semester hours and they have at least two (2) years of experience in childcare, earning seven (7) points. • Three (3) teachers are required, 50% of them have NCECC and at least one (1) year of experience earning them six (6) points. • One (1) group leader is required. They have completed SA coursework, and have at least 750 hours experience in school age care earning them six (6) points. Based on the information noted above, your program earned six (6) points in the Education component. • Program Standards: The program meets enhanced ratios, enhanced space, and enhanced ratios minus one. The facility completed the request for the Environment Rating Scales and submitted it with the reassessment packet on 1/27/25. The ERS was requested on 1/29/25. The ITERS-3 and ECERS-3, were all administered on 3/11/25 and 2/26/25. The assessment report was reviewed during a rated license visit on 4/15/25. The scores are as follows: ITERS-3 =5.94, ECERS-3 = 5.76. The average score is 5.85 earning this facility seven (7) points in this component. • Quality Point: You have chosen to meet a Programmatic option which is Staff Benefits Package and Infrastructure of Parent Involvement. I verified the Staff Benefits Package, and the Infrastructure of Parent Involvement is being implemented, therefore your program earned 1 Quality Point. • Total: Six (6) points in Education + seven (7) points in Program + (1) Quality Point = 14 = for a five (5) Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, you will return the old license to me as it remains the property of the State of North Carolina. ERS review- Ms. Absher and Ms. Poe had questions on the number of books in her classroom. Ms. Bennett had questions on interactions on the playground that the assessor did not hear and the science/nature collectables with the hermit crab and the fish tank. Ms. Absher stated that she did not plan to file a grievance regarding the score received with the North Carolina Rated License Assessment Project. It is recommended that Ms. Absher review the Facility Summary Report along with this visit summary with all staff and obtain any training needed and technical assistance from your local resource and referral agency, which will serve to assist you in providing enhanced care and improve future assessment scores. ERS summaries were reviewed today and items scoring less than a four (4) could constitute a violation of childcare requirements and therefore were monitored. These items are noted below: ECERS-3 assessment: Date:2/26/25 Teachers: B. Bennett, J. Coffey Total score: 5.76 Item:10 Indicator: 3.2 Score: 2 Assessor Comments: This indicator considers sanitary nap provisions. When stored, the cots were stacked on top of one another with a blanket folded and placed under the sheet in the middle of each cot; the sheets touched the bottom of the cots stacked above. The cots were made of a permeable material, allowing for the potential transfer of germs between the children's bedding and the cots. ERS Requirements: Some attempt was made to practice sanitary nap procedures (ex: children have sheets on the sleeping surface; most cots are at least 18 inches apart, and none are very close together. Observations today: Today I observed the cots had a Ziploc bag containing the blankets. The Ziploc bags are stored in the closet until nap/rest is over and then blankets go back in the Ziploc bag which is stored on top of each cot until use the next day. Item: 22 Indicator: 5.1 Score: 3 Assessor Comments: The children could use the following science materials during free play for at least 1 hour, which met a part of the indicator's requirement: Living things: no examples counted (see below) Natural objects: seashells, rocks Factual books/nature-science picture games: five different science books, two science puzzles, insect x-ray cards, garden matching game Tools: magnets with board, a magnifying glass, sensory tubes, microscope with slides Sand or water with toys: sand and water table with sifters, shovels, measuring cups, cylinders, funnels To earn credit, at least 15 materials representing each of the five categories should be provided in an interest center for children's use. There were at least 15 materials from 4 categories. Please note, there was a plant, fish, and hermit crab in the library area; since these materials were not in the science area, they could not be considered towards the requirements. ERS Requirements: At least 15 nature/science materials, some from each of the 5 listed categories, are accessible in a clearly defined nature science interest center for at least 1 hour during the observation. Observations today: Today I observed the fish tank and the hermit crab in the library area but Ms. Bennet stated she is planning to rearrange her room to be sure all collectables and the fish tank and hermit crab are located in the science/nature area. ITERS-3 assessment: Date: 3/11/25 Teachers: C. Poe, C. Ward Total score: 5.94 Item: No Items scored below 4 points. Observations today: We discussed individualized lesson plans for the infants. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • QRIS is in the process of being implemented. I will let you know once I have more information. • Remember to go into the EPR portal at least once a year prior to the date of your last time in the portal to avoid being locked out. * There were no individualized lesson plans in the infant classroom today. At the completion of the visit, this visit summary was reviewed with you. Due to printer issues in the field, this visit summary was scanned to you the following day for you to sign and scan back to me. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: GENERATIONS CHILD DEVELOPMENT CENTER Facility ID: 05000066 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 8/5/2024 Number Present: 25 Completed Date: 8/5/2024 Age: From 0 To 5 Total Minutes: 176 Time In: 10:04 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant, with Kayla Absher, Director, and Jordan Myers, Intergenerational Program Assistant Director. Your program currently operates with a Five (5) Star license. Restrictions include 1st shift; meets enhanced ratios; meets enhanced space; reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 8/1/24 and Ashe Services for Aging Inc. was listed as current and active. The program’s compliance history was 99% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice play on the covered outdoor porches, having gross motor play on the outdoor playground, and having lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The last annual compliance visit was conducted on 8/15/23. A sanitation inspection was completed 6/6/24 with a Superior classification and two (2) demerits. The last fire inspection was conducted 12/20/23 by Josh Steelman. Program records and required postings were monitored. A fire drill was conducted on 7/24/24 at 10:20 am with sixty-nine (69) seconds to evacuate thirty-five (35) children and eleven (11) adults by K. Absher. A shelter in place drill was documented on 5/24/24 at 3:25 pm with three (3) minutes, fourteen (14) seconds to shelter-in-place. An outdoor inspection was documented on 7/22/24 by K. Absher with no items noted on the playground inspection sheet. Two (2) regular staff files, one (1) new staff file, and four (4) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored for over-the-counter diaper creams and sunscreens. There was on sezuire medication at the facility. The program does not provide transportation. One (1) violation was cited at today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. One child in the 2-3 year old classroom did not have an amount listed on the permission to administer form for sunscreen. 10A NCAC 09 .0803(4)(6-9) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/19/24. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Over the counter medications and sunscreens must have an amount listed to apply to the children on the permission to administer form. Medication cannot be applied to a child without this directive. See Child Care Rule 10A NCAC .09 .0803(4)&(6-9). Consultation today included: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Your EPR plan was documented as being reviewed by staff on 8/24/23 but an updated page documenting the latest printout of the EPR plan was not in place. Make sure to print out the 1st page of the EPR plan annually as it is updated and place in your EPR file. • You are in Cohort 2 and your prep year began 7/1/24 and will continue until 7/1/25. Hold & Harmless has been extended. More information will be sent to you as we receive updated information. • The tent in the toddler classroom must be fire retardant. Check the manufacturers label to be sure that it is fire retardant. If not, replace with a tent that is fire retardant. Remember to keep all manufacturer instrcutions for products purchased for the center. • Remember to post the monthly menus on the first day of each month. Ms. Absher stated she had them ready to post today. • Bark mulch is measuring seven (7) inches all around slide and climbing apparatus. Fluffing the bark mulch will improve the cushioning. • One (1) staff member (J.C) did not have a copy of her CBC in her file for review. Please place the CBC in her file. • Make plans to review the EMCP and the EPR plan with new staff member G. H, as soon as possible to be prepared if an emergency should arise. G. H. is due for her CPR/FA by 10/9/24. • Any incident report filled out must be logged on the Incident Log form. This is your cumulative report of all incidents that have occurred at your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: GENERATIONS CHILD DEVELOPMENT CENTER Facility ID: 05000066 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 8/5/2024 Number Present: 25 Completed Date: 8/5/2024 Age: From 0 To 5 Total Minutes: 176 Time In: 10:04 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant, with Kayla Absher, Director, and Jordan Myers, Intergenerational Program Assistant Director. Your program currently operates with a Five (5) Star license. Restrictions include 1st shift; meets enhanced ratios; meets enhanced space; reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 8/1/24 and Ashe Services for Aging Inc. was listed as current and active. The program’s compliance history was 99% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice play on the covered outdoor porches, having gross motor play on the outdoor playground, and having lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The last annual compliance visit was conducted on 8/15/23. A sanitation inspection was completed 6/6/24 with a Superior classification and two (2) demerits. The last fire inspection was conducted 12/20/23 by Josh Steelman. Program records and required postings were monitored. A fire drill was conducted on 7/24/24 at 10:20 am with sixty-nine (69) seconds to evacuate thirty-five (35) children and eleven (11) adults by K. Absher. A shelter in place drill was documented on 5/24/24 at 3:25 pm with three (3) minutes, fourteen (14) seconds to shelter-in-place. An outdoor inspection was documented on 7/22/24 by K. Absher with no items noted on the playground inspection sheet. Two (2) regular staff files, one (1) new staff file, and four (4) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored for over-the-counter diaper creams and sunscreens. There was on sezuire medication at the facility. The program does not provide transportation. One (1) violation was cited at today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. One child in the 2-3 year old classroom did not have an amount listed on the permission to administer form for sunscreen. 10A NCAC 09 .0803(4)(6-9) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/19/24. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Over the counter medications and sunscreens must have an amount listed to apply to the children on the permission to administer form. Medication cannot be applied to a child without this directive. See Child Care Rule 10A NCAC .09 .0803(4)&(6-9). Consultation today included: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Your EPR plan was documented as being reviewed by staff on 8/24/23 but an updated page documenting the latest printout of the EPR plan was not in place. Make sure to print out the 1st page of the EPR plan annually as it is updated and place in your EPR file. • You are in Cohort 2 and your prep year began 7/1/24 and will continue until 7/1/25. Hold & Harmless has been extended. More information will be sent to you as we receive updated information. • The tent in the toddler classroom must be fire retardant. Check the manufacturers label to be sure that it is fire retardant. If not, replace with a tent that is fire retardant. Remember to keep all manufacturer instrcutions for products purchased for the center. • Remember to post the monthly menus on the first day of each month. Ms. Absher stated she had them ready to post today. • Bark mulch is measuring seven (7) inches all around slide and climbing apparatus. Fluffing the bark mulch will improve the cushioning. • One (1) staff member (J.C) did not have a copy of her CBC in her file for review. Please place the CBC in her file. • Make plans to review the EMCP and the EPR plan with new staff member G. H, as soon as possible to be prepared if an emergency should arise. G. H. is due for her CPR/FA by 10/9/24. • Any incident report filled out must be logged on the Incident Log form. This is your cumulative report of all incidents that have occurred at your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09. 0607 · Violation

Name of Operation: GENERATIONS CHILD DEVELOPMENT CENTER Facility ID: 05000066 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 1/5/2024 Number Present: 32 Completed Date: 1/5/2024 Age: From 0 To 5 Total Minutes: 153 Time In: 10:47 AM Time Out: 01:20 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 childcare requirements for a routine unannounced visit. This visit was conducted by Karen Young, Childcare Consultant, with Kayla Absher, Director. Your program currently operates with a FIVE (5) Star license effective 9/4/20. Restrictions include 1st daytime care only; meets enhanced ratios; meets enhanced space; reduced ratios minus one. The NC Secretary of State website was reviewed on 2/2/24 and Ashe Services for Aging Inc. was listed as current and active. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having outdoor gross motor play, eating lunch and preparing for nap time. No new staff were reported at this program. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 1/18/24 with no issues noted on the playground inspection sheet by K. Absher. A fire drill was recorded 1/22/24 at 3:18 pm with sixty-seven (67) seconds to evacuate thirty (30) children and eleven (11) adults by K. Absher. A shelter in place drill for the facility was recorded 11/20/23 at 10:07 am with two (2) minutes to Shelter-in-place by K. Absher. The most recent fire inspection was on 12/20/23. I observed a sanitation inspection was last conducted on 10/16/23 earning a Superior classification with nine (9) demerits. The program does not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to go file did not contain the required paperwork for one (1) emergency seizure medication. This vioaltion was corrected during the visit. The teacher made copies of the required medication paperwork and placed it in the Ready to go file. .0607(d)(10) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Any emergency medication must have the required medication paperwork with the medication to be administered in the Ready to go bag, so that you are able to follow the specific instructions to administer the medication. Refer to Child Care Rule 10A NCAC 09. 0607(d)(10). This violation was corrected during the visit. Required medication paperwork was put in the zippered pouch with the seizure medication, in the Ready to go bag. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are in Cohort 2 for license reassessment which means your prep year will be 7/1/24-6/30/25. Your license reassessment year will be 7/1/25 – 6/30/26. • I will be sending you tasks and activities to complete as you get closer to your prep year. • We discussed that weighted blankets for children should be done under the supervision of a licensed therapist or with a Physician’s note. We also discussed your current staff education points during the visit today. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: GENERATIONS CHILD DEVELOPMENT CENTER Facility ID: 05000066 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 1/5/2024 Number Present: 32 Completed Date: 1/5/2024 Age: From 0 To 5 Total Minutes: 153 Time In: 10:47 AM Time Out: 01:20 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 childcare requirements for a routine unannounced visit. This visit was conducted by Karen Young, Childcare Consultant, with Kayla Absher, Director. Your program currently operates with a FIVE (5) Star license effective 9/4/20. Restrictions include 1st daytime care only; meets enhanced ratios; meets enhanced space; reduced ratios minus one. The NC Secretary of State website was reviewed on 2/2/24 and Ashe Services for Aging Inc. was listed as current and active. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having outdoor gross motor play, eating lunch and preparing for nap time. No new staff were reported at this program. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 1/18/24 with no issues noted on the playground inspection sheet by K. Absher. A fire drill was recorded 1/22/24 at 3:18 pm with sixty-seven (67) seconds to evacuate thirty (30) children and eleven (11) adults by K. Absher. A shelter in place drill for the facility was recorded 11/20/23 at 10:07 am with two (2) minutes to Shelter-in-place by K. Absher. The most recent fire inspection was on 12/20/23. I observed a sanitation inspection was last conducted on 10/16/23 earning a Superior classification with nine (9) demerits. The program does not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to go file did not contain the required paperwork for one (1) emergency seizure medication. This vioaltion was corrected during the visit. The teacher made copies of the required medication paperwork and placed it in the Ready to go file. .0607(d)(10) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Any emergency medication must have the required medication paperwork with the medication to be administered in the Ready to go bag, so that you are able to follow the specific instructions to administer the medication. Refer to Child Care Rule 10A NCAC 09. 0607(d)(10). This violation was corrected during the visit. Required medication paperwork was put in the zippered pouch with the seizure medication, in the Ready to go bag. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are in Cohort 2 for license reassessment which means your prep year will be 7/1/24-6/30/25. Your license reassessment year will be 7/1/25 – 6/30/26. • I will be sending you tasks and activities to complete as you get closer to your prep year. • We discussed that weighted blankets for children should be done under the supervision of a licensed therapist or with a Physician’s note. We also discussed your current staff education points during the visit today. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times